Abstract
The present study aimed to evaluate the erosive potential of four most commonly prescribed syrup medicaments for respiratory diseases. Attenuated total reflectance-Fourier transform infrared (ATR-FTIR) spectroscopy combined with multivariate statistical analysis and micro-energy-dispersive X-ray fluorescence spectrometry (μ-EDXRF) mapping was performed. Fifty-five root dentin fragments obtained from the buccal surface of 30 bovine teeth were prepared and divided into five experimental groups (n = 10): control—artificial saliva (S), acebrofilin hydrochloride (AC), ambroxol hydrochloride (AM), bromhexine hydrochloride (BR), and salbutamol sulfate (SS). The S group was stored only in artificial saliva and the other groups were treated with the medicaments (immersed for 1 min in 3 mL of the medication, three times daily, with 1-h intervals between the immersion cycles, during 5 days, 15 immersion cycles). There were a significant decrease in the Ca and P weight percentages (wt%) for dentin after medication treatments, except for AC (p > 0.05). Mineral content of dentin showed a clear gradation with increasing Ca and P wt% reduction in the order S < AC < AM < BR < SS. SS resulted in a significant increase in Ca/P ratio when compared to the control (p < 0.001). ATR-FTIR combined with multivariate, statistical analysis can quickly and reliably indicate extent of dentin erosion. Considering syrups with high-erosive potential should always follow with proper oral hygiene practices or search for an alternative medications void of such detrimental effects. Regular and prolonged use of these medicaments might bear the risk of causing erosion.
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Acknowledgements
We would like to thank the São Paulo Research Foundation (Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP) for the X-ray microfluorescence equipment (Grant no. 2005/50811-9).
Funding
We would like to thank the São Paulo Research Foundation (Fundação de Amparo à Pesquisa do Estado de São Paulo, FAPESP) for the X-ray microfluorescence equipment (Grant no. 2005/50811-9) and for Luis Felipe C. S. Carvalho scholarship (Grant no. 2014/05978-1). We would like to thank CAPES (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior) for Tanmoy Bhattacharjee and Raimundo Nonato Silva Gomes scholarship (Grant no. 1649372).
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The ethics committee for the use of animals in research of the University of Paraíba Valley approved this study (CEUA protocol n° A12/CEUA/2015). We declare that all researchers directly involved in animal experimentation followed the ethical principles in animal experimentation.
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Gomes, R.N.S., Bhattacharjee, T.T., Carvalho, L.F.C.S. et al. Fast monitoring of tooth erosion caused by medicaments used in the treatment of respiratory diseases by ATR-FTIR and μ-EDXRF analysis. Lasers Med Sci 32, 2063–2072 (2017). https://doi.org/10.1007/s10103-017-2328-1
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DOI: https://doi.org/10.1007/s10103-017-2328-1