In the past two decades, accumulated evidence has clearly demonstrated the inhibitory effects of laser irradiation on enamel demineralization, but the exact mechanisms of these effects remain unclear. The purpose of this study was to investigate the effects of low-energy CO2 laser irradiation on demineralization of both normal human enamel and human enamel with its organic matrix removed. Twenty-four human molars were collected, cleaned, and cut into two halves. One half of each tooth was randomly selected and its lipid and protein content extracted. The other half of each tooth was used as the matched control. Each tooth half had two window areas. All the left windows were treated with a low-energy laser irradiation, whereas the right windows served as the non-laser controls. After caries-like lesion formation in a pH-cycling environment, microradiographs of tooth sections were taken for quantification of demineralization. The mean mineral losses (with standard deviation) of the enamel control, the lased enamel, the non-organic enamel control, and the lased non-organic enamel subgroups were 3955 (1191), 52(49), 4565(1311), and 1191 (940), respectively. A factorial ANOVA showed significant effects of laser irradiation (p = 0.0001), organic matrix (p = 0.0125), and the laser-organic matrix interaction (p = 0.0377). The laser irradiation resulted in a greater than 98% reduction in mineral loss, but the laser effect dropped to about 70% when the organic matrix in the enamel was removed. The results suggest that clinically applicable CO2 laser irradiation may cause an almost complete inhibition of enamel demineralization.

There is considerable variation in fluoride intake across ages and among individuals. Longitudinal studies may be necessary to fully understand the relationships between fluoride ingestion over time and development of fluorosis.

The surface morphology of human enamel treated with pulsed, infrared laser radiation was examined using reflected light and scanning electron microscopy. Thin ( < 5μm) surface melts with a varying degree of surface macroroughening were produced for each of the four wavelengths studied (9.32, 9.57, 10.27, 10.59 μm) in the 10–50 J·cm^––2 pulse energy density range with peak power densities reaching approximately 10⁷–10⁸ W·cm^––2. Significant heat conductance under the surface melt was limited to a depth of approximately 10–20 μm. Tetracalcium diphosphate monoxide, Ca₄(PO₄)₂O, was identified as being a component of the surface melt together with an apatite phase that had a reduced carbonate content when compared to normal surface enamel. Histological differences and shallower lesions were observed using polarizing light microscopy in artificial lesions formed in lased enamel when compared with control lesions. These results provide a greater understanding of the use of lasers as a potential preventative tool in dentistry.

Acidic beverages are thought to increase the potential for dental erosion. We report pH and titratable acidities (i.e., quantity of base required to bring a solution to neutral pH) of beverages popular in the United States and lesion depths in enamel and root surfaces following beverage exposure, and we describe associations among pH, titratable acidity and both enamel and root erosive lesion depths. The pH of 100% juices, regular sodas, diet sodas and sports drinks upon opening, and the titratable acidity both upon opening and after 60 minutes of stirring were measured. Enamel and root surfaces of healthy permanent molars and premolars were exposed to individual beverages (4 enamel and 4 root surfaces per beverage) for 25 hours and erosion was measured. Statistical analyses included twosample t-tests, analyses of variance with post hoc Tukey's studentized range test; and Spearman rank correlation coefficients. All beverages were acidic; the titratable acidity of energy drinks was greater than regular sodas and diet sodas which were greater than 100% juices and sports drinks (P<0.05). Enamel lesion depths following beverage exposures were greatest for Gatorade® followed by Red Bull® and Coke® which were greater than Diet Coke® and 100% apple juice (P <0.05). Root lesion depths were greatest for Gatorade® followed by Red Bull®, Coke®, 100% apple juice and Diet Coke® (P<0.05). Lesion depths were not associated with pH or titratable acidity. Beverages popular in the United States can produce dental erosion.

Background/Aims: Currently available techniques for fluoride analysis are not standardized. Therefore, this study was designed to develop standardized methods for analyzing fluoride in biological and nonbiological samples used for dental research. Methods: A group of nine laboratories analyzed a set of standardized samples for fluoride concentration using their own methods. The group then reviewed existing analytical techniques for fluoride analysis, identified inconsistencies in the use of these techniques and conducted testing to resolve differences. Based on the results of the testing undertaken to define the best approaches for the analysis, the group developed recommendations for direct and microdiffusion methods using the fluoride ion-selective electrode. Results: Initial results demonstrated that there was no consensus regarding the choice of analytical techniques for different types of samples. Although for several types of samples, the results of the fluoride analyses were similar among some laboratories, greater differences were observed for saliva, food and beverage samples. In spite of these initial differences, precise and true values of fluoride concentration, as well as smaller differences between laboratories, were obtained once the standardized methodologies were used. Intraclass correlation coefficients ranged from 0.90 to 0.93, for the analysis of a certified reference material, using the standardized methodologies. Conclusion: The results of this study demonstrate that the development and use of standardized protocols for F analysis significantly decreased differences among laboratories and resulted in more precise and true values.