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Effect of brushing on dental erosion

Abstract

Objectives: To compare the effect of brushing versus dipping using three different concentrations of fluoridated toothpastes on enamel erosion in vitro using surface profilometry. Methods: In a randomised, blinded experiment six groups of seven enamel slabs each were cut and mounted into resin blocks, ground and checked for surface flatness using a scanning profilometer (Scantron Proscan 2000). Each slabs’ surface was covered with nail varnish except for a small window (1 x 2 mm). Each group was immersed under static conditions for 2 minutes, five times daily in fresh 200 ml aliquots of citric acid 0.3% (pH = 3.6). In addition, three groups were immersed in three different fluoridated toothpastes (0 ppm F, 1100 ppm F, or 1450 ppm F) twice daily morning and evening for 2 minutes each time. The other three groups were brushed using the same toothpastes twice daily for 2 minutes each time. The total cycling period lasted 16 days during which the slabs were incubated overnight and between erosive challenges in artificial saliva at 37oC. A 60‐minute gap was left between daytime immersions. Before and after dipping in the erosive solutions the slabs were rinsed with de‐ionised water. After the cycling period, the slabs were analysed with the scanning profilometer to measure the amount of surface loss at day 4, 8, 12, and 16. Results: Surface loss ± SD of enamel at day 16 caused by citric acid combined with dipping using non‐fluoridated toothpaste was 61.19 ± 8.50 μm, 1100 ppm F was 43.44 ± 10.94 μm or 1450 ppm F was 34.98 ± 4.29 μm. Surface Loss ± SD of enamel at day 16 caused by citric acid combined with brushing using 0 ppm F, 1100 ppm F, or 1450 ppm F toothpastes was 75.62 ±10.64, 63.51 ± 5.27 and 48.94 ± 13.67 μm, respectively. Conclusion: Enamel erosion was increased significantly (CI 95%) using brushing with toothpastes compared to dipping. In addition, enamel erosion showed a dose‐response to fluoridated toothpastes. Acknowledgment: This project was supported by GlaxoSmithKline.

Risk Indicators for Tooth Wear in Sri Lankan Adolescents

“…In recent times researchers have attempted assessing the burden, mechanisms and risk factors for tooth wear in both children and adults . In addition, laboratory research has been carried out to study aspects such as effects of beverages on tooth tissues [Hughes et al, 2004] and of tooth brushing on enamel and dentine [Abdullah et al, 2006].…”