TiF4 Research Articles

The use of a new calcium mesoporous silica nanoparticle versus calcium and/or fluoride products in reducing the progression of dental erosion.

Objective There is increasingly common the consumption more times a day of foods and acidic drinks in the diet of the population. The present study aimed to evaluate and compare the effects of a calcium mesoporous silica nanoparticle single application of other calcium and/or fluoride products in reducing the progression of dental erosion.Methodology Half of the eroded area was covered of 60 blocks of enamel, after which the block was submitted to the following treatments: (Ca2+-MSN), casein phosphopeptide–amorphous calcium phosphate (CPP-ACP); CPP-ACP/F-(900 ppm F−); titanium tetrafluoride (TiF4 1%) (positive control); sodium fluoride (NaF 1.36%) (positive control); and Milli-Q® water (negative control) before being submitted to a second erosive challenge. A surface analysis was performed via a three-dimensional (3D) noncontact optical profilometry to assess the volumetric roughness (Sa) and tooth structure loss (TSL) and and through scanning electron microscopy (MEV). An analysis of variance (ANOVA) and Tukey’s test were performed.Results Regarding Sa, all experimental groups exhibited less roughness than the control (p<0.05). The TSL analysis revealed that the Ca2+-MSN and NaF groups were similar (p>0.05) and more effective in minimizing tooth loss compared with the other groups (p<0.05).Conclusions The Ca2+-MSN and NaF treatments were superior compared with the others and the negative control.

Comparison of Bromelain Enzyme, Sodium Hypochlorite, and Titanium Tetrafluoride on Shear Bond Strength of Restorative Composite to Dentin: An in vitro Study.

Statement of the Problem:Sufficient bond strength of composite restoration leads to its durability and survival; therefore, preparation of dentin surface for higher bond strength is essential. Purpose:Our aim is to assess the deproteinizing effect of 3% bromelain enzyme and compare it to 4% titanium tetrafluoride (TiF4) and 5% sodium hypochlorite (NaOCl) regarding the shear bond strength (SBS) of composite resin to dentin. Materials and Method: In this experimental study, 40 intact extracted human maxillary premolars were selected, and the occlusal surfaces of the teeth were sectioned at a depth of 2 mm from dentinoenamel junction. The teeth were divided into 4 groups (n=10). In Group 1, the teeth were etched with 37% phosphoric acid gel. In Group 2, the teeth were etched and deproteinized with 5% NaOCl. In Group 3, the teeth were etched and deproteinized with 4% TiF4. In Group 4, the teeth were etched and deproteinized with 3% bromelain enzyme. In each specimen, composites with 3 mm diameter and 2 mm height were prepared and cured. The test specimens were then stored in distilled water at room temperature for 7 days before conducting the SBS test (MPa). By universal testing machine at a crosshead speed of 1 mm/min, the results were analyzed using one-way ANOVA and Tukey test. Results:One-way ANOVA test demonstrated that pretreatment of dentin with a bromelain enzyme, TiF4 solution, or NaOCl was not statistically different regarding SBS to dentin (p= 0.790). Conclusion:3% bromelain enzyme can be as effective as TiF4 and NaOCl and phosphoric acid 37% in terms of the SBS of composite resin to dentin.

Longevity of Bond Strength of an Indirect Composite Resin to Dentin Using Conventional or Self-Adhesive Resin Cementation: Influence of Dentin Pretreatment with TiF₄.

The purpose was to evaluate the influence of dentin pretreatment with titanium tetrafluoride (TiF₄) on the longevity of bond strength (BS) of an indirect composite to dentin, using conventional resin cementation strategy or a self-adhesive resin cement. Forty third human molars with exposed dentin surfaces were used. The teeth were divided into groups (n = 10), according to the cementation strategy and the presence or absence of pretreatment with TiF₄. Microtensile strength testing and failure mode analysis were performed after 24 hours, 180 and 360 days of storage in water. Split-plot ANOVA and Tukey's test showed that BS was significantly higher when the conventional strategy was used, regardless of the time period, and of the application or no application of pretreatment with TiF₄ (p ⟨0.0001). When TiF₄ was used for both cementing strategies, BS was lower after 360 days (p = 0.0019). Both cementing strategies led to the formation of a shallow hybrid layer, regardless of the presence of TiF₄. BS was higher when the conventional cementation strategy was used, regardless of TiF₄ pretreatment. TiF₄ used as a pretreatment agent associated with different types of resin cementation was unable to maintain adhesive bond strength in the long term.

