Effect of saliva substitutes on mineral content of demineralized and sound dental enamel. 2001

A M Kielbassa, and S P Shohadai, and J Schulte-Mönting
Department of Operative Dentistry and Periodontology, School of Dental Medicine, Albert-Ludwigs-University, Hugstetter Strasse 55, 79106 Freiburg, Germany. kielbass@zmk2.ukl.uni-freiburg.de

The aim of this in vitro study was to evaluate the effects of commercially available saliva substitutes on the mineral content of pre-demineralized and sound enamel. From 56 bovine incisors 224 enamel specimens were prepared and hand-polished. The specimens were partially covered with nail varnish (control of sound enamel). In group 1, 112 samples were demineralized (18 days; 37 degrees C; pH 5.0) and a portion of the demineralized area was likewise covered with nail varnish. Subsequently, 16 specimens were exposed (14 days; 37 degrees C) to 10 ml of each of several different saliva substitutes (Artisial; Glandosane; Oralube; Saliva medac), or mouthwash solutions (Biotène; Meridol), respectively. Non-carbonated, fluoride-containing mineral water (Eptinger) was used as control. In group 2, the 112 sound enamel specimens were immersed directly in the solutions (without a demineralization period). After immersion, the specimens were cut perpendicular to the surface, and slabs (110 microns) were ground. Contact microradiographs were obtained and studied with a digital image-analyzing system. A dedicated software (TMR 1.24) was used to calculate the mineral content. Sound enamel (group 2) was significantly demineralized after immersion in Biotène and Glandosane (P < 0.001; Kruskal-Wallis). In group 1, mineral loss after storage in Biotène and Glandosane was significantly increased (P < 0.001), compared with the mineral content after demineralization. All other solutions revealed a significant mineral gain (P < 0.01; Wilcoxon), with the most pronounced effects after use of Oralube and mineral water (both containing calcium, phosphates, and fluorides). Therefore, administration of products similar to the last named can be recommended for dentate patients with salivary gland hypofunction.

UI MeSH Term Description Entries
D009067 Mouthwashes Solutions for rinsing the mouth, possessing cleansing, germicidal, or palliative properties. (From Boucher's Clinical Dental Terminology, 4th ed) Mouth Bath,Mouth Rinse,Mouth Wash,Bath, Mouth,Baths, Mouth,Mouth Baths,Mouth Rinses,Rinse, Mouth,Rinses, Mouth,Wash, Mouth
D011878 Radiotherapy The use of IONIZING RADIATION to treat malignant NEOPLASMS and some benign conditions. Radiotherapy, Targeted,Targeted Radiotherapy,Radiation Therapy,Radiation Therapy, Targeted,Radiation Treatment,Targeted Radiation Therapy,Radiation Therapies,Radiation Therapies, Targeted,Radiation Treatments,Radiotherapies,Radiotherapies, Targeted,Targeted Radiation Therapies,Targeted Radiotherapies,Therapies, Radiation,Therapies, Targeted Radiation,Therapy, Radiation,Therapy, Targeted Radiation,Treatment, Radiation
D002417 Cattle Domesticated bovine animals of the genus Bos, usually kept on a farm or ranch and used for the production of meat or dairy products or for heavy labor. Beef Cow,Bos grunniens,Bos indicus,Bos indicus Cattle,Bos taurus,Cow,Cow, Domestic,Dairy Cow,Holstein Cow,Indicine Cattle,Taurine Cattle,Taurus Cattle,Yak,Zebu,Beef Cows,Bos indicus Cattles,Cattle, Bos indicus,Cattle, Indicine,Cattle, Taurine,Cattle, Taurus,Cattles, Bos indicus,Cattles, Indicine,Cattles, Taurine,Cattles, Taurus,Cow, Beef,Cow, Dairy,Cow, Holstein,Cows,Dairy Cows,Domestic Cow,Domestic Cows,Indicine Cattles,Taurine Cattles,Taurus Cattles,Yaks,Zebus
D006258 Head and Neck Neoplasms Soft tissue tumors or cancer arising from the mucosal surfaces of the LIP; oral cavity; PHARYNX; LARYNX; and cervical esophagus. Other sites included are the NOSE and PARANASAL SINUSES; SALIVARY GLANDS; THYROID GLAND and PARATHYROID GLANDS; and MELANOMA and non-melanoma skin cancers of the head and neck. (from Holland et al., Cancer Medicine, 4th ed, p1651) Cancer of Head and Neck,Head Cancer,Head Neoplasm,Head and Neck Cancer,Head and Neck Neoplasm,Neck Cancer,Neck Neoplasm,Neck Neoplasms,Neoplasms, Upper Aerodigestive Tract,UADT Neoplasm,Upper Aerodigestive Tract Neoplasm,Upper Aerodigestive Tract Neoplasms,Cancer of Head,Cancer of Neck,Cancer of the Head,Cancer of the Head and Neck,Cancer of the Neck,Head Neoplasms,Head, Neck Neoplasms,Neoplasms, Head,Neoplasms, Head and Neck,Neoplasms, Neck,UADT Neoplasms,Cancer, Head,Cancer, Neck,Cancers, Head,Cancers, Neck,Head Cancers,Neck Cancers,Neoplasm, Head,Neoplasm, Neck,Neoplasm, UADT,Neoplasms, UADT
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D012464 Saliva, Artificial A solution used for irrigating the mouth in xerostomia and as a substitute for saliva. Artificial Saliva
D012466 Salivary Gland Diseases Diseases involving the SALIVARY GLANDS. Disease, Salivary Gland,Diseases, Salivary Gland,Gland Disease, Salivary,Gland Diseases, Salivary,Salivary Gland Disease
D017001 Tooth Demineralization A tooth's loss of minerals, such as calcium in hydroxyapatite from the tooth matrix, caused by acidic exposure. An example of the occurrence of demineralization is in the formation of dental caries. Demineralization, Tooth

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