Advances in Clinical and Experimental Medicine

Title abbreviation: Adv Clin Exp Med
JCR Impact Factor (IF) – 2.1 (5-Year IF – 2.0)
Journal Citation Indicator (JCI) (2023) – 0.4
Scopus CiteScore – 3.7 (CiteScore Tracker – 4.3)
Index Copernicus  – 171.00; MNiSW – 70 pts

ISSN 1899–5276 (print)
ISSN 2451-2680 (online)
Periodicity – monthly

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Advances in Clinical and Experimental Medicine

2017, vol. 26, nr 8, November, p. 1179–1188

doi: 10.17219/acem/66209

Publication type: original article

Language: English

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Influence of infiltration technique and selected demineralization methods on the roughness of demineralized enamel: An in vitro study

Katarzyna Piątek-Jakubek1,A,B,C,D,E,F, Joanna Nowak2,A,B, Elżbieta Bołtacz-Rzepkowska1,A,C,E,F

1 Department of Conservative Dentistry, Medical University of Lodz, Poland

2 Laboratory of Material Testing, Medical University of Lodz, Poland

Abstract

Background. The decalcification of enamel leads to an increase in tissue roughness. The development of carious lesions may be halted or these lesions may heal, which results in a smoother surface.
Objectives. The objective of the study was to assess the impact of selected agents on the roughness of demineralized enamel on the smooth surfaces of teeth.
Material and Methods. A total of 25 samples with exposed enamel surfaces were examined in the study. The samples were randomized into groups and they were exposed to a demineralizing solution, after which the following agents were applied: Icon (Ic), Elmex gel (El), GC Tooth Mousse (TM), Colgate Total (K+) – a positive control group, and distilled water as a negative control group (K-). The impact of selected agents on the roughness of demineralized enamel was assessed with a profilometer. The parameters Ra, Rz and Rq were analyzed.
Results. Following infiltration and demineralization, the Ra coefficient declined in groups Ic, TM, K+ and K-, Rz decreased in groups Ic, TM and Rq was lower in groups Ic, TM and Kafter using agents when compared with demineralization. The lowest Ra, Rz and Rq values, i.e. the highest degree of surface smoothness, were observed in group Ic. An increase in all coefficients (Ra, Rz and Rq) was noted in group El.
Conclusion. Demineralized enamel can be smoothed out through the one-time application of Icon resin or the long-term application of GC Tooth Mousse. The least effective agents turned out to be those with a high fluoride content.

Key words

enamel, infiltration, roughness, early carious lesion, demineralization

References (19)

  1. Usha C, Sathyanarayanan R. Dental caries – A complete changeover (Part I). J Conserv Dent. 2009;12(2):46–54.
  2. Dabanoglu A, Wood C, García-Godoy F, Kunzelmann KH. Whitening effect and morphological evaluation of hydroxyapatite materials. Am J Dent. 2009;22(1):23–29.
  3. Clark KD. The efficacy of 37% phosphoric acid + Mi Paste Plus on remineralization of enamel white spot Plus on remineralization of enamel white spot lesions [master’s thesis]. Iowa, USA: University of Iowa; 2011.
  4. Featherstone JD. The continuum of dental caries – Evidence for a dynamic disease process. J Dent Res. 2004;83:C39–C42.
  5. Ellwood R, Goma J, Pretty I. Caries clinical trial methods for the assessment of oral care products in the 21st century. Adv Dent Res. 2012;24(2):32–35.
  6. Arslan S, Zorba YO, Atalay MA, et al. Effect of resin infiltration on enamel surface properties and Streptococcus mutans adhesion to artificial enamel lesions. Dent Mater J. 2015;34(1):25–30.
  7. Elkassas D, Arafa A. Remineralizing efficacy of different calcium-phosphate and fluoride based delivery vehicles on artificial caries like enamel lesions. J Dent. 2014;42(4):466–474.
  8. Yuan CQ, Dou GW, Deng J, Geng GL, Sun P, Cao YX. Effect of infiltration technique and polishing on the roughness of artificial carious enamel surfaces. Shanghai Kou Qiang Yi Xue. 2013;22(4):402–406.
  9. Zhihong D, Jiang C, Yue Z, Kaili L. In vitro remineralization of human dental enamel by bioactive glasses. J Mater Sci. 2011;46:1591–1596.
  10. Frazier MC, Southard TE, Doster PM. Prevention of enamel demineralization during orthodontic treatment: An in vitro study using pit and fissure sealants. Am J Orthod Dentofacial Orthop. 1996;110:459–465.
  11. Haghgoo R, Rezvani MB, Salehi Zeinabadi M. Comparison of nano-hydroxyapatite and sodium fluoride mouthrinse for remineralization of incipient carious lesions. J Dent (Tehran). 2014;11(4):406–410.
  12. Ardvidson K, Johansson EG. Galvanic current between dental alloys in vitro. Scand J Dent Res. 1985;93:467–473.
  13. Attin T. Methods for assessment of dental erosion. Monogr Oral Sci. 2006;20:152–172.
  14. Torres CR, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent. 2011;39(3):202–207.
  15. Najibfard K, Ramalingam K, Chedjieu I, Amaechi BT. Remineralization of early Caries by a nano-hydroxyapatite dentifrice. J Clin Dent. 2011;22(5):139–143.
  16. Mathias J, Kavitha S, Mahalaxmi S. A comparison of surface roughness after microabrasion of enamel with and without using CPP-ACP: An in vitro study. J Conserv Dent. 2009;12(1):22–25.
  17. Jardim JJ, Pagot MA, Maltz M. Artificial enamel dental caries treated with different topical fluoride regimes: An in situ study. J Dent. 2008;36(6):396–401.
  18. Chen H, Czajka-Jakubowska A. Effects of systemic fluoride and in vitro fluoride treatment on enamel crystals. J Dent Res. 2006;85(11):1042–1045.
  19. Bollen C, Lambrechts P, Quirynen M. Comparison of surface roughness of oral hard materials to the threshold surface roughness for bacterial plaque retention: A review of the literature. Dent Mater. 1997;13(4):258–269.
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