• The korean journal of orthodontics
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• v.38 no.6
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• pp.407-415
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• 2008

Objective: The aim of this study was to evaluate the remineralization of interdentally stripped teeth after fluoride gel or hydroxyapatite paste application. Methods: After interdental stripping, 1.23% fluoride gel or 10% hydroxyapatite paste was applied three times a day, with a duration of four minutes, for a week. Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS) were used to compare the change of surface contents and crystal structures before and after the application of fluoride gel or hydroxyapatite paste. Results: EDS analysis indicated that calcium contents were increased after 10% HAp paste application on stripped enamel (p < 0.01). SEM view showed that enamel surfaces in groups of 1.23% APF gel or 10% HAp paste application were smoother than those of control group, which was regarded as filling of the pore structure. And pores between crystal structures in groups treated with 1.23%, APF gel or 10% HAp paste were smaller than those of control group. Conclusions: Application of APF or HAp on stripped enamel could positively influence on the surface contents or crystal structure.

• The korean journal of orthodontics
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• v.40 no.4
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• pp.212-226
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• 2010

Objective: The aim of this study was to evaluate the effect of remineralization and inhibition to demineralization after fluoride gel (acidulated phosphate fluoride, APF) or hydroxyapatite (HAp) paste application on interdentally stripped teeth. Methods: After interdental stripping, 1.23% APF or 5%, 10% HAp paste were applied for 7 days for remineralization. Afterwards, teeth were exposed to lactate carbopol buffer solution for demineralization. Scanning electron microscopy (SEM) and energy dispersive X-ray spectroscopy (EDS) were used to compare change in surface contents and crystal structures after remineralization, and then after demineralization. Results: EDS analysis indicated that calcium (p < 0.001) and phosphate (p < 0.01) contents were increased after 10% HAp paste application on stripped enamel, calcium (p < 0.05) and phosphate (p < 0.01) contents were increased after 5% HAp paste application, and fluoride (p < 0.01) contents were increased after 1.23% APF application. SEM image showed that enamel surfaces became smoother and crystal structures became small and compact after APF or HAp application. After demineralization, calcium (p < 0.05) and phosphate (p < 0.05) contents remained increased on the enamel remineralized with 10% HAp paste, and phosphate (p < 0.05) contents remained increased on the enamel remineralized with 5% HAp paste. After demineralization, surfaces looked less destroyed in the enamel remineralized beforehand than those of the control, and small pores between crystal structures, formed by remineralization were remained. Conclusions: Hydroxyapatite paste and fluoride gel were helpful to remineralize and inhibit deminerlization on stripped enamel.

• Journal of dental hygiene science
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• v.12 no.4
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• pp.320-328
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• 2012

The purpose of this study was to evaluate the tooth whitening and properties of an enamel surface after treatments with tooth bleaching agents that contained dicalcium phosphate dihydrate (DCPD) and hydrogen peroxide (HP). Thirty specimens were obtained from fifteen premolar and were randomly divided into three groups (n=10): 1, 3.5% HP + 0 g DCPD; 2, 3.5% HP + 0.1 g DCPD; 3. 3.5% HP + 1 g DCPD. All groups were bleached 8 hours per day for 14 days. With increasing DCPD concentration, the pH values in the agents increased, making it less acidic. However, there was no statistically significant difference (p>.05). As the concentration of DCPD was increased, the concentration of Ca and P was also increased. In all groups, after the tooth whitening, the tooth color was found to have a value of $L^*$ (p<.05). All groups showed significantly decreased enamel microhardness compared to their baseline (p<.05). The percentage microhardness loss (PML) of the group A1 and A2 were significantly lower than that of group A3. The obvious variation of morphology was observed on enamel surfaces in group A1. Following an analysis of the constituents of enamel surface after bleaching, as DCPD content was increased, the amount of Ca and P was increased. In this study, the experimental results suggest that DCPD/HP agent less demineralization changes such as the erosion morphology and hardness loss without compromising whitening efficiency.

• Journal of dental hygiene science
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• v.14 no.4
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• pp.597-609
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• 2014

To find out the effect of commercially available energy drinks on tooth enamel erosion, analyzed pH, buffering capacity, and the content of some of the inorganic components selecting 4 energy drinks that has high affinity of the products currently being sold. In addition, by observing the degree of erosion before and after immersion in energy drink by surface microhardness and scanning electron microscope (SEM) the results were as follows: Acidity of energy drink 'Burn Intense' was the lowest as $2.78{\pm}0.01$ highest on distilled water as $6.475{\pm}0.01$. 'Burn Intense' buffering capacity was $3.48{\pm}0.155$ at pH 5.5, $1.88{\pm}0.15$ at pH 7.0 which is the highest, and 'Hot6' was $1.71{\pm}0.37$, $1.23{\pm}0.35$ on each of it showing the lowest points. Ca content on energy drink was the highest at 'Volt Energy' as ($77.21{\pm}2.70mg/kg$), the lowest at 'Hot6' as ($0.98{\pm}0.05mg/kg$). P content was the highest on 'Hot6'($1.34{\pm}0.05mg/kg$) and detected at 'Red Bull'. Enamel surface hardness variation of the energy drinks before and after immersion showed rapid decrease at 'Red Bull' ($66.65{\pm}35.60$), and 'Volt Energy' ($61.96{\pm}31.42$), 'Burn Intense' ($58.53{\pm}24.84$), 'Hot6' ($53.99{\pm}60.26$) was in order. Distilled water, the control group, showed significant difference with the experimental group (p<0.05). But there was no significant difference between energy drinks. At SEM observation and analysis, 'Burn Intense' was the most severe demineralization, 'Volt Energy', 'Hot6', 'Red Bull', distilled water was in order. In the above results, taken together there were no statistically differences between energy drinks but significant difference in comparison with distilled water. In addition, at SEM observation and analysis all energy drink caused dental erosion, especially 'Burn Intense', has the lowest acidity, was serious. Thus, it is believed to provide a variety of oral health education and information about energy drinks that can affect the erosion of the teeth so public have the right to be recognized and reasonable dental care.

• Restorative Dentistry and Endodontics
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• v.36 no.4
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• pp.290-299
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• 2011

Objectives: The usage of fluoride varnish for a moderate to low caries-risk group has not been well validated. This study aimed to evaluate the preventive and therapeutic efficacies of fluoride varnish on the initiated root caries. Materials and Methods: Ten premolars were sectioned into quarters, further divided into two windows, one of which was painted with Fluor Protector (1,000 ppm fluoride, Ivoclar Vivadent). An initial lesion with a well-preserved surface layer was produced by pH cycling. Scanned line analysis using energy dispersive spectrometry determined the weight percentages of Ca and P in the demineralized layer. Scanning Electron microscopy and confocal laser scanning microscopy (CLSM) evaluated the varnish-applied root surfaces. Results: The mean lesion depth (SD) was 12.3 (2.6) ${\mu}m$ (single cycling) and 19.6 (3.8) ${\mu}m$ (double cycling). Double cycling extended the lesion depth, but induced no more mineral loss than single cycling (p < 0.05). The mean weight percentages of Ca and P between groups with and without varnish were not significantly different (p < 0.05). A CLSM showed varnish remained within 15 ${\mu}m$ of the surface layer. Conclusions: When a mild acid challenge initiated root tissue demineralization, the application of low-concentration fluoride varnish did not influence the lesion depth or the mineral composition of the subsurface lesion.