Biomimetic and protective effects of bioactive toothpastes on eroded enamel surfaces

Braz Oral Res. 2024 Dec 20:38:e139. doi: 10.1590/1807-3107bor-2024.vol38.0139. eCollection 2024.

Abstract

This study aimed to evaluate the effectiveness of bioactive toothpastes in remineralizing eroded enamel surfaces in vitro. Bovine enamel blocks (n = 48) were obtained and classified into untreated, demineralized, and treated areas. Specimens were randomly classified into six groups (n = 8 each): fluoride-free toothpaste (NCT), Colgate Total 12 (PCT), Sensodyne Repair and Protect (SRP), Sensodyne Pronamel (SPE), Regenerador + Sensitive (RGS), and RGS/calcium booster (RCB). The specimens were subjected to erosive pH cycling for 5 days for 4 times/day (90 s) and treated with toothpaste slurries (1:3) for 1 min. The Vickers hardness (50 g/10 s) and percentage surface hardness recovery (%SMHR) were calculated. Furthermore, the topography and roughness (Ra) of the enamel surface were evaluated using a 3D non-contact optical profilometer, along with the tooth surface loss (TSL). Data were statistically analyzed using analysis of variance or Tukey's test (significance: 5%). The %SMHR of the SRP and NCT groups were significantly lower than those of the other groups (p < 0.05). Ra was higher when the eroded area was treated with SRP and SPE (p < 0.05). Treatment with RGS, PCT, and SPE favored the recovery of the enamel surface compared with the NCT group (p < 0.05). The best TSL results were obtained with treatment with RGS, followed by PCT and SPE (p < 0.05). The RCB group showed statistically equivalent results for surface hardness recovery and TSL (p > 0.05). Conclusively, PCT and RGS toothpastes were more effective in remineralizing the enamel surface.

Publication types

  • Evaluation Study

MeSH terms

  • Analysis of Variance
  • Animals
  • Cattle
  • Dental Enamel* / drug effects
  • Drug Combinations
  • Fluorides
  • Hardness / drug effects
  • Hardness Tests*
  • Hydrogen-Ion Concentration
  • Materials Testing*
  • Nitrates
  • Phosphates
  • Random Allocation
  • Reference Values
  • Reproducibility of Results
  • Statistics, Nonparametric
  • Surface Properties* / drug effects
  • Time Factors
  • Tooth Erosion* / prevention & control
  • Tooth Remineralization* / methods
  • Toothpastes* / chemistry
  • Toothpastes* / pharmacology

Substances

  • Toothpastes
  • Sensodyne
  • Drug Combinations
  • Fluorides
  • Nitrates
  • Phosphates