Influence of association of fluoride to CO2 laser irradiation on permeability of eroded dental enamel. In vitro and in situ evaluation

Author(s)

Taisa Penazzo Lepri

• Document type: Master's Dissertation
• Press: Ribeirão Preto.
• Institution: Universidade de São Paulo (USP). Faculdade de Odontologia de Ribeirão Preto (PCARP/BC)
• Defense date: 2011-01-26

Examining board members

Silmara Aparecida Milori Corona; Luciano Bachmann; Fabiana Scarparo Naufel

• Advisor: Silmara Aparecida Milori Corona

Abstract

The increased prevalence of erosive lesion has led to a growing interest of preventive means and to control such lesions. This study evaluated in vitro and in situ the effect of fluoride compounds combined with a CO2 laser on permeability of eroded dental enamel. To in vitro experiment, 80 bovine enamel slabs (n=10) were selected. To create erosion-like lesions, specimens were submitted to inicial erosive challenges, twice a day, during two days, through an alternating erosive and remineralizing regimen. For that, specimens were immersed in 20 ml of orange juice (pH 3.84) for 5 min under agitation, rinsed with deionized water and stored in artificial saliva for 4 h. Specimens with pre-formed lesions were divided into four groups to be treated with different fluoride gels: amine fluoride (AmF), titanium tetrafluoride (TiF4 ), sodium fluoride (NaF) and placebo. Half of the specimens were irradiated with CO2 laser ( λ= 10.6 µm; 2.0 W).Then, specimens were further cycled twice through the previously described erosive-remineralizing regimen. After cycled, specimens were subjected to permeability assessment. Once the results of in vitro study were obtained, an in situ experiment, consisting of a crossover design, with 2 phases of 5 days each, was performed. To in situ study, factors involved were treatments (TiF4 and placebo) and CO2 laser irradiation (present or absent). Bovine enamel slabs (n=10) were placed in palatal device to perform erosive challenges. Volunteers ingested orange juice as 250 mL volumes 4 times per day (9,11,13,15h). Permeability assessment was performed as described to in vitro study. Data were analyzed by ANOVA and Tukey. In vitro study demonstrated significant interaction between fluoride and laser (p = 0,0152). When fluoride gels were applied alone, TiF4 provided to enamel lower permeability than that observed following placebo application, while intermediate results were found to NaF and AmF gels. Reduction of enamel permeability was observed when fluorides were combined to CO2 laser irradiation. To in situ study, there was significant interaction between fluoride and laser (p=0,0002). When compared to placebo, TiF4 application reduced significantly enamel permeability, regardless of irradiation. Through application of placebo, laser was able to reduce significantly enamel permeability; however, when TiF4 was applied, laser irradiation did not decreased permeability. Combined to fluoride gel application, CO2 laser irradiation can represent an adjunctive way in controlling eroded enamel permeability. (AU)

• FAPESP's process: 08/08863-0 - Influence of CO2 laser combined with fluoride on inhibition of enamel erosion
• Grantee: Taisa Penazzo Lepri
• Support Opportunities: Scholarships in Brazil - Master