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Er,Cr:YSGG laser associated with acidulated phosphate fluoride gel (1.23% F) for prevention and control of dentin erosion progression

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Abstract

To evaluate the effect of Er,Cr:YSGG laser, associated with fluoride application, on the prevention/control of dentin erosion. Dentin slabs were embedded in acrylic resin, flattened, and polished. Half of the specimens were previously eroded (10 min immersion in 1% citric acid solution) and half were kept sound. The specimens (n = 10 each substrate) were randomly allocated into the experimental groups, according to the following treatments: control (no treatment); APF gel (1.23% F, 1 min); Er,Cr:YSGG laser irradiation (P1: 0.25 W, 20 Hz, 2.8 J/cm2, tip S75, beam diameter of 750 μm, 1 mm away from the surface); Er,Cr:YSGG laser irradiation (P2: 0.50 W, 20 Hz, 5.7 J/cm2, tip S75, beam diameter of 750 μm, 1 mm away from the surface); APF gel + Er,Cr:YSGG laser P1 and; APF gel + Er,Cr:YSGG laser P2. Afterwards, the specimens underwent an erosion-remineralization cycling, consisting of a 5-min immersion into 0.3% citric acid, followed by 60-min exposure to artificial saliva. This procedure was repeated 4×/day, for 5 days. Surface loss (SL, in μm) was determined by optical profilometry. Specimens from each group were analyzed by environmental scanning electron microscopy (n = 3). Data were statistically analyzed (α = 0.05). For the eroded specimens, APF gel presented the lowest SL, being different from the control. For the sound specimens, none of the groups differed from the control, except for Er,Cr:YSGG laser P2, which presented the highest SL. When substrates were compared, only the eroded specimens of the control and APF + Er,Cr:YSGG laser P1 Groups showed higher SL. Selective structure removal was observed for the laser-treated groups. None of the Er,Cr:YSGG laser parameters were effective in the prevention/control dentin erosion. The laser was also unable to enhance the protection of fluoride against dentin erosion.

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Reference

  1. Lussi A, Carvalho TS (2014) Erosive tooth wear: a multifactorial condition of growing concern and increasing knowledge. In: Monographs in oral science. pp 1–15

  2. Eccles JD (1978) The treatment of dental erosion. J Dent 6:217–221. https://doi.org/10.1016/0300-5712(78)90245-2

    Article  CAS  PubMed  Google Scholar 

  3. Addy M, Shellis RP (2014) Interaction between attrition, abrasion and erosion in tooth wear. Monogr Oral Sci 20:17–31. https://doi.org/10.1159/000093348

    Article  Google Scholar 

  4. Lussi A, Schlueter N, Rakhmatullina E, Ganss C (2011) Dental erosion - an overview with emphasis on chemical and histopathological aspects. Caries Res 45:2–12. https://doi.org/10.1159/000325915

    Article  Google Scholar 

  5. Amaechi BT, Higham SM (2001) Eroded enamel lesion remineralization by saliva as a possible factor in the site-specificity of human dental erosion. Arch Oral Biol 46:697–703. https://doi.org/10.1016/S0003-9969(01)00034-6

    Article  CAS  PubMed  Google Scholar 

  6. Ganss C, Hardt M, Blazek D et al (2009) Effects of toothbrushing force on the mineral content and demineralized organic matrix of eroded dentine. Eur J Oral Sci 117:255–260. https://doi.org/10.1111/j.1600-0722.2009.00617.x

    Article  PubMed  Google Scholar 

  7. Ganss C, Schlueter N, Hardt M et al (2007) Effects of toothbrushing on eroded dentine. Eur J Oral Sci 115:390–396. https://doi.org/10.1111/j.1600-0722.2007.00466.x

    Article  PubMed  Google Scholar 

  8. Murakami C, Bönecker M, Corrêa MSNP et al (2009) Effect of fluoride varnish and gel on dental erosion in primary and permanent teeth. Arch Oral Biol 54:997–1001. https://doi.org/10.1016/j.archoralbio.2009.08.003

    Article  CAS  PubMed  Google Scholar 

  9. João-Souza SH, Bezerra SJC, Borges AB et al (2015) 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. https://doi.org/10.1007/s10103-015-1791-9

    Article  PubMed  Google Scholar 

  10. Scaramucci T, Borges AB, Lippert F et al (2013) Sodium fluoride effect on erosion-abrasion under hyposalivatory simulating conditions. Arch Oral Biol 58:1457–1463. https://doi.org/10.1016/j.archoralbio.2013.06.004

    Article  CAS  PubMed  Google Scholar 

  11. Scaramucci T, Borges AB, Lippert F et al (2015) Anti-erosive properties of solutions containing fluoride and different film-forming agents. J Dent 43:458–465. https://doi.org/10.1016/j.jdent.2015.01.007

    Article  CAS  Google Scholar 

  12. João-Souza SH, Scaramucci T, Hara AT, Aranha ACC (2015) Effect of Nd:YAG laser irradiation and fluoride application in the progression of dentin erosion in vitro. Lasers Med Sci:30. https://doi.org/10.1007/s10103-015-1802-x

