Abstract
This study evaluated the progression of enamel erosion after treatment with gels containing sodium fluoride (NaF; 9047 ppm F) and stannous chloride (SnCl2; 3000 ppm Sn), associated or not with Nd:YAG laser irradiation. Sixty enamel specimens were prepared from bovine incisors and protected by a tape, leaving an exposed surface area of 4 × 1 mm. The specimens were immersed in 1 % citric acid (pH = 2.3) for 10 min to create an initial erosion lesion. After, they were randomly divided into six groups: (C) control: gel without active ingredient; (F): NaF gel; (F + Sn): NaF + SnCl2 gel; (laser): Nd:YAG laser irradiation (0.5 W; 50 mJ; ∼41.66 J/cm2; 10 Hz; 40 s); (F + laser): NaF gel + Nd:YAG; (F + Sn + laser): NaF + SnCl2 gel + Nd:YAG. All gels had pH = 4.5 and were applied for 1 min. Laser irradiation was performed after gel application. The specimens were then submitted to a 5-day erosion-remineralization cycling model using 1 % citric acid (pH = 2.3), six times per day. Enamel surface loss (SL) was analyzed by optical profilometry in the end of the cycling (in μm). Data were analyzed by one-way ANOVA and Holm-Sidak tests (alpha = 0.05). The control and the laser groups presented the highest enamel loss (means ± SD = 53.52 ± 3.65 and 53.30 ± 2.73, respectively), followed by F + Sn (44.76 ± 2.83). The groups F (36.76 ± 2.28), F + laser (36.25 ± 3.59), and F + Sn + laser (39.83 ± 4.62) showed the lowest enamel loss, with no significant difference among them (p > 0.05). In conclusion, NaF by itself or associated with SnCl2 and Nd:YAG laser was able to reduce enamel erosion progression. Nd:YAG laser alone did not show a protective effect.
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Acknowledgments
The authors would like to thank FAPESP (State of São Paulo Research Foundation, Grants #2014/14055-4, #2012/20632-9 and #2011/17699-1) and LELO – FOUSP (Special Laboratory of Lasers in Dentistry at the School of Dentistry of the University of São Paulo, Brazil).
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João-Souza, S.H., Bezerra, S.J., Borges, A.B. et al. Effect of sodium fluoride and stannous chloride associated with Nd:YAG laser irradiation on the progression of enamel erosion. Lasers Med Sci 30, 2227–2232 (2015). https://doi.org/10.1007/s10103-015-1791-9
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DOI: https://doi.org/10.1007/s10103-015-1791-9