THE EFFECT OF COMBINED TREATMENT BY LASER AND FLUORIDE ON THE ACID RESISTANCE OF ENAMEL IN PRIMARY TEETH (IN-VITRO STUDY)
Mansour, Y., Hanno, A., El Tekeya, M., Nagui, D. (2021). THE EFFECT OF COMBINED TREATMENT BY LASER AND FLUORIDE ON THE ACID RESISTANCE OF ENAMEL IN PRIMARY TEETH (IN-VITRO STUDY). EKB Journal Management System, 46(Issue 2), 160-165. doi: 10.21608/adjalexu.2020.21367.1026
Yasmine Jamal Mansour; Azza G. Hanno; Magda El Tekeya; Dina A. Nagui. "THE EFFECT OF COMBINED TREATMENT BY LASER AND FLUORIDE ON THE ACID RESISTANCE OF ENAMEL IN PRIMARY TEETH (IN-VITRO STUDY)". EKB Journal Management System, 46, Issue 2, 2021, 160-165. doi: 10.21608/adjalexu.2020.21367.1026
Mansour, Y., Hanno, A., El Tekeya, M., Nagui, D. (2021). 'THE EFFECT OF COMBINED TREATMENT BY LASER AND FLUORIDE ON THE ACID RESISTANCE OF ENAMEL IN PRIMARY TEETH (IN-VITRO STUDY)', EKB Journal Management System, 46(Issue 2), pp. 160-165. doi: 10.21608/adjalexu.2020.21367.1026
Mansour, Y., Hanno, A., El Tekeya, M., Nagui, D. THE EFFECT OF COMBINED TREATMENT BY LASER AND FLUORIDE ON THE ACID RESISTANCE OF ENAMEL IN PRIMARY TEETH (IN-VITRO STUDY). EKB Journal Management System, 2021; 46(Issue 2): 160-165. doi: 10.21608/adjalexu.2020.21367.1026

THE EFFECT OF COMBINED TREATMENT BY LASER AND FLUORIDE ON THE ACID RESISTANCE OF ENAMEL IN PRIMARY TEETH (IN-VITRO STUDY)

Alexandria Dental Journal
Article 2, Volume 46, Issue 2, August 2021, Page 160-165  XML PDF (999.45 K)
Document Type: Original Article
DOI: 10.21608/adjalexu.2020.21367.1026
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Authors
Yasmine Jamal Mansour email 1; Azza G. Hanno2; Magda El Tekeya2; Dina A. Nagui3
1Pediatric dentistry,faculty of dentistry, Pharos University, Alexandria Egypt
2Professor of Pediatric Dentistry, Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt
3Associate Professor of Oral Biology, Department of Oral Biology, Alexandria University, Alexandria, Egypt
Abstract
Introduction: Er: YAG laser is contemplated as a preventive dental caries strategy when combined with topical fluoride varnish. Information regarding their combined effect on the enamel of primary teeth is still not established.
Objectives: The present study aimed to evaluate the effect of combined treatment by Er: YAG laser irradiation prior to topical fluoride varnish application on the acid resistance of enamel in primary teeth compared to fluoride varnish by elemental analysis.
Materials and Methods: Twenty caries-free exfoliated human primary molars were painted with nail varnish, leaving one window 4 x 4 mm on the buccal surface. The samples were assigned to 2 groups (10 each), according to the surface treatment: (G I) 5% sodium fluoride varnish (Enamel Pro® Varnish) only and (G II) Er: YAG laser irradiation followed by sodium fluoride varnish. The baseline value for each specimen was recorded before the test procedure. The enamel specimens underwent pH changes over 14 days. EDX was used to assess the mineral content of the specimens after pH challenge.
Results: A significant increase occurred in the mean values of the Ca at%, P at%, and Ca/P ratio in the enamel in both groups compared to the baseline values (p≤0.001). No significant difference was found in the mean percent change (p ≥ 0.05) of the mineral content between the study groups.
Conclusions: The combined treatment by laser and fluoride is as efficient as fluoride varnish alone for increasing the acid resistance of enamel in primary teeth.
Keywords
Primary teeth; fluoride varnish; Er:YAG laser; caries prevention
References
 

  1. McDonald RE, Avery DR, Stookey GK, Chin JR, Kowolik JE. Dental caries in the child and adolescent. In: McDonald and Avery dentistry for the child and adolescent. 2011. 9th ed. Ch 10. Elsevier Inc; 2011. p. 177-204.
