Effect of xylitol and fluoride on enamel erosion in vitro

Chunmuang, Siriwan; Jitpukdeebodintra, Suwanna; Chuenarrom, Chanya; Benjakul, Pojjanut

doi:10.2334/josnusd.49.293

Cited by 41 publications

(45 citation statements)

References 23 publications

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“…The results of the present study agree with Souza et al 29 who concluded that xylitol had a significant remineralization potential after acid attacks as revealed by SEM results while it disagreed with the results of the study by Chunmuang et al 30 that conclude that various protective agents including 40% xylitol was unable to reduce tooth surface and mineral loss due to acid attacks (orange juice). This might be due to the difference in the erosive protocol as they used successive erosive challenges which might have limited the protective and remineralizing effects of the agents used.…”

Section: Discussioncontrasting

confidence: 50%

Protective & corrective efficacy of xylitol versus fluoride on primary teeth enamel subjected to in vitro demineralization by chlorinated pool water

Kabil¹,

Magdy²

2016

IJDOH

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Background: Although chlorine is used as an important disinfectant for pool water yet its effect on the teeth could be a cause of concern. This study aimed to assess the protective and corrective effect of Xylitol versus standard use of fluoride on surface morphology and ionic profile of primary enamel exposed to chlorinated water in vitro, to tailor a feasible regimen for young swimmers. Materials and Methods: Thirty recently exfoliated, deciduous central incisors, (Negative Control,n=30) were examined by scanning electron microscope and energy dispersive X-ray analysis (EDAX) . Teeth were divided into Two groups, (n=15). I. Corrective groups: Pool water group (P): teeth were subjected to chlorinated water, then half the tooth was coated with fluoride (P&F): and the other half xylitol (P&X):, II. Preventive groups: The other 15 specimens, were half coated with fluoride: subgroup (F), and half with xylitol Subgroup(X) (positive controls): teeth were then subjected to chlorinated water. (F+P) & (X+P). A blinded operator to the tooth condition examined all groups between all steps by scanning electron microscope to detect surface morphological changes and energy dispersive X-ray analysis to evaluate Ca, P, C, Cl ions. Results:scanning electron microscope revealed areas of erosion on enamel subjected to chlorinated water, which improved by both agents but xylitol showed a smoother surface which was supported by statistical analysis of ionic EDXA results. Fluoride demonstrated a better protective effect as par ionic measuring results. Conclusion: young swimmers should use a fluoride agent prior to pool, and a xylitol agent after training to minimize detrimental effects of chlorinated water. Xylitol showed a higher significant effect whether as a protective or corrective agent.

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Section: Discussioncontrasting

confidence: 50%

Protective & corrective efficacy of xylitol versus fluoride on primary teeth enamel subjected to in vitro demineralization by chlorinated pool water

Kabil¹,

Magdy²

2016

IJDOH

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“…Anneroth et al, (46) reported that the use of chewing gums can cause similar bad effects. In order to avoid demineralising effect on the human dentin, the use of spray format allows a direct contact with the oral mucosa, and combined with a suitable concentration (as the stimulant effect on saliva production), could reduce the demineralising potential of chewable products (47,48). da Mata et al, (49) indicated that Gustatory stimulants of salivary secretion with fluoride, xylitol and lower acid content maintain similar salivary stimulation capacity while reducing significantly the dental erosion predictive potential.…”

Section: Management Of Dry Mouthmentioning

confidence: 99%

Update knowledge of dry mouth- A guideline for dentists

Altamimi¹

2014

Afr H. Sci.

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Background: Dry mouth is usually caused by a reduced salivary flow or by changes in the biochemical composition of saliva. Objective: The aim of this paper is a review of the update literature of dry mouth. Methods: We search in pubmed in the past 10 years using the words «dry mouth», «causes», «symptoms», «treatment» and «dentistry». A large number of papers have been identified. Papers not relevant to the issue were removed reducing the entries to 56 only. Results: There are no clearly established protocols for the treatment of dry mouth in the literature. Most of identified papers were systematic reviews, non-systematic reviews, and observational studies. The most studied patients were Sjögren's syndrome and the irradiated patients. Treatments are focused on the etiology, prevention, symptomatic, local salivary stimulation and systemic treatments. Conclusion: It can be concluded that there is no clear evidence for the causes and treatment of dry mouth, therefore the majority of the general dental practitioners refer most of the cases to appropriate specialist. Treatment must be individualized, salivary substitutes and mechanical stimulation techniques can be applied.

