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Effectiveness of resin-based materials against erosive and abrasive enamel wear

Clinical Oral Investigations volume 21, pages 463–468 (2017)Cite this article

Abstract

Objective

The objective of this study was to test the effectiveness of resin-based materials against erosive enamel wear under erosive and abrasive challenges by orange juice and tooth brushing.

Methods

Fifty enamel specimens from third molars were assigned to five groups: ICON resin infiltration with no etching (ICON-NE), ICON resin infiltration with 15 % HCl etching (ICON-AE), Seal & Protect sealant (S&P), Tetric EvoFlow (TEF), and control. Erosive lesions were first created on enamel, then treated with resin-based materials. Erosive and abrasive challenges by orange juice and tooth brushing were repeated after treatments. Erosive wear of the treated areas was measured with 3D scanning microscopy, and data were analyzed using ANOVA and paired t tests.

Results

Treatments with ICON, S&P, and TEF created a protective material coating of 4.5 ± 1.9 μm, 44.3 ± 8.1 μm, and 84.6 ± 15.7 μm in thickness on the lesion surfaces, respectively. After 15 cycles of erosive and abrasive challenges, enamel or material losses were 21.9 ± 2.3 μm for control, 24.5 ± 4.0 μm for ICON-NE, 24.6 ± 7.4 μm for ICON-AE, 11.2 ± 4.1 μm for S&P, and 3.9 ± 1.9 μm for TEF, respectively. The protective coatings were completely lost in the ICON infiltration groups but remained intact in both the S&P and TEF groups after erosive and abrasive challenges.

Conclusion

In contrast to a resin sealant and a flowable composite, ICON infiltration resin was not effective in protecting enamel surfaces from erosive and abrasive wear.

Clinical relevance

Sealant and flowable composite resin may create protective coatings on eroded enamel surfaces and prevent further tissue loss.

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Fig. 1

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Acknowledgments

This study was self-funded by the authors’ institutions and the authors received no financial support from commercial or industrial entities.

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Affiliations

  1. University of Rochester Eastman Institute for Oral Health, 625 Elmwood Avenue, Rochester, 14625, NY, USA

    Xiaoyi Zhao, Songmei Zhang, Hans S. Malmstrom & Yan-Fang Ren

  2. Department of General Dentistry, Peking University School of Stomatology, Beijing, China

    Xiaoyi Zhao & Jie Pan

Authors
  1. Xiaoyi Zhao
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  2. Jie Pan
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  3. Songmei Zhang
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  4. Hans S. Malmstrom
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  5. Yan-Fang Ren
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Corresponding author

Correspondence to Yan-Fang Ren.

Ethics declarations

This article does not contain any studies with human participants or animals performed by any of the authors. Non-identifiable discarded teeth are not considered as human participants.

Conflict of interest

The authors declare that they have no conflict of interest.

Funding

The work was supported by the Department of General Dentistry, University of Rochester Eastman Institute for Oral Health in Rochester, New York, USA.

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For this type of study, formal consent is not required.

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Zhao, X., Pan, J., Zhang, S. et al. Effectiveness of resin-based materials against erosive and abrasive enamel wear. Clin Oral Invest 21, 463–468 (2017). https://doi.org/10.1007/s00784-016-1814-3

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  • DOI: https://doi.org/10.1007/s00784-016-1814-3

Keywords

  • Infiltration resin
  • Resin sealant
  • Composite resin
  • Dental erosion
  • Tooth wear