Long-term nanomechanical properties and gelatinolytic activity of titanium tetrafluoride-treated adhesive dentin interface

ObjectiveThis study investigated the effects of dentin pretreatment with 2.5% titanium tetrafluoride (TiF4) on nanomechanical properties, and the in situ gelatinolytic activity of the dentin–resin interface, for up to 6 months. MethodsTwenty-four human teeth were prepared by exposing occlusal flat dentin surfaces, and were randomly assigned to experimental groups, according to application or non-application of a TiF4 pretreatment, and to the adhesive systems (Clearfil SE Bond or Scotchbond Universal). Resin composite (Filtek Supreme Ultra) was built up incrementally on the teeth in all the groups. Then, the specimens were sectioned and randomly selected for evaluation at 24h, 3 months and 6 months of storage time. The reduced modulus of elasticity (Er) and the nanohardness of the underlying dentin, as well as the hybrid layer and the adhesive layer were measured using a nanoindenter. Gelatinolytic activity at the dentin–resin interfaces was assessed by in situ zymography using quenched fluorescein-conjugated gelatin at 24h and 6 months. Statistical analyses were performed with ANOVA and Tukey’s tests. ResultsThere were no differences in Er and nanohardness values between adhesives systems and pretreatment (p=0.1250). In situ zymography showed significantly higher gelatinolytic activity after 6 months for all the experimental groups (p=0.0004), but no differences between the adhesive systems (p=0.7708) and the surface pretreatment (p=0.4877). Significance: Dentin pretreatment with 2.5% TiF4 followed by self-etching adhesive systems did not influence nanomechanical properties or gelatinolytic activity of the adhesive–dentin interface layers, over time.

The Effect of Titanium Tetrafluoride Treatment and the CO2 Laser on Acid Resistance of Human Enamel.

Introduction: Titanium tetrafluoride (TiF4 ) is deemed more effective than the previous fluoride compounds. To enhance the effect of the fluoride compounds, researchers have suggested their association with lasers, although there are conflicting results in this area. We evaluated the acid resistance of enamel after treatment with the CO2 laser and TiF4 . Methods: Thirteen human premolar teeth were sectioned into 5 parts and each segment was assigned to a study group: co (control): without treatment, AF: enamel treatment with APF 1.23% for 4 minutes, TF: enamel treatment with TiF4 4% for 1 minute, TF-L: enamel treatment with TiF4 4% and then the CO2 laser (Peak power: 1 W, pulse duration: 10 ms, interval time: 500 ms, Beam spot size: 0.2 mm, distance: 2 cm), L-TF: enamel treatment with the CO2 laser and then TiF4 4%. Each sample was kept for 7 days in acidic solution of hydroxyethyl cellulose at pH=4.5, and the amount of the calcium ion released in the solution was measured by atomic absorption spectrometry. Data were analyzed by ANOVA and Bonferroni tests. The significance level was set at 0.05. Results: The average concentration of the calcium ion released in acidic solution was 197.46, 153.30, 99.23, 61.23, 55.46 ppm in the groups respectively. There was a significant difference between the study groups (P<0.0001). Only the difference between TF-L and L-TF was not significant (P>0.05). Conclusion: The loss of calcium from the enamel samples in the groups treated with a combination of the laser and TiF4 was significantly lower than the groups treated with fluoride alone, or the control group. It did not make a significant difference whether the CO2 laser was applied before or after TiF4 .

