Changes In Surface Microhardness Research Articles

In vitro Evaluation of Acidified Toothpastes with Low Fluoride Content

Fluoride toothpastes are a risk factor for the development of dental fluorosis. Products with low fluoride content offer a higher security, but their effectiveness must be proven. The aim of this in vitro study was to compare two acidified toothpastes with low fluoride concentration (412 and 550 µg F/g) with neutral toothpastes. Bovine enamel blocks were selected by surface microhardness (SMH) and randomized to twelve groups of 13, according to the fluoride concentration in toothpaste (placebo, 275, 412, 550 or 1,100 µg F/g) and pH (7.0 or 5.5). Two commercially available toothpastes were also studied: a 1,100-µg F/g, pH 7.0 paste (positive control) and a children’s paste (500 µg F/g, pH 7.0). The blocks were subjected to pH cycling for 7 days. The toothpaste treatment was done twice daily. Surface and cross-sectional microhardnesses were assessed to calculate the percentage change of SMH (%SMH) and the mineral loss (ΔZ). The amount of fluoride, calcium and phosphorus in the solutions after the pH cycling was also analyzed. Compared to neutral toothpastes, the acidified toothpastes reduced the %SMH in all F concentrations. Higher F and lower Ca and P concentrations were found in solutions for the acidified toothpastes. Regarding ΔZ, only the positive control, 1,100-µg F/g (acidified and neutral) groups were not statistically different. The acidified toothpastes showed a dose-response relationship with all variables. For the low-fluoride toothpastes evaluated, only the 550-µg F/g acidified paste had the same anticariogenic action as the 1,100-µg F/g neutral paste.

Effect of iron on bovine enamel and on the composition of the dental biofilm formed “in situ”

This study investigated in situ the effect of iron (Fe) on the reduction of demineralization of bovine enamel, as well as on the composition of dental biofilm. Twelve volunteers were included in this blind crossover study, which was conducted in two stages of 14 days each. For each stage, the volunteers received palatal appliances containing four blocks of bovine enamel (4 mm x4 mm x 2.5 mm). Six volunteers dripped a solution of 15 mmol L(-1) ferrous sulphate onto the fragments and the remaining six dripped deionized water (eight times per day). After five minutes, a fresh 20% (w/v) sucrose solution was dripped onto all enamel blocks. During the experimental period the volunteers brushed their teeth with non-fluoridated dentifrice. After each stage, the percentage of surface microhardness change (%SMHC) and area of mineral loss (DeltaZ) were determined on enamel and the dental biofilm formed on the blocks was collected and analysed for F, P, Ca, Fe and alkali-soluble carbohydrates. The concentrations of F, Ca and Fe in enamel were also analysed after acid biopsies. There was a statistically significant increase in the P and Fe concentrations in the biofilms treated with ferrous sulphate (p<0.05), which was not observed for F, Ca and alkali-soluble carbohydrates. The group treated with ferrous sulphate had significantly lower %SMHC and DeltaZ when compared to control (p<0.05). These results showed that ferrous sulphate reduced the demineralization of enamel blocks and altered the ionic composition of the dental biofilm formed in situ.

Effect of professional cleaning and dental brushing with or without fluoridated dentifrice on enamel remineralization

An in situ evaluation of the potential rehardening effect of fluoridated and non-fluoridated toothpastes with or without air polishing was conducted. Ten volunteers, using acrylic palatal appliances containing two bovine enamel blocks with artificial carious lesions, took part in this study. Four times a day, after the main meals and at night, the volunteers, in a habitual way, brushed their natural teeth with the dentifrice indicated to the experimental design and after that the appliances were put again into the mouth. They were divided into 4 different groups: G1 - control - non-fluoridated dentifrice; G2 - fluoridated dentifrice; G3 - non-fluoridated dentifrice, but having a previous prophylaxis using air polishing; G4 - fluoridated dentifrice and previous air polishing. The effects of treatments on enamel rehardening were evaluated in the blocks that were assessed by surface microhardness, and the percentage of surface microhardness change (%reh) was calculated in relation to the baseline values. The results showed that %reh was higher in the groups with fluoridated dentifrice, and professional prophylaxis did not have an additional effect in the groups of fluoridated dentifrices (p<0.05). The data suggested that, in the absence of fluoride, removal of dental plaque helped to increase the process of enamel rehardening.