  2. Clarkson JJ, McLoughlin J. Role of fluoride in oral health promotion. Int Dent J. 2000;50:119-28.
  3. Weyant RJ, Tracy SL, Anselmo TT, Beltrán-Aguilar ED, Donly KJ, Frese WA, et al. Topical fluoride for caries prevention: Executive summary of the updated clinical recommendations and supporting systematic review. J Am Dent Assoc. 2013;144:1279-91.
  4. Tuloglu N, Bayrak S, Tunc ES, Ozer F. Effect of fluoride varnish with added casein phosphopeptide-amorphous calcium phosphate on the acid resistance of the primary enamel. BMC Oral Health. 2016;16:1-7.
  5. Fluoride Therapy. The Reference Manual of Pediatric Dentistry. 2018. p. 262-5. Available at:https://www.aapd.org/research/oral-health-policies--recommendations/fluoride-therapy/
  6. American Dental Association Council on Scientific Affairs. Professionally applied topical fluoride: Evidence–based clinical recommendations. J Am Dent Assoc. 2006;137:1151-9.
  7. Kagihara LE, Niederhauser VP, Stark M. Assessment, management, and prevention of early childhood caries. J Am Acad Nurse Pract. 2009;21:1-10.
  8. Casamassimo PS, Fields Jr HW, McTigue DJ, Nowak A. Pediatric dentistry: infancy through adolescence, 5/e. Elsevier India; 2012.
  9. Zezell DM, Boari HG, Ana PA, Eduardo CD, Powell GL. Nd: YAG laser in caries prevention: a clinical trial. Lasers Surg Med. 2009;41:31-5.
  10. Apel C, Meister J, Götz H, Duschner H, Gutknecht N. Structural changes in human dental enamel after subablative erbium laser irradiation and its potential use for caries prevention. Caries Res. 2005;39:65-70.
  11. Castellan CS, Luiz AC, Bezinelli LM, Lopes RM, Mendes FM, Eduardo CD, et al. In vitro evaluation of enamel demineralization after Er: YAG and Nd: YAG laser irradiation on primary teeth. Photomed Laser Surg. 2007;25:85-90.
  12. Ana PA, Tabchoury CP, Cury JA, Zezell DM. Effect of Er, Cr: YSGG laser and professional fluoride application on enamel demineralization and on fluoride retention. Caries Res. 2012;46:441-51.
  13. Jahanimoghadam F, Poureslami H, Shamsaddin H, Horri A, Khazaeli P, Mahvic AH. Effect of ER: Yag laser on sodium fluoride varnish uptake by primary tooth enamel: An in-vitro study. Fluoride. 2016;49:538-48.
  14. Banda NR, Vanaja Reddy G, Shashikiran ND. Evaluation of primary tooth enamel surface morphology and microhardness after Nd: YAG laser irradiation and APF gel treatment-an in vitro study. J Clin Pediatr Dent. 2011;35:377-82.
  15. Esteves-Oliveira M, Zezell DM, Meister J, Franzen R, Stanzel S, Lampert F, et al. CO2 Laser (10.6 microm) parameters for caries prevention in dental enamel. Caries Res. 2009;43:261-8.
  16. Cecchini RC, Zezell DM, de Oliveira E, de Freitas PM, Eduardo CD. Effect of Er: YAG laser on enamel acid resistance: Morphological and atomic spectrometry analysis. Las Surg Med. 2005;37:366-72.
  17. Tagliaferro EP, Rodrigues LK, Nobre Dos Santos M, Soares LE, Martin AA. Combined effects of carbon dioxide laser and fluoride on demineralized primary enamel: an in vitro study. Caries Res. 2007;41:74-6.
  18. Westerman GH, Hicks MJ, Flaitz CM, Powell GL. In vitro caries formation in primary tooth enamel: role of argon laser irradiation and remineralizing solution treatment. J Dent Assoc. 2006;137:638-44.
  19. Steiner-Oliveira C, Rodrigues LK, Lima EB, Nobre-dos-Santos M. Effect of the CO2 laser combined with fluoridated products on the inhibition of enamel demineralization. J Contemp Dent Pract. 2008;9:113-21.
