Reduction in erosive tooth wear using stannous fluoride-containing dentifrices: a meta-analysis. 2021

Giorgio Aldigueri Trentin, and Laura Teixeira Mendes, and Bruna Soares da Silva, and Luciano Casagrande, and Fernando Borba de Araujo, and Tathiane Larissa Lenzi
Universidade Federal do Rio Grande do Sul - UFRGS, School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Porto Alegre, RS, Brazil.

Dentifrices containing different active agents may be helpful to allow rehardening and to increase the resistance of the eroded surface to further acids or mechanical impacts. This study aimed to compare the effects of conventional (sodium fluoride [NaF]) and stannous fluoride (SnF2)-containing dentifrices on reducing erosive tooth wear (ETW). The PubMed/MEDLINE, Scopus, LILACS, BBO, EMBASE, TRIP electronic databases, and grey literature were searched until January 2021 to retrieve relevant in vitro and in situ studies related to research question. There were no restrictions on publication year or language. Two authors independently selected the studies, extracted the data, and assessed the risk of bias. ETW data were pooled to calculate and compare both dentifrices (overall analysis) and in vitro and in situ studies separately (subgroup analysis). Statistical analyses were performed using RevMan5.3 with a random effects model. Of 820 potentially eligible studies, 101 were selected for full-text analysis, and 8 were included in the systematic review and meta-analysis. There was a significant difference between SnF2-containing dentifrices and NaF dentifrices only for in vitro studies (p=0.04), showing a higher effect of the SnF2-containing dentifrices against the erosion/abrasion (effect size: -6.80 95%CI: -13.42; -0.19). Most in vitro and in situ studies had high and low risk of bias, respectively. In vitro literature suggests that the ETW reduction is greater when using SnF2-containing dentifrices instead NaF-containing dentifrices. However, the evidence level is insufficient for definitive conclusions. Clinical trials are necessary for a better understanding of the effect of these compounds on ETW.

UI MeSH Term Description Entries
D003802 Dentifrices Any preparations used for cleansing teeth; they usually contain an abrasive, detergent, binder and flavoring agent and may exist in the form of liquid, paste or powder; may also contain medicaments and caries preventives. Polishes, Dental,Dental Polishes,Dentifrice
D005459 Fluorides Inorganic salts of hydrofluoric acid, HF, in which the fluorine atom is in the -1 oxidation state. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Sodium and stannous salts are commonly used in dentifrices. Fluoride
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014002 Tin Fluorides Inorganic fluorides of tin. They include both stannic fluoride (tin tetrafluoride) and stannous fluoride (tin difluoride). The latter is used in the prevention of dental caries. Stannic Fluoride,Stannous Fluoride,Tin Difluoride,Tin Tetrafluoride,Cav-X,Floran,Fluoristan,Gel-Kam,Gel-Tin,Omnii-Gel,Omnii-Med,Stanimax,Difluoride, Tin,Difluorides, Tin,Florans,Fluoride, Stannic,Fluoride, Stannous,Fluoride, Tin,Fluorides, Stannic,Fluorides, Stannous,Fluorides, Tin,Fluoristans,Stanimaxs,Stannic Fluorides,Stannous Fluorides,Tetrafluoride, Tin,Tetrafluorides, Tin,Tin Difluorides,Tin Fluoride,Tin Tetrafluorides
D014077 Tooth Erosion Progressive loss of the hard substance of a tooth by chemical processes that do not involve bacterial action. (Jablonski, Dictionary of Dentistry, 1992, p296) Dental Enamel Erosion,Dental Erosion,Dental Enamel Erosions,Dental Erosions,Enamel Erosion, Dental,Erosion, Dental,Erosion, Dental Enamel,Erosion, Tooth,Tooth Erosions
D057085 Tooth Wear Loss of the tooth substance by chemical or mechanical processes Dental Wear,Dental Wears,Tooth Wears,Wear, Dental,Wear, Tooth,Wears, Dental,Wears, Tooth

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