The purpose of this study was to evaluate the micro-hardness of artificially induced demineralized enamel after application of resin infiltrant and fluoride varnish and after pH challenge.Material and methods: In the current study; sound bovine incisors were used. A total of 40 sound enamel were then embedded in pre-cut metal cylinders. Two layers of acid-resistant nail varnish were applied to cover most of the enamel surfaces, leaving a window of 4×4 mm for demineralization. Each specimen was immersed in 32 ml of a de-mineralizing solution containing 50 mM acetate buffer solution and 1.28 mM Ca(NO3)2_4H2O, 0.74 mM (NaH2PO4)_2H2O, and 0.03 ppm F at pH 5.0,10 for 24 hours at 37˚C , then microhardness was recorded. The samples then were divided into two groups according to the material used to treat the de-mineralized enamel, each group consisted of 20 samples. Group 1: The samples of de-mineralized enamel were infiltrated with resin infiltration. Then the micro-hardness was recorded for all resin infiltrated samples before pH cycling challenge. The samples were then submitted to a pH cycling model at 37 C over 7 days. The pH cycling consisted of immersing the samples in 35.5 ml of de-mineralizing solution: (2.0 mmol/ L Ca, 2.0 mmol/ L P, 0.075 mol/ L acetate buffer, 2.22 mL/mm 2 of enamel surface) for 6 hours, alternated with immersion in 17.75 mL of re-mineralizing solution: (1.5 mmol/ L Ca, 0.9 mmol/ L P, 0.15 mol/ L KCl, 0.02 mol/ L cacodylate buffer, pH 7.0, 0.25 mL/mm 2 ) for 18 hours for 5 days. Then, specimens were kept for 2 more days in a fresh re-mineralizing solution, completing 7 days of treatment. The samples were washed in de-ionized water for 30 seconds among demineralizing and re-mineralizing cycles. Group 2: Fluoride varnish (Duraphat , Colgate-Palmolive ,NSW, Australia) was applied as a thin layer by a brush and totally dried, then the micro-hardness was recorded. The samples were then subjected to a pH cycling as in group 1. Then after challenge the micro-hardness measurements were performed as formerly described.
Results:The difference was highly significant between resin infiltrant and fluoride varnish treated enamel. The comparison among micro-hardness values of initial, de-mineralized enamel, resin-infiltrated enamel and resin infiltrated after pH cycling showed that there was a significant difference. The difference between micro-hardness values was highly significant when comparison was accomplished between initial and de-mineralized enamel, initial and after pH cycling, demineralized enamel and resin infiltrated enamel, de-mineralized enamel and after pH cycling and finally between resin infiltrated enamel and after pH cycling. The difference between microhardness values was not significant regarding initial and resin infiltrated enamel.
Conclusion:Within the limitations of this study, it was concluded that the micro-hardness of resin infiltrated enamel was higher than that of de-mineralized enamel treated with fluoride varnish before and after pH cycling.(500) Reham M. Attia E.D.