  13. Steiner-Oliveira C, Nobre-dos-Santos M, Zero DT et al (2010) Effect of a pulsed CO2 laser and fluoride on the prevention of enamel and dentine erosion. Arch Oral Biol 55:127–133. https://doi.org/10.1016/j.archoralbio.2009.11.010

    Article  CAS  PubMed  Google Scholar 

  14. Goodman BD, Kaufman HW (1977) Effects of an argon laser on the crystalline properties and rate of dissolution in acid of tooth enamel in the presence of sodium fluoride. J Dent Res 56:1201–1207

    Article  CAS  PubMed  Google Scholar 

  15. Gao X-L, Pan J-S, Hsu C-Y (2006) Laser-fluoride effect on root demineralization. J Dent Res 85:919–923. https://doi.org/10.1177/154405910608501009

    Article  PubMed  Google Scholar 

  16. Tepper SA, Zehnder M, Pajarola GF, Schmidlin PR (2004) Increased fluoride uptake and acid resistance by CO2 laser-irradiation through topically applied fluoride on human enamel in vitro. J Dent 32:635–641. https://doi.org/10.1016/j.jdent.2004.06.010

    Article  CAS  PubMed  Google Scholar 

  17. Liu Y, Hsu C-YS, Teo CMJ, Teoh SH (2013) Potential mechanism for the laser-fluoride effect on enamel demineralization. J Dent Res 92:71–75. https://doi.org/10.1177/0022034512466412

    Article  CAS  PubMed  Google Scholar 

  18. Tavares JG, Eduardo C de P, Burnett LH et al (2012) Argon and Nd:YAG lasers for caries prevention in enamel. Photomed Laser Surg 30:433–437. https://doi.org/10.1089/pho.2011.3104

    Article  CAS  PubMed  Google Scholar 

  19. Esteves-Oliveira M, El-Sayed KF, Dörfer C, Schwendicke F (2016) Impact of combined CO2 laser irradiation and fluoride on enamel and dentin biofilm-induced mineral loss. Clin Oral Investig. https://doi.org/10.1007/s00784-016-1893-1

  20. De-Melo MAS, Passos VF, Alves JJ et al (2011) The effect of diode laser irradiation on dentin as a preventive measure against dental erosion: an in vitro study. Lasers Med Sci 26:615–621. https://doi.org/10.1007/s10103-010-0865-y

    Article  PubMed  Google Scholar 

  21. Magalhães AC, Rios D, Machado MADA et al (2008) Effect of Nd:YAG irradiation and fluoride application on dentine resistance to erosion in vitro. Photomed Laser Surg 26:559–563. https://doi.org/10.1089/pho.2007.2231

    Article  PubMed  Google Scholar 

  22. Wiegand A, Magalhães AC, Navarro RS et al (2010) Effect of titanium tetrafluoride and amine fluoride treatment combined with carbon dioxide laser irradiation on enamel and dentin erosion. Photomed Laser Surg 28:219–226. https://doi.org/10.1089/pho.2009.2551

    Article  CAS  PubMed  Google Scholar 

  23. Ana PA, Tabchoury CPM, Cury JA, Zezell DM (2012) Effect of Er,Cr:YSGG laser and professional fluoride application on enamel demineralization and on fluoride retention. Caries Res 46:441–451. https://doi.org/10.1159/000333603

    Article  CAS  PubMed  Google Scholar 

  24. Fried D, Visuri SR, Featherstone JD et al (1996) Infrared radiometry of dental enamel during Er:YAG and Er:YSGG laser irradiation. J Biomed Opt 1:455–465. https://doi.org/10.1117/12.250668

    Article  CAS  PubMed  Google Scholar 

  25. Moslemi M, Fekrazad R, Tadayon N et al (2009) Effects of ER,Cr:YSGG laser irradiation and fluoride treatment on acid resistance of the enamel. Pediatr Dent 31:409–413

    CAS  PubMed  Google Scholar 

  26. de Oliveira RM, de Souza VM, Esteves CM et al (2017) Er,Cr:YSGG laser energy delivery: pulse and power effects on enamel surface and erosive resistance. Photomed Laser Surg 35:639–646. https://doi.org/10.1089/pho.2017.4347

    Article  CAS  PubMed  Google Scholar 

  27. Pereira LGS, Joao-Souza SH, Bezerra SJC et al (2017) Erratum to: Nd:YAG laser irradiation associated with fluoridated gels containing photo absorbers in the prevention of enamel erosion (Lasers in Medical Science, (2017), 32, 7, (1453-1459), 10.1007/s10103-017-2226-6). Lasers Med. Sci 32:1461

    Article  CAS  PubMed  Google Scholar 

  28. Attin T, Becker K, Roos M et al (2009) Impact of storage conditions on profilometry of eroded dental hard tissue. Clin Oral Investig 13:473–478. https://doi.org/10.1007/s00784-009-0253-9

