Plaque fluoride concentrations ([F]) are directly related to plaque calcium concentrations. Our attempts to increase salivary and plaque F uptake from 1000-ppm dentifrices by pre-rinsing with 20mM (Caries Res 39:100-107,2005) or 150mM (Eur J Oral Sci 114:489-493,2006) calcium solutions were unsuccessful. Ca pre-rinses, however, caused large increases in F uptake from aqueous NaF rinses (Caries Res 40:449-454,2006; JDR 86, Sp Iss A:Abst 1873,2007). Objective: To test the hypothesis that, when added to a rinse, SLS (anionic detergent in dentifrices) reduces F uptake by saliva and plaque. Methods: Subjects (n=11) rinsed with 20mL of 150mM Ca-lactate for 1.0 min, then with 20mL of 228-ppm F. Plaque was collected 15 and 60 min later; whole saliva was collected 60 min after the F rinse. After one week the procedure was repeated with 0.5% SLS in the F rinse. F was analyzed with the electrode after five extractions with pH-4.8 acetate-buffer (plaque) and after HMDS-facilitated diffusion (plaque and saliva). The results were analyzed for statistically significant differences using RM-ANOVA and Fisher's LSD post-hoc test. Results: Mean salivary [F] (mean±SE) at 60 min after rinsing with or without SLS were 0.18±0.05 and 1.40±0.48 mmol/L (p=0.031). The plaque [F] are shown in the table (Without SLS' vs With SLS', p<0.01).
Amounts of F Extracted from Plaque (mmol/kg) | ||||
Extractor | Without SLS | With SLS | ||
15' | 60' | 15' | 60' | |
Acetate buffer | 43.06±6.92 | 30.88±3.08 | 23.32±4.85 | 19.52±2.29 |
HMDS | 79.55±24.35 | 57.47±13.22 | 10.51±4.18 | 15.09±8.59 |
Total | 122.61±30.00 | 88.35±13.50 | 33.83±6.39 | 34.61±9.17 |
Conclusion: SLS (0.5%) in the F rinse significantly reduced salivary and plaque F uptake, an effect presumably due to calcium binding by SLS. We suggest that dentifrices formulated without SLS could have [F] substantially below 1000 ppm but have the same cariostatic effect and reduce the risk of dental fluorosis.