Protective Effect of 4% Titanium Tetrafluoride Varnish on Dentin Demineralization Using a Microcosm Biofilm Model

This study evaluated the effect of titanium tetrafluoride (TiF₄) varnish on the development of dentin carious lesions. Bovine root dentin samples were treated for 6 h with: (A) 4% TiF₄ varnish (2.45% F); (B) 5.42% sodium fluoride (NaF) varnish (2.45% F); (C) 2% chlorhexidine (CHX) gel – positive control; (D) placebo varnish; or (E) untreated – negative control (n = 4 × biological triplicate, n = 12). Treated dentin samples were exposed to human saliva mixed with McBain saliva (1:50) for the first 8 h in 24-well plates. Thereafter, the medium was removed, and McBain saliva containing 0.2% sucrose was applied for 16 h. From days 2 to 5, McBain saliva with sucrose was replaced daily (37°C, 5% CO₂). The demineralization was measured using transverse microradiography, while the effect on biofilm was analyzed using viability, extracellular polysaccharide (EPS), and lactic acid production assays. The data were statistically analyzed (p < 0.05). All treatments (fluorides and CHX) significantly reduced the biofilm viability compared to placebo varnish and negative control. However, none of them was able to reduce the colony-forming unit counting for total microorganism, total streptococci, and Streptococcus mutans. NaF significantly reduced the number of Lactobacillus sp. compared to negative control. No effect was seen on lactic acid production neither on EPS synthesis, except that CHX significantly reduced the amount of insoluble EPS. Both fluorides were able to reduce dentin demineralization compared to placebo varnish and negative control; TiF₄ had a better effect in reducing mineral loss and lesion depth than NaF. Therefore, TiF₄ varnish has the best protective effect on dentin carious lesion formation using this model.

Mechanical Properties of Multifunctional TiF4 from First-Principles Calculations.

Titanium tetrafluoride (TiF4) plays a crucial role in prerestorative dentistry, the synthesis of metal fluorides and titanium silicate thin films, enhancing the photocatalytic activity of TiO2, and hydrogen storage applications. Though TiF4 is touted for superior catalytic activity in deflating the decomposition temperature of metal hydrides, its fundamental properties have not been studied yet. Compressibility is a vital parameter during mechanical milling and hydrogen cycling processes from solid metal hydrides to sustain its stability. Even though many high-pressure studies are available on metal hydrides, a similar study on the TiF4 additive has not yet been conducted by either theoretical or experimental methods. In an effort to identify the compressibility of the TiF4 catalyst, we have performed state-of-the-art density-functional-theory-based calculations for three chemical states of TiFx (x = 4, 3, and 2). The mechanical strength of a material is derived from interatomic interactions, which in turn are influenced by the microstructure and bonding. The results highlight the superior structural, electronic, mechanical, and optical properties of orthorhombic TiF4, which has octahedral columns similar to those of bone tissue material (hydroxyapatite). This article highlights the stable iono-covalent F-Ti-F bonding of the +4 state of titanium fluoride. Materials with Young's moduli close to that of bone (20-30 GPa) have been intensely searched for bone implants. TiF4 can be used for this purpose because its average Young's modulus is 47 GPa. Our detailed analysis of charge density in TiF4 sheds light on its unique bonding characteristics, which result in its extraordinary mechanical properties, making TiF4 a multifunctional material not only for dental fillings but also for orthopedic and catalytic applications.

Syntheses and the crystal chemistry of the perfluoridotitanate(IV) compounds templated with ethylenediamine and melamine

Chemical reactions between ethane-1,2-diamine [C2H4(NH2)2; ethylenediamine, abbr. en] and 1,3,5-triazine-2,4,6-triamine [C3H6N6; melamine, abbr. mel], with titanium tetrafluoride (TiF4) were carried out in liquid anhydrous hydrogen fluoride (aHF). The latter acted in a dual role: as a reagent and as a solvent. The n(en): n(TiF4) = 2:1, 1:1, 1:3, 1:4, and n(mel): n(TiF4) = 2:1, 1:1, 1:2, 1:3, 1:4 M ratios were studied. Crystallizations of the products from the saturated HF solutions yielded single crystals of [enH2]F2·2HF, previously known [enH2][TiF6] and three new perfluoridotitanate(IV) salts, i.e., [enH2][TiF6]·HF, [enH2]0.5[TiF5] and [melH2][TiF6]·HF. Their crystal structures were determined including the crystal structure of the low-temperature modification of [enH2][TiF6]. The [enH2]0.5[TiF5] phase represents the first example of a structurally characterized perfluoridotitanate(IV) compound with a double charged cation, where instead of the usual octahedral [TiF6]2− monomer, another kind of anion is present, i.e., polymeric chain-like ([TiF5]−)∞ anion. The reactions in en/TiF4/HF and mel/TiF4/aHF systems are not selective enough to enable syntheses of individual [enH2]2+ and [melH2]2+ perfluoridotitanates(IV) in large quantities.