    Article  CAS  PubMed  Google Scholar 

  29. Meister J, Franzen R, Forner K et al (2006) Influence of the water content in dental enamel and dentin on ablation with erbium YAG and erbium YSGG lasers. J Biomed Opt 11:34030. https://doi.org/10.1117/1.2204028

    Article  CAS  Google Scholar 

  30. Ramos TM, Ramos-Oliveira TM, de Freitas PM et al (2015) Effects of Er:YAG and Er,Cr:YSGG laser irradiation on the adhesion to eroded dentin. Lasers Med Sci 30:17–26. https://doi.org/10.1007/s10103-013-1321-6

    Article  PubMed  Google Scholar 

  31. Ramalho KM, Hsu C-YS, de Freitas PM et al (2015) Erbium lasers for the prevention of enamel and dentin demineralization: a literature review. Photomed Laser Surg 33:301–319. https://doi.org/10.1089/pho.2014.3874

    Article  CAS  PubMed  Google Scholar 

  32. de Freitas PM, Rapozo-Hilo M, Eduardo C de P, JDB F (2010) In vitro evaluation of erbium, chromium:yttrium-scandium-gallium-garnet laser-treated enamel demineralization. Lasers Med Sci 25:165–170. https://doi.org/10.1007/s10103-008-0597-4

    Article  PubMed  Google Scholar 

  33. Zamataro CB, Ana PA, Benetti C, Zezell DM (2013) Influence of Er,Cr:YSGG Laser on CaF 2-like products formation because of professional acidulated fluoride or to domestic dentifrice application. Microsc Res Tech 76:704–713. https://doi.org/10.1002/jemt.22221

    Article  CAS  PubMed  Google Scholar 

  34. Nammour S, Demortier G, Florio P et al (2003) Increase of enamel fluoride retention by low fluence argon laser in vivo. Lasers Surg Med 33:260–263. https://doi.org/10.1002/lsm.10219

    Article  CAS  PubMed  Google Scholar 

  35. ten Cate JM, Damen JJ, Buijs MJ (1998) Inhibition of dentin demineralization by fluoride in vitro. Caries Res 32:141–147

    Article  PubMed  Google Scholar 

  36. Hoppenbrouwers PM, Driessens FC, Borggreven JM (1986) The vulnerability of unexposed human dental roots to demineralization. J Dent Res 65:955–958. https://doi.org/10.1177/00220345860650071101

    Article  CAS  PubMed  Google Scholar 

  37. Falcão A, Masson N, Leitão TJ et al (2016) Fluoride rinse effect on retention of CaF2 formed on enamel/dentine by fluoride application. Braz Oral Res 30. https://doi.org/10.1590/1807-3107BOR-2016.vol30.0031

  38. Ganss C, Klimek J, Starck C (2004) Quantitative analysis of the impact of the organic matrix on the fluoride effect on erosion progression in human dentine using longitudinal microradiography. Arch Oral Biol 49:931–935. https://doi.org/10.1016/j.archoralbio.2004.05.010

    Article  CAS  PubMed  Google Scholar 

  39. Geraldo-Martins VR, Lepri CP, Faraoni-Romano JJ, Palma-Dibb RG (2014) The combined use of Er,Cr:YSGG laser and fluoride to prevent root dentin demineralization. J Appl Oral Sci 22:459–464. https://doi.org/10.1590/1678-775720130570

    Article  PubMed  PubMed Central  Google Scholar 

  40. Jordão MC, Forti GM, Navarro RS et al (2016) CO2 laser and/or fluoride enamel treatment against in situ/ex vivo erosive challenge. J Appl Oral Sci 24:223–228. https://doi.org/10.1590/1678-775720150399

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Acknowledgments

The authors would like to thank FAPESP (São Paulo Research Foundation, for the scholarship 2016/25883-0), and LELO (Special Laboratory of Lasers in Dentistry from the Department of Restorative Dentistry at the School of Dentistry of the University of São Paulo, Brazil).

Funding

The work was supported by the São Paulo Research Foundation (FAPESP, scholarship no. 2016/25883-0).

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Authors and Affiliations

  1. Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil

    S. J. C. Bezerra, L. R. Trevisan, I. E. L. Viana, R. M. Lopes, A. C. C. Aranha & Taís Scaramucci

  2. Institute of Energetic and Nuclear Research, IPEN/CNEN/SP, Av. Prof. Lineu Prestes 2242, São Paulo, SP, 05508-000, Brazil

    D. L. Pereira

  3. Special Laboratory of Lasers in Dentistry (LELO), Department of Restorative Dentistry, School of Dentistry, University of São Paulo, Av. Prof. Lineu Prestes 2227, São Paulo, SP, 05508-000, Brazil

    A. C. C. Aranha

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  1. S. J. C. Bezerra
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Correspondence to Taís Scaramucci.

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Bezerra, S.J.C., Trevisan, L.R., Viana, I.E.L. et al. Er,Cr:YSGG laser associated with acidulated phosphate fluoride gel (1.23% F) for prevention and control of dentin erosion progression. Lasers Med Sci 34, 449–455 (2019). https://doi.org/10.1007/s10103-018-2609-3

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