Acid resistance of enamel exposed to fluoride-containing orthodontic cements. 1983

P L Sadowsky, and D H Retief, and E L Bradley

In a previous study enamel fluoride uptake from fluoride-containing orthodontic cements was evaluated after a 21-day period. The enamel fluoride uptake from a zinc phosphate cement (A), a zinc phosphate cement containing 5 per cent stannous fluoride by weight (B), and a silicophosphate cement (C) was compared. The results indicated that there was a net loss of fluoride from enamel beneath the orthodontic bands cemented with A while the enamel beneath B and C acquired significant amounts of fluoride. The purpose of the present study was to evaluate enamel fluoride uptake after 12 weeks and the effect of the fluoride uptake or loss by the enamel on acid resistance. Five teeth each had bands cemented with cements A, B and C, respectively, and were individually suspended in synthetic saliva for 12 weeks at 37 degrees C. Following this period the bands were removed, the cements were carefully cleaned off the teeth, and the crowns of the teeth were individually suspended in a lactic acid buffer at pH 4 for 4 weeks. Each tooth crown was then sectioned longitudinally and examined microradiographically to study the degree of enamel demineralization. Characteristic subsurface enamel carieslike lesions were noted on all the specimens studied. The carieslike lesions in the enamel exposed to the fluoride-containing cements were considerably reduced. The enamel which had acquired fluoride from the fluoride-containing cements was apparently more resistant to artificial caries attack.

UI MeSH Term Description Entries
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
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
D000143 Acids Chemical compounds which yield hydrogen ions or protons when dissolved in water, whose hydrogen can be replaced by metals or basic radicals, or which react with bases to form salts and water (neutralization). An extension of the term includes substances dissolved in media other than water. (Grant & Hackh's Chemical Dictionary, 5th ed) Acid
D012823 Silicate Cement A relatively hard, translucent, restorative material used primarily in anterior teeth. (From Boucher's Clinical Dental Terminology, 4th ed, p50) Cement, Silicate
D013997 Time Factors Elements of limited time intervals, contributing to particular results or situations. Time Series,Factor, Time,Time Factor
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
D015036 Zinc Phosphate Cement A material used for cementation of inlays, crowns, bridges, and orthodontic appliances and occasionally as a temporary restoration. It is prepared by mixing zinc oxide and magnesium oxide powders with a liquid consisting principally of phosphoric acid, water, and buffers. (From Bouchers' Clinical Dental Terminology, 3d ed) Cement, Zinc Phosphate

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