  20. Bharti M, Nagar P, Aminah M, Singh P. Effect of laser and fluoride application for remineralization of the carious lesion: A polarized microscopic study. Int J Contemp Med Res. 2017;4:489-92.
  21. Altan AB, Baysal A, Berkkan A, Göktolga-Akın EG. Effects of Er:YAG laser irradiation and topical fluoride application on inhibition of enamel demineralization. Turkish J Orthod. 2013;26:30-5.
  22. Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychol Med. 2013;35:121-6.
  23. Pannucci CJ, Wilkins EG. Identifying and avoiding bias in research. Plas Reconstr Surg. 2010;126:619-25.
  24. Faul F, Erdfelder E, Lang AG, Buchner A. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods. 2007;39:175-91.
  25. Ten Cate JM, Duijsters PP. Alternating demineralization and remineralization of artificial enamel lesions. Caries Res. 1982;16:201-10.
  26. Premier Enamel Pro varnish. Instructions for use of Enamel Pro varnish. Available at:https://www.premierdentalco.com/wp-content/uploads/2015/08/EPV_Sell_Sheet.pdf
  27. Serra MC, Cury JA. The in vitro effect of glass-ionomer cement restoration on enamel subjected. Quintessence Int. 1992;23:143-7.
  28. De Carvalho Filho AC, Sanches RP, Martin AA, Do Espírito Santo AM, Soares LE. Energy Dispersive X-Ray Spectrometry Study of the Protective Effects of Fluoride Varnish and Gel on Enamel Erosion. Microsc Res Tech. 2011;74:839-44.
  29. Itthagarun A, Wei SH, Wefel JS. The effect of different commercial dentifrices on enamel lesion progression: an in vitro pH-cycling study. Int Dent J. 2000;50:21-8.
  30. Santos Lde M, Reis JI, Medeiros MP, Ramos SM, Araújo JM. In vitro evaluation of fluoride products in the development of carious lesions in deciduous teeth. Braz Oral Res. 2009;23:296-301.
  31. Ceballos-Jimenez AY, Rodriguez-Vilchis LE, Contreras-Bulnes R, Alatorre JÁ, Velazquez-Enriquez U, Garcia-Fabila MM. Acid resistance of dental enamel treated with remineralizing agents, Er: YAG laser and combined treatments. Dent Med Prob. 2018;55:255-9.
  32. Zamudio-Ortega CM, Contreras-Bulnes R, Scougall-Vilchis RJ, Morales-Luckie RA, Olea-Mejia OF, Rodriguez-Vilchis LE, et al. Morphological and chemical changes of deciduous enamel produced by Er: YAG laser, fluoride, and combined treatment. Photomed laser Surg. 2014;32:252-9.
  33. Rodriguez-Vilchis LE, Contreras-Bulnes R, Olea-Mejìa OF, Sánchez-Flores I, Centeno-Pedraza C. Morphological and structural changes on human dental enamel after Er: YAG laser irradiation: AFM, SEM, and EDS evaluation. Photomed Laser Surg. 2011;29:493-500.
  34. Ibrahim DM, Mostafa AA, Korowash SI. Chemical characterization of some substituted hydroxyapatites. Chem Cent J. 2011;5:1-11.
  35. Cochrane NJ, Shen P, Yuan Y, Reynolds EC. Ion release from calcium and fluoride-containing dental varnishes. Aust Dent J. 2014;59:100-5.
  36. Ulkur F, Sungurtekin Ekçi E, Nalbantgil D, Sandalli N. In vitro effects of two topical varnish materials and Er: YAG laser irradiation on enamel demineralization around orthodontic brackets. Sci World J. 2014;2014:490503.
  37. Curylofo-Zotti FA, Tanta GS, Zugliani AL, Corona SM. The combined use of sodium fluoride and Er: YAG laser to control the progression of enamel caries. Euro J Pharmaceut Med Res. 2016;3:1-5.
  38. Ceballos-Jiménez AY, Rodríguez-Vilchis LE, Contreras-Bulnes R, Alatorre JA, Scougall-Vilchis RJ, Velazquez-Enriquez U, et al. Chemical changes of enamel produced by sodium fluoride, hydroxyapatite, ER: YAG laser, and combined treatments. J Spectrosc. 2018;2018:1-7.
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