Methods: Enamel sections (5 x 5 mm) of 2 mm thickness were cut from a cariesfree permanent molar located in an SMR environmental cell through which demineralizing solution (0.1% acetic acid, pH 4.0) with additional F- concentrations of 0, 0.2, 1, 5, 25, 100, 300, 1000, 5000, 10,000 ppm were circulated through the SMR cell for 48h increasing F-concentrations. SMR was used to continuously measure the rate of enamel mineral loss (RMLenamel) at 3 points in each section.
Results: The rate of enamel loss was linear with time for all F-concentrations. Control (0ppm F-) RMLenamel= 5.00 x 10-4g cm-2s-1. 20% reduction in RMLenamel was observed with 0.2ppm F-and ~99% with 10,000ppm F-. A linear logarithmic relationship between % reduction (y) and fluoride concentration in ppm (x) was observed in the concentration range used (y = 7.93ln(x) + 35.5 (R2 = 0.81)).
Conclusions: A quantitative in vitro model suitable for determining the anti-caries efficacy of fluoride using SMR over shorter periods of time than previously used has been developed. The results demonstrate a logarithmic relation between reduction in rate of enamel mineral loss and F-concentration.
Funding EPSRC and GlaxoSmithKline