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“…The resultant maps may be compared using a surface matching and difference detection algorithm. This technique provides readings with good accuracy and reproducibility [60][61][62] [ [43][44][45]. Erosions of 50 tJm magnitude occurring over a 9 month period were recorded to a precision of about ±15 tJm [59] [42].…”

Section: Surface Profilometrymentioning

confidence: 99%

Methods for Assessment of Dental Erosion

Attin

Wegehaupt²

2014

Monographs in Oral Science

126

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Various assessment techniques have been applied to evaluate the loss of dental hard tissue and the surface-softened zone in enamel induced by erosive challenges. In this chapter, the most frequently adopted techniques for analyzing the erosively altered dental hard tissues are reviewed, such as profilometry, measuring microscope techniques, microradiography, scanning electron microscopy, atom force microscopy, nano-and microhardness tests and iodide permeability test. Moreover, methods for chemical analysis of minerals dissolved from dental hard tissue are discussed. It becomes evident that the complex nature of erosive mineral loss and dissolution might not be comprehended by a single technique, but needs application of different approaches for full understanding. Chapter 10Lussi A (ed): Dental Erosion. Monogr Oral Sci. Basel, Karger, 2006, vol 20, pp 152-172 Methods for Assessment of Dental Erosion Thomas Attin, Florian Just WegehauptCenter for Dental Medicine, Clinic for Preventive Dentistry, Periodontology and Cariology, University of Zurich, Zürich, Switzerland AbstractVarious assessment techniques have been applied to evaluate the loss of dental hard tissue and the surface-softened zone in enamel induced by erosive challenges. In this chapter, the most frequently adopted techniques for analyzing the erosively altered dental hard tissues are reviewed, such as profilometry, microradiography, scanning electron microscopy, atom force microscopy, nano-and microhardness tests and iodide permeability test. Moreover, methods for chemical analysis of minerals dissolved from dental hard tissue are discussed. It becomes evident that the complex nature of erosive mineral loss and dissolution might not be comprehended by a single technique, but needs application of different approaches for full understanding. Copyright © 2006 S. Karger AG, Basel Acid attack leads to an irreversible loss of the outermost enamel and dentin layers and to partial demineralization (softening) of the tooth surface. In enamel, the thickness of the softened layer is estimated to be 2-5 tJm [1,2] [1, 2]. The softened eroded tooth surface is highly susceptible to abrasive wear, and mechanical impacts such as toothbrushing can easily remove the superficially demineralized dental hard tissue [3][4][5] [3][4][5]. For simulating intra-oral erosion as closely as possible, it is desirable to assess the erosive effects on native tooth surfaces. Most of the methods described below need polished surfaces for precise assessment of the erosively induced defects or for creating reference surfaces, which means that the natural, often fluoridated surface of the tooth has to be removed. However, it should be considered that in the case of intra-oral erosion the outermost surface layers are also continuously removed by the acid attack, so that a 'polished' surface is Attin 2 cre-ated. When monitoring of erosive surface alterations within a period of time is performed, it could become necessary to fix a specimen in the measuring device i...

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Effect of xylitol and fluoride on enamel erosion in vitro

Cited by 41 publications

References 23 publications

Protective & corrective efficacy of xylitol versus fluoride on primary teeth enamel subjected to in vitro demineralization by chlorinated pool water

Protective & corrective efficacy of xylitol versus fluoride on primary teeth enamel subjected to in vitro demineralization by chlorinated pool water

Update knowledge of dry mouth- A guideline for dentists

Methods for Assessment of Dental Erosion

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