Objectives: This study evaluated the effect of a glass-ionomer coating and a toothpaste with 0.21% sodium fluoride and tricalcium phosphate (Ca/P/F) in preventing enamel softening from a cola-drink acid challenge.
Methods: Thirty-two enamel specimens cut from eight bovine incisors were assigned into four groups (n=8). Each specimen in Groups A&B had a slot preparation (6x6x0.5 mm) which was coated with glass-ionomer (Vanish XT Extended Contact Varnish 3M ESPE). Specimens in Groups B&C received two daily applications of 2 min Ca/P/F toothpaste (Clinpro Tooth Creme, 3M ESPE). Group D (control) received neither the coating nor toothpaste. All specimens were subjected to twice daily acid challenge (Coke) for 8 minutes. The specimens were placed in saliva-like solution (1.5 mM Ca2+, 0.9 mM PO43-, pH 7) except during toothpaste application and acid challenge. Enamel surface hardness (Vickers) was measured at baseline, 2-day, and 4-day. For Groups A&B, the hardness was measured at 0.2 and 1.0 mm from the coating margin. Percentage hardness decrease (%DVHN) was calculated by normalizing with the baseline value of each specimen.
Results: %DVHN are shown in the Table. Percentage hardness decrease in Group D was significantly higher than in Groups A, B, and C as shown by superscript letters (ANOVA followed by Student-Newman-Keuls test; p<0.05).
Mean (SD) %DVHN | A (Vanish XT) | B (Vanish XT + Ca/P/F) | C (Ca/P/F) | D (control) | ||
0.2 mm | 1.0 mm | 0.2 mm | 1.0 mm | |||
2-day | 8.1 (4.9) a | 10.6 (3.8) a | 6.0 (3.2) a | 8.1 (2.4) a | 8.7 (1.5) a | 19.8 (3.5) b |
4-day | 8.2 (6.1) a | 9.7 (3.2) a | 6.0 (2.4) a | 6.4 (3.9) a | 5.8 (2.4) a | 20.2 (5.5) b |
Conclusion: Both glass-ionomer coating and fluoridated toothpaste with tricalcium phosphate could reduce enamel softening from a cola-drink acid challenge.
Supported in part by a Non-tenured Faculty Grant, 3M Foundation.