TiF4 Incorporated into a Self-etching Primer in Different Concentrations: Antimicrobial Properties and Effects on Demineralisation Inhibition Around the Restoration/Enamel-Dentin Interface.

To apply titanium tetrafluoride (TiF4) in an aqueous solution or incorporated into the primer of a self-etching adhesive (Clearfil SE Bond) as dentin pre-treatment and evaluate its antimicrobial effect, determine the minimum bactericidal concentraion (MBC) against Streptococcus mutans and Lactobacillus casei and analyse its potential to inhibit the development of carious lesions at the restoration interface. For MBC, an aqueous solution or primer with different concentrations (in %) of TiF4 were used (from 0.0 to 4.0). Also, 50 cavities were prepared at the enamel/dentin junction of third molars and received the following dentin pre-treatments (n = 10): Clearfil SE Bond (CL); aqueous solution of 2.5% TiF4 + CL (T2.5%); aqueous solution of 4% TiF4 + CL (T4%); 2.5% TiF4 incorporated into the primer (P2.5%); 4% TiF4 incorporated into the primer (P4%). Cavities were restored and submitted to pH cycling to create artificial caries lesions. Microhardness tests were performed after sectioning the restorations to assess the demineralisation at margins. ANOVA and Tukey's tests showed that TiF4 in aqueous solution presented MBC against S. mutans and L. casei of over 2.0%. TiF4 in the primer of a self-etching adhesive presented MBC of over 1% for L. casei. For enamel, CL showed no significant differences in microhardness between the depths. The aqueous solution had an antimicrobial effect against Streptococcus mutans and Lactobacillus casei of over 2.0%. Pretreatment with the aqueous solution or primer did not inhibit demineralisation at enamel or dentin restoration interfaces.

Guanidinium Perfluoridotitanate(IV) Compounds: Structural Determination of an Oligomeric [Ti6F27]3– Anion, and an Example of a Mixed‐Anion Salt Containing Two Different Fluoridotitanate(IV) Anions

Chemical reactions between guanidinium carbonate or guanidinium chloride and titanium tetrafluoride in anhydrous hydrogen fluoride (aHF) were studied. The obtained products were recrystallized from saturated HF, SO2 and CH3CN solutions. Single‐crystal growths resulted in the detection of seven perfluoridotitanate(IV) compounds, which were structurally characterized. Three of them correspond to the phases obtained as the main products of the synthesis in aHF, i.e., [C(NH2)3]2[TiF6], [C(NH2)3]4[Ti4F20], and [C(NH2)3][Ti2F9]. When the guanidinium salt/TiF4 molar ratios were greater than 1:2, the resulting products were only sparingly soluble or completely insoluble in aHF. Therefore, single‐crystal growths were attempted from other aprotic solvents (SO2 and CH3CN). Single crystals of [C(NH2)3]3[Ti6F27]·SO2 were detected in the case of the former and [C(NH2)3]4[H3O]4[Ti4F20][TiF5]4 in the case of the latter. The presence of [H3O]+ can be explained by a contamination with traces of H2O, which is protonated in the superacid aHF. The same reason applies to the formation of the by‐products [H5O2]4[Ti8F36] and β‐[H3O][Ti2F9]. The crystal structures of the new guanidinium‐perfluoridotitanate(IV) compounds consist of oligomeric [Ti4F20]4–, [Ti6F27]3– and [Ti8F36]4–, as well as polymeric ([TiF5]–)∞ and ([Ti2F9]–)∞ perfluoridotitanate(IV) anions. The hexameric [Ti6F27]3– anion with a trigonal prismatic geometry was structurally determined for the first time. The crystal‐structure determination of the [C(NH2)3]4[H3O]4[Ti4F20][TiF5]4 revealed the first example of a mixed‐anion perfluoridotitanate(IV) compound containing two different perfluoridotitanate(IV) anions, i.e., oligomeric [Ti4F20]4– and 1‐D polymeric ([TiF5]–)∞ anions. The crystal structure of the guanidinium hydrogen difluoride salt [C(NH2)3][HF2] is also reported.

