Fax +41 61 306 12 34
E-Mail karger@karger.ch
www.karger.com
Original Paper
Caries Res 2010;44:135–140
DOI: 10.1159/000302902
Effect of Different Fluoride Concentrations of
Experimental Dentifrices on Enamel Erosion and
Abrasion
M.J. Moretto
a
A.C. Magalhães
c
K.T. Sassaki
b
A.C.B. Delbem
a
C.C.R. Martinhon
a
Departments of
a
Pediatric Dentistry and
b
Basic Science, Unesp – Universidade Estadual Paulista, Araçatuba, and
c
Department of Biological Science, Bauru School of Dentistry, University of São Paulo, São Paulo, Brazil
using a 2-way ANOVA test followed by a Bonferroni correc-
tion (p ! 0.05). In in vitro conditions, the 5,000 g F/g and 500
g F/g plus 3% TMP dentifrices had a greater protective ef-
fect when compared with the 1,100 g F/g dentifrice, under
both ERO and ERO + ABR conditions. The results suggest that
dentifrices alone are not capable of completely inhibiting
tooth wear. Copyright © 2010 S. Karger AG, Basel
Dental erosion is defined as the loss of tooth substance
due to chemical processes (acid exposure) not involving
bacteria [Amaechi and Higham, 2005; Wiegand et al.,
2007]. Erosive lesions have a multifactorial etiology in
which the extrinsic (mainly dietary) and/or intrinsic
(gastric) acid exposures are related [Imfeld, 1996]. Nowa-
days, the extrinsic factor is gaining importance due to an
increase in the consumption of acid drinks, such as car-
bonated beverages, sports drinks, iced teas and fruit juic-
es [Lussi et al., 2004].
The acidic attack leads to an irreversible loss of dental
hard tissue, which is accompanied by a progressive soft-
ening of the surface [Amaechi and Higham, 2001]. This
softened zone is more susceptible to mechanical forces
such as abrasion [Attin et al., 2001; Rios et al., 2006].
Key Words
Dental enamel, abrasion Dental enamel, erosion
Dentifrice, fluoride Trimetaphosphate
Abstract
It has been suggested that fluoride products are able to re-
duce erosive tooth wear. Thus, the purpose of this in vitro
study was to evaluate the effect of dentifrices with different
fluoride concentrations as well as of a low-fluoridated denti-
frice supplemented with trimetaphosphate (TMP) on enam-
el erosion and abrasion. One hundred twenty bovine enam-
el blocks were assigned to the following experimental den-
tifrices: placebo, 1,100 g F/g, 500 g F/g plus 3% TMP and
5,000 g F/g. The groups of enamel blocks were additionally
subdivided into conditions of erosion (ERO) and of erosion
plus abrasion (ERO + ABR). For 7 days, the blocks were sub-
jected to erosive challenges (immersion in Sprite 4 times a
day for 5 min each time) followed by a remineralizing period
(immersion in artificial saliva between erosive challenges for
2 h). After each erosive challenge, the blocks were exposed
to slurries of the dentifrices (10 ml/sample for 15 s). Sixty of
the blocks were additionally abraded by brushing using an
electric toothbrush (15 s). The alterations of the enamel were
quantified using the Knoop hardness test and profilometry
(measurements in micrometers). The data were analyzed
Received: September 9, 2009
Accepted after revision: January 27, 2010
Published online: April 2, 2010
Cleide Cristina Rodrigues Martinhon
Unesp – Universidade Estadual Paulista
Department of Pediatric Dentistry, Rua José Bonifácio 1193
Araçatuba, SP 16015-050 (Brazil)
Tel. +55 18 3636 3235, Fax +55 18 3636 3332, E-Mail cleidecristina @ foa.unesp.br
© 2010 S. Karger AG, Basel
0008–6568/10/0442–0135$26.00/0
Accessible online at:
www.karger.com/cre