In situ investigation of the effect of TiF4 and CO2 laser irradiation on the permeability of eroded enamel

Abstract

ObjectiveInterest in erosion and its role in tooth wear has increased considerably. Due to the limited contribution of patients in modifying their dietary habits, therapeutic resources aiming to reduce the progression of erosion-like lesions have been discussed. This study sought to evaluate the effect of TiF4 and CO2 laser in controlling the permeability of in situ eroded enamel. DesignTen volunteers wore an intraoral palatal device containing two enamel slabs, treated with TiF4 gel and TiF4 gel+CO2 or placebo gel and placebo gel+CO2. After the washout period, volunteers were crossed over to the other treatment. During both phases, specimens were submitted to erosive challenges and then evaluated for permeability measured as the percentage of copper ion penetration over the total enamel thickness. ResultsTwo-way analysis of variance (ANOVA) revealed that there was a significant interaction between the factors under study (p=0.0002). Tukey's test showed that TiF4 significantly reduced the enamel permeability of eroded enamel specimens, regardless of whether CO2 laser irradiation was performed. ConclusionsIt may be concluded that when the placebo gel was applied, CO2 laser was able to reduce enamel permeability; however, when TiF4 was applied, laser irradiation did not imply a reduction in permeability. TiF4 provided a lower permeability of eroded enamel, regardless of whether the CO2 laser was used.