The short-term in situ model to evaluate the anticariogenic potential of ionomeric materials

Aiming to contribute to the study of mechanisms involved in the anticariogenic properties of dental materials, this study assessed the suitability of a short-term in situ model to evaluate the anticariogenic potential of ionomeric materials. The study used a 3-phase crossover, double blind design, and in each phase eight volunteers wore palatal appliances containing four enamel blocks restored with one of the following materials: composite resin (CR-Z250) (negative control), a conventional glass ionomer cement (GIC-Ketac-Fil) or a resin-modified GIC (RM-GIC-Vitremer). The restored blocks were covered with a "test plaque" of S. mutans, placed in palatal appliances and a cariogenic challenge was made during 1 min with 20% sucrose solution. After 45 min, test plaque was collected for fluoride (F) analysis. Enamel surface microhardness was previously determined at one side of the restoration and the percentage of surface microhardness change (%SMC) in relation to baseline (other side) was calculated. F concentration in enamel was also evaluated. Split-plot ANOVA showed a statistically lower %SMC on enamel around the ionomeric materials than around the CR (p<0.05). This result was supported by a statistically higher F concentration in test plaque (P<0.001) and in enamel (P<0.001) restored with the ionomeric materials when compared to the CR. The results suggest that the short-term in situ model tested is useful for studying the anticariogenic potential of dental materials that release fluoride.

In vitro comparison of the cariostatic effect between topical application of fluoride gels and fluoride toothpaste

The aim of this study was to compare the effect of topical fluoride products [acidulated phosphate fluoride (APF) or neutral gel (NF) x fluoride toothpaste (MFP)], in respect to fluoride uptake and anticariogenic action. One hundred and twenty five blocks of human teeth, sorted in 5 groups according to the treatment, were submitted to pH cycling for ten days. The parameters analyzed were: fluoride uptake before and after pH cycling and surface (SMH) and cross-sectional (CSMH) microhardness of the enamel blocks. The results of fluoride concentration in enamel after the pH cycling showed an enhancement of fluoride uptake for all groups compared to sound control. No significant differences between APF and MFP were observed for surface microhardness, percentage change of surface microhardness and mineral loss. The volume percent mineral obtained from cross-sectional microhardness demonstrated that APF has a different lesion progression rate regarding subsurface carious lesion. The results suggest that professionally applied fluoride gel or frequent fluoride application in low concentration is a positive preventive measure for the control of dental caries.

A modified pH-cycling model to evaluate fluoride effect on enamel demineralization.

Since in vitro pH-cycling models are widely used to study dental caries, they should allow evaluations of fluoride effect on early stages of caries development. Therefore, acid etching on enamel surface must be avoided, enabling surface microhardness (SMH) analysis. In the present study, the pH-cycling model originally described by Featherstone et al.9 (1986) was modified to preserve the enamel surface and to produce early carious lesions that could be evaluated using SMH and cross-sectional microhardness (CSMH) measurements. In order to validate this modified model, a dose-response evaluation with fluoride was made. Human enamel blocks with known SMH were submitted to such regimen with the following treatments: distilled deionized water (DDW; control) and solutions containing 70, 140 and 280 ppm F. Data from %SMH change and deltaZ (mineral loss) showed a statistically significant negative correlation between F concentration in treatment solutions and mineral loss. In conclusion, the modified pH-cycling model allowed the evaluation of changes on the outermost enamel layer during caries development, and a dose-response effect of fluoride reducing enamel demineralization was observed.

Effect of Gutta-Percha Solvents on Surface Microhardness of IRM Fillings

Eighty identical samples of IRM were prepared and embedded in acrylic resin. The samples were polished, rinsed, and divided into experimental groups and controls, 10 specimens each. Each experimental group was treated for 1 or 5 min with one of the following gutta-percha solvents: chloroform, xylene, or halothane. Sterile saline was used as a control. Treatment consisted of pipetting each solvent onto the external IRM surface. The specimens were then sealed in plastic assay tubes for the corresponding exposure periods. At each time period, surface microhardness of the samples was measured using a mini-load hardness tester with a 500 g load for 20 s. It was found that xylene and halothane caused significant reduction in surface microhardness of IRM after 5 min (p < 0.01). Chloroform caused significant reduction in surface microhardness of IRM after 1 min of treatment (p < 0.01). Chloroform caused total dissolution after 5 min of treatment. Saline caused only minor and nonsignificant changes in surface microhardness of IRM.

Surface Changes of Fluoride-Releasing Composites: a Comparison of in Vivo and in Vitro Results

Fluoride-releasing composites lose fluoride very slowly over time. An interesting question is the possible change in mechanical properties related to the F release. If this happens, it might be expected that the mechanical properties of the outer surface of a fluoridating composite are affected first. The purpose of this study was to investigate in vivo and in vitro the changes in surface microhardness and surface structure of three fluoride-releasing composites and a non-F-containing control after 28 days. In the in vitro experiment, the composites were stored in tap water at 37°C. The results show that all composites stored in water were significantly softened after 28 days. In vivo, however, a very different picture emerged: The surface microhardness of the fluoride-releasing composites did not change significantly. In vitro, the data indicate that the amount of softening of the fluoridating composites is related to the amount of fluoride released. No relation was found between the amount of F released in one month in vitro and the microhardness changes in vivo. SEM micrographs of fluoridating composites do not reflect the microhardness changes mentioned.

Effects of simultaneous boron and nitrogen implantation on microhardness and fatigue properties of Fe-13cr-15ni alloys

Eight complex austenitic stainless steel alloys based on the composition Fe-13Cr-15Ni-2Mo-2Mn-0.2Ti-0.8Si-0.06C were implanted simultaneously with 400-keV B+ and 550-keV N+ ions and were investigated for changes in fatigue properties and surface microhardness. The nearsurface hardness of all eight alloys improved, but the fatigue life of each decreased. These findings were contrary to those obtained in an earlier study using four simple Fe-13Cr-15Ni alloys, where the dual implantation improved fatigue life by up to 250 pct. While unimplanted specimens failed by slip-band crack initiation, it was hypothesized that the dual implantation suppressed slip to the extent that fewer slip-band cracks were initiated and these were subjected to accelerated crack propagation. In addition, grain-boundary cracking was promoted, yielding a lower fatigue life. Support for this hypothesis was obtained by a study of single crystals of Fe-15Cr-15Ni, which were also implanted with B+ and N+. The dual implantation caused a lower fatigue life due to concentration of slip along a few slip bands to relieve applied stress. Evidence of grain-boundary cracking was obtained using the four simple alloys, which were subjected to triple ion implantation with B+, N+, and C+. The triple implantation decreased the fatigue life of the alloys and caused accelerated growth of fewer slip bands and grain-boundary cracking due to suppression of surface slip bands. This study thus shows the existence of an optimum level of strengthening when multiple ion implantation is used to improve the fatigue properties of alloys.

Annealing effects in lamellar linear polyethylene as revealed by microhardness

The changes in surface microhardness of lamellar polyethylene, as a consequence of annealing treatment, have been investigated. The variations in hardness are interpreted in terms of morphological changes primarily related to the lamellar thickness. In the low temperature range, hardening is related to elimination of crystal defects. In the intermediate annealing range the rapid hardness increase can be associated with a well-defined stacking of lamellae which thicken with increasing temperature. Nearer the melting point the regular good lamellar stacking is destroyed through partial melting and recrystallization, yielding a larger proportion of new thin lamellae which contribute to the drastic hardness depression observed.

The characterization of enamel surface demineralization, remineralization, and associated hardness changes in human and bovine material

Enamel demineralization and remineralization were investigated in relation to change of surface microhardness. Within the investigated range of 120 hardness units from the initial, mineral loss or gain were reflected in parallel, linear changes of microhardness. Changes of one hardness unit corresponded to about 0.04 μ moles of Ca 2+/cm 2 of test surface. The molar Ca P ratio was 1.65 for both the demineralization as well as the remineralization process; this result indicated a stoichiometric dissolution and redeposition of hydroxyapatite in the enamel. On the basis of calculations of indenter penetration, softened enamel was shown to have gradients of mineral density from the surface inwards depending upon the demineralization method. The softening and rehardening were shown to take place in the outer 5 μ of enamel surface. The acid resistance of the rehardened enamel was similar to that of the original.