Abrasive wear of enamel by bioactive glass-based toothpastes.

PURPOSE: To determine the abrasivity of a 45S5 bioactive glass based toothpaste on enamel as a function of the particle size and shape of the glass. METHODS: 45S5 glass was synthesized ground and sieved to give various particle sized fractions < 38, 38-63 and 63-110 microns. Two different grinding routes were used: percussion milling and ball milling. The glass powders were formulated into toothpastes and their tooth brush abrasivity measured according to BS EN ISO11609 methodology. RESULTS: Enamel loss increased with increasing particle size. The percussion milled powder exhibited particles that had sharp edges and the pastes were significantly more abrasive than the pastes made with round ball milled powders. One interesting observation made during the present study was that there was preferential wear of the enamel at the dentin-enamel junction (DEJ), particularly with the coarse particle sized pastes.

High phosphate content significantly increases apatite formation of fluoride-containing bioactive glasses.

Bioactive glass-containing toothpastes for treating dentine hypersensitivity work by precipitating hydroxycarbonate apatite (HCA) onto the tooth surface, but concerns exist over the long-term durability of HCA in the mouth. Fluoride-containing bioactive glasses form fluorapatite (FAp) in physiological solutions, which is more chemically stable against acid attack. The influence of phosphate content on apatite formation was investigated by producing a low-phosphate (about 1 mol% P(2)O(5)) and a high-phosphate (about 6 mol%) series of melt-derived bioactive glasses in the system SiO(2)P(2)O(5)CaONa(2)O; increasing amounts of CaF(2) were added by keeping the ratio of all other components constant. pH change, ion release and apatite formation during immersion in Tris buffer at 37°C over up to 7 days were investigated. Crystal phases formed in Tris buffer were characterized using infrared spectroscopy, X-ray diffraction and solid-state nuclear magnetic resonance (NMR) spectroscopy. An increase in phosphate or fluoride content allowed for apatite formation at lower pH; fluoride enhanced apatite formation due to lower solubility of FAp compared to hydroxyapatite or HCA. High phosphate content glasses formed apatite significantly faster (within 6h) than low phosphate content glasses (within 3 days). In addition, an increase in phosphate content favoured apatite formation rather than fluorite (CaF(2)). (19)F magic angle spinning NMR showed the apatite formed by fluoride-containing glasses to be FAp, which makes these glasses of particular interest for dental applications. This study shows that by varying the phosphate content, the reactivity and apatite formation of bioactive glasses can be controlled successfully.