ABSTRACT
PURPOSE: Fluoride uptake of enamel after application of fluoride varnishes was compared with fluoride release into artificial saliva. The hypothesis was that fluoride uptake is higher for products exhibiting faster fluoride release. MATERIALS AND METHODS: Fluoride varnishes, i.e. Fluor Protector S, Duraphat, MI Varnish, Clinpro White Varnish, Profluorid Varnish and Enamel Pro Varnish were applied on bovine enamel specimens. Subsequently, specimens were incubated in artificial saliva. After removal of the varnishes, surface bound fluoride was extracted with potassium hydroxide and measured with an ion-selective electrode. Structurally bound fluoride was etched from the same specimens with perchloric acid. Fluoride release of varnish films into artificial saliva was measured for comparison. RESULTS: After 4 h in artificial saliva, the highest total enamel fluoride uptake of 47.9 µg F·cm-² was found with Fluor Protector S, followed by Enamel Pro Varnish with 22.1 µg F·cm-². The other products ranged between 12-16 µg F·cm-². This was several times higher than the negative control. Fluoride uptake did not correlate with release into artificial saliva. During the first 4 h, Duraphat released the lowest and MI Varnish the highest amount of fluoride with 7.7 and 249 µg F·cm-², respectively. The fluoride uptake of these two products was not statistically different. CONCLUSION: Enamel fluoride uptake cannot be predicted from the fluoride release rate of a product. Hence, based on the results of this study, fluoride release into artificial saliva is no measure for the efficacy of a fluoride varnish.
Subject(s)
Calcium Phosphates/pharmacokinetics , Cariostatic Agents/pharmacokinetics , Dental Enamel/metabolism , Fluorides, Topical/pharmacokinetics , Sodium Fluoride/pharmacokinetics , Animals , Calcium Phosphates/chemistry , Cariostatic Agents/chemistry , Cattle , Diffusion , Drug Combinations , Fluorides, Topical/chemistry , Ion-Selective Electrodes , Polyurethanes/chemistry , Polyurethanes/pharmacokinetics , Saliva, Artificial/pharmacokinetics , Silanes/chemistry , Silanes/pharmacokinetics , Sodium Fluoride/chemistry , Time FactorsABSTRACT
OBJECTIVE: To determine the influence of two different fluoride compounds and an in vitro pellicle on KOH-soluble fluoride formation - its retention and resistance to toothbrushing. MATERIAL AND METHODS: Forty bovine incisors were randomly assigned to four groups (A-D). Of five samples prepared per tooth, one remained untreated and served as a baseline control. Groups A and B were pretreated with artificial saliva and groups C and D with human saliva. Groups A and C were treated with amine fluoride and groups B and D with sodium fluoride. After treatment, samples were brushed with 25, 50, and 75 brushing strokes. The amount of KOH-soluble fluoride formed on the enamel samples was measured at baseline, after application, and after 25, 50, and 75 brushing strokes. Fluoride uptake was calculated by unpaired t-tests and fluoride retention by paired t-tests. RESULTS: No statistically significant differences in the KOH-soluble fluoride uptake of the groups that were pretreated (A vs B and C vs D) or treated equally (A vs C and B vs D) were observed. Retention of the KOH-soluble fluoride in the brushed samples was higher when the samples were pretreated with human saliva and treated with sodium fluoride than when the samples were pretreated with artificial saliva and treated with sodium fluoride. CONCLUSIONS: The fluoride compound and the acquired human in vitro pellicle have no influence on the uptake of KOH-soluble fluoride, but show a significant influence on abrasion resistance.