Effect of titanium tetrafluoride addition on the physicochemical and antibacterial properties of Biodentine as intraorfice barrier

ObjectiveTo evaluate the influence of titanium tetrafluoride (TiF4) incorporation on the physicochemical and antibacterial properties of Biodentine (BD; Septodont, Saint Maur des Faussés, France) as an intraorfice barrier material. MethodsThree different proportions of TiF4 powder were used with BD; 1wt%, 2wt%, and 3wt%; respectively. BD without TiF4 addition was used as the control group. The setting time (ST) was determined using Gillmore needle apparatus. Diametral tensile strength (DTS) and fracture resistance were measured in a universal testing machine. Solubility was assessed using mass variation after 7days water storage. The hardness test was conducted using Vickers microhardness tester. The antibacterial activity was assessed using direct contact test against Enterococcus faecalis. Radiopacity was assessed and expressed in thickness of aluminum. Surface topography and elemental composition of modified BD were also assessed. The pH of soaking water was measured up to 168h. Data of tested properties were analyzed using one-way analysis of variance, the paired t-test, two-way repeated measures analysis of variance, and Tukey post hoc tests (P<0.05). ResultsBD-incorporating 2wt% TiF4 revealed the highest surface microhardness, DTS, and fracture resistance compared with the unmodified group (P<0.001). Higher concentrations of TiF4 (3wt%) compromised the solubility and prolonged the ST of BD (P<0.05). Bacterial growth of BD-incorporating TiF4 was significantly reduced when compared with the control group (P<0.05). The tested materials induced alkalization of the soaking water that decreased with time. SignificanceBiodentine-incorporating TiF4 (1wt% and 2wt%) is a promising intraorfice barrier material with enhanced physicochemical and antibacterial properties.

TiF4 and NaF varnishes induce low levels of apoptosis in murine and human fibroblasts through mitochondrial Bcl-2 family and death receptor signalling

ObjectivesThis study evaluated the level and mechanism of apoptosis in human gingival fibroblasts (HGF) and murine fibroblasts (NIH/3T3) treated with a titanium tetrafluoride (TiF4) varnish compared those treated with a sodium fluoride (NaF) varnish. MethodsCells were treated with a TiF4, NaF (both 2.45%F) or placebo varnish for 6 h and were then examined using the TUNEL method. The activities of caspase-3, -8 and -9 were assessed. cDNA for Bax, Bad, Bcl-2 and Fas-L was amplified by quantitative PCR. Bax, Bcl-2 and Fas-L were further detected by western blot analysis. ResultsBoth fluorides similarly increased the percentage of apoptosis, while they failed to activate caspases. The Bax/Bcl-2 gene expression ratio was not altered by either fluoride treatment regardless of the type of cell. NaF varnish increased the amplification of the Fas-L gene in NIH/3T3 and HGF cells, while treatment with the TiF4 varnish resulted in a lower Bad/Bcl-2 expression ratio compared to that of the control for NIH/3T3 cells, but not for HGF cells. No effect of the fluorides was detected in the protein analysis. ConclusionsNaF and TiF4, at the studied conditions, similarly induce a low level of apoptosis, with consequent modest activation of the Bcl-2 and Fas-l-dependent signalling pathways. Generally, HGF cells are more susceptible to the fluoride effect than NIH/3T3 cells.

Bonding durability of titanium tetrafluoride treated glass fiber post with resin cement

This study evaluated the effect of titanium tetrafluoride (TiF4) solution on the bond strength of glass fiber post to resin cement. The specimens were divided into eight groups according to the method of surface treatment performed. Flexural properties and microtensile bond strength (µTBS) were determined. Data were analyzed using two-way ANOVA and Tukey's post hoc tests. The highest µTBS achieved with the TiF4 (4 wt/v%-4 min) group compared with the other groups (p<0.05). This finding could be attributed to the effectiveness of TiF4 (4 wt/v%-4 min) on removing the surface layer of the resin matrix of fiber posts that provides more uncovered surface areas of posts which improved the micromechanical retention of the resin cement. Surface treatments did not affect the flexural properties of fiber posts (p>0.05). Surface treatment of fiber post with TiF4 (4 wt/v%-4 min) solution exhibited higher bond strength to resin cement compared with other surface treatments.

