3 years ago

An in-situ pilot study to investigate the native clinical resistance of enamel to erosion

To investigate the differences in susceptibility of the surface of native and polished enamel to dietary erosion using an in-situ model. Methods Thirty healthy volunteers (n = 10 per group) wore mandibular appliances containing 2 native and 2 polished enamel samples for 30 minutes after which, the samples were exposed to either an ex vivo or in vivo immersion in orange juice for 5, 10 or 15 minutes and the cycle repeated twice with an hour’s interval between them. Samples were scanned with a non-contacting laser profilometer and surface roughness was extracted from the data, together with step height and microhardness change on the polished enamel samples. Results All volunteers completed the study. For native enamel there were no statistical difference between baseline roughness values versus post erosion. Polished enamel significantly increased mean (SD) Sa roughness from baseline for each group resulting in roughness change of 0.04 (0.03), 0.06 (0.04), 0.04 (0.03), 0.06 (0.03), 0.08 (0.05) and 0.09 (0.05) μm respectively. With statistical differences between roughness change 45 minutes in vivo versus 45 minutes ex vivo (p < 0.05). Microhardness significantly decreased for each polished group, with statistical differences in hardness change between 30 minutes in vivo versus 30 minutes ex vivo (p<0.05), 45 minutes in vivo versus 30 minutes ex vivo (p<0.01), 45 minutes in vivo versus 45 minutes ex vivo (p<0.01). Conclusions The native resistance to erosion provided clinically is a combination of the ultrastructure of outer enamel, protection from the salivary pellicle and the overall effects of the oral environment. Clinical significance This study demonstrates that outer enamel is innately more resistant to erosion which is clinically relevant as once there has been structural breakdown at this level the effects of erosive wear will be accelerated. ClinicalTrials.gov Identifier: NCT03178968.

Publisher URL: www.sciencedirect.com/science

DOI: S0300571218300058

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