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Efeito de géis fluoretados suplementados com nanopartículas de trimetafosfato de sódio sobre a remineralização de lesões de cárie e sobre o desgaste dental erosivo in vitro

  • Nagata, Mariana Emi
Publication Date
Mar 02, 2018
Repositório Institucional UNESP
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The present study evaluated the effect of fluoride gels supplemented with sodium trimetaphosphate (TMP) on the remineralization of caries-like lesions and on erosive wear of bovine enamel in vitro. For the first chapter, enamel blocks (n=168) with caries-like lesions were evaluated by surface hardness (SH), and randomly divided into 7 groups (n=24/group), according to the tested gels: (a) Placebo (no F/TMP), 4,500 μg F/g (4500F), 9,000 μg F/g (9000F), 4,500F+2.5% nano-sized TMP (2.5% Nano), 4,500F+5% nano-sized TMP (5% Nano), 4,500F+5% micrometric TMP (5% Micro) and 12,300 μg F/g (Acid gel). Gels were applied on the blocks only once (1 minute) with the gels prior to the pH-cycling regimen (6 days). Following, the percentage of SH recovery (%SHR), integrated subsurface hardness area (ΔKHN), and firmly-bound fluoride (F), CaF2, calcium (Ca) and phosphorus (Pi) formed (after gels application) and retained (after pH cycling) in/on enamel were determined. Data were submitted to ANOVA and Student-Newman-Keuls test (p<0.05). The 2.5% Nano and 5% Micro groups reached %SHR similar to the 9000F and acid gel. For ΔKHN, the highest values were observed for the Placebo and Nano 5% groups, and the lowest, for 2.5% Nano, Micro 5%, 9000F and Acid gel. All groups had similar values of CaF2 retained on enamel, except Placebo and Acid gel. An increase in Ca concentrations was observed for the groups treated with nano-sized TMP. Regarding Pi formed and retained, groups treated with TMP were similar to 9000F and Acid gels. In the second chapter, the enamel blocks (n=140) were randomly divided in 7 groups, using the same gels and mode of application described in the first chapter. Half of the blocks’ surface was protected with acid-resistant varnish (control area), exposing the other half to the treatment with gels and to erosive (ERO) or erosive+abrasive (ERO+ABR) challenges. After treatment with the gels, all blocks (n=20/group) were submitted to ERO (immersion in 0.05 M citric acid, pH 3.2, 90 seconds, 4 times/day, 5 days, under agitation), while half of the blocks (n=10/group) was additionally subjected to brushing (15 seconds) after each erosive challenge (ERO+ABR). The blocks were evaluated by profilometry and cross-sectional hardness (integrated hardness loss in depth - ΔKHN). Data were submitted to ANOVA and Fisher’s test (p<0.05). For ERO, enamel wear associated with 2.5% Nano, 5% Nano and Acid gels was significantly lower than 4500F, whereas for ERO+ABR the lowest enamel wear was observed at 5% Nano. Among the TMP gels, the lowest ΔKHN values were observed at 2.5% Nano under ERO conditions. The results allow to conclude that the addition of 2.5% nano-sized TMP or 5% micrometric TMP to the 4500F gel significantly increased the remineralization of artificial caries lesions in vitro. As for the effect on erosive tooth wear, the addition of 5% nano-sized TMP to the 4500F gel produced superior protective effects when compared to micrometric TMP.

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