Effect of TiF4 varnish on microbiological changes and caries prevention: in situ and in vivo models.

The aim of this study was to evaluate microbiological changes, oral soft tissue toxicity, and caries-preventive effect of an experimental titanium tetrafluoride (TiF4) varnish compared with a commercially available fluoride varnish (NaF), using in situ and in vivo models. The treatment groups were the following: TiF4 varnish (experimental varnish), Duraphat® (fluoride positive control), placebo varnish (no fluoride), and no treatment (negative control). The varnishes were applied once over the enamel surface using a microbrush. For the in vivo study, 48 Wistar rats were infected with Streptococcus sobrinus 6715, received a treatment, and were submitted to a cariogenic challenge. After 4weeks, S. sobrinus, oral soft tissue toxicity, presence, and severity of caries were evaluated. For the in situ study, 12 volunteers took part in this randomized crossover, double-blind study performed in four phases of 14days each. They used intraoral appliances containing four enamel specimens that received the varnish according treatment group. After 24h, the varnish was removed and plaque accumulation was allowed. A 20% sucrose solution was dripped over the enamel blocks (10×/day for 5min each). Total streptococci, S. mutans, Lactobacillus, Candida spp. counts, and presence of white spot lesions were evaluated. Lesion depth was also quantified by micro-CT. For the in vivo study, the fluoride (F-varnishes) showed a statistically significant reduction in the percentage of S. sobrinus compared to the negative control (p < 0.05). Toxicological analysis revealed no abnormalities in oral tissues of rats from all groups, and both F-varnishes reduced the number and severity of caries lesions, without significant differences (p < 0.05). No statistical differences in microbiological counts were seen for the in situ experiment (p > 0.05). However, the specimens treated with TiF4 exhibited lower percentage of white spot lesions and the lesion depth was significantly reduced by F-varnishes (p < 0.05). F-varnishes showed reduction in the percentage of S. sobrinus in vivo, no oral soft tissue toxicity, and a caries-preventive effect in vivo and in situ. NaF varnish is largely used due its capacity to form CaF2-like layer on enamel. Therefore, development of studies focused on other fluoride compounds such as a TiF4 varnish, which may have greater efficacy than NaF against tooth demineralization, is important.

Some Pequliarities of Complex Formation of Tantalum Pentafluoride with Ph2P(O)(CH2)2C(O)NМе2: Stereochemistry of Hydrolysis Products

The compositions and structures of the products of the reaction of TaF5 with Ph2P(O)(CH2)2C(O)NМе2 (L) in СН3СN and СН2Сl2 are studied by the 19F and 31Р NMR methods. As the hydrocarbon bridge between the Р=О and С=О donor groups in carbamoylphosphine oxides elongates from –СН2– to (–СН2–)2, the chelation ability of the ligand is retained and the composition of the complexes formed in a solution is determined by the ratio of components. The compositions and structures of the hydrolysis products are studied. Distinctions in the coordination behavior of the considered ligand during complex formation with tantalum pentafluoride and titanium tetrafluoride are studied.

Cytotoxicity of novel fluoride solutions and their influence on mineral loss from enamel exposed to a Streptococcus mutans biofilm

ObjectiveThis study evaluated the cytotoxicity, antimicrobial activity and in vitro influence of new fluoridated nanocomplexes on dental demineralization. DesignThe nanocomplexes hydroxypropyl-β-cyclodextrin with 1% titanium tetrafluoride (TiF4) and γ-cyclodextrin with TiF4 were compared to a positive control (TiF4), a blank control (without treatment) and negative controls (hydroxypropyl-β-cyclodextrin, γ-cyclodextrin, deionized water), following 12- and 72-hour complexation periods. The cytotoxicity was assessed using the neutral red dye uptake assay at T1–15 min, T2–30 min and T3–24 h. A minimum bactericidal concentration (MBC) against Streptococcus mutans (ATCC 25175) was performