A Comparative Evaluation of Fluoride Release, Recharge and Rereleasing Abilities of Three Different Restorative Materials - An Invitro Study

Abstract

INTRODUCTION: The most important property of Fluoride is anti-cariogenic property which aids in remineralization of incipient carious lesions in enamel thereby inhibiting enamel demineralization i.e. it helps in arresting or reversal of incipient enamel lesions. A prolonged exposure of incipient carious lesions to uoride in the aqueous phase achieves the cariostatic effect. OBJECTIVES: The aim of the present study is to evaluate the amount of uoride released by three different Restorative Materialsi.e. Glass Ionomer Cement, Resin Modied Glass Ionomer Cement, Cention on 1st,7th and 15th day followed by Recharge and Re-release after recharging with various Flouride applications. MATERIALS AND METHODOLOGY: Fifteen Disk-shaped specimens for each group (8.5 mm diameter; 3 mm thickness) were prepared from three different restorative materials using cylindrical Teon molds according to manufacturer's instructions. The specimens in each individual group were incubated in a 95% relative humid environment at 37°C for 24 hours. Specimens of each group were immersed in 20 ml deionized water in plastic bottles and stored in the incubator at 37°C, Fluoride concentration was measured using a UV Spectrophotometer after 1st ,7th & 15 days. The samples from each group were now divided into: 3 Sub Groups of ve each. Sub Group A - Control group – No topical uoride application. Sub Group B - The samples were recharged with 2% Neutral Sodium Fluoride solution for 4 minutes and washed with copious deionized water for 10 sec and dried on absorbent paper. Sub Group C - The samples were recharged by hand brushing with a Fluoridated brushing Dentifrice for four minutes and then wiped clean with a tissue and rinsed for 10 sec using copious deionized water and dried. Measurement of uoride Re-release is done by UV Spectrophotometer after 1st ,7th and 15thday after recharge.The results were statistically analysed using analysis of variance (one-way ANOVA) and Tukey Kramer multiple comparison tests (p≤0.05). RESULTS: Independent of the observation time period of thestudy the Conventional GIC released the highest amount of uoride followed by RMGIC & CENTION. The initial burst effect was seen with GIC'S but not with RMGIC, CENTION. After topical uoride application uoride re-release was highest in Sub Group B and GIC had a greater recharging ability followed by RMGIC & CENTION. The uoride re-release was greatest on 1st day followed by rapid return tonear exposure levels. CONCLUSION: From the study it was concluded that, the initialFluoride release was highest from Conventional GIC followedby Resin Modied GIC, CENTION. The Fluoride release was high when recharging with professional regime (2%NaF) as compared to home regime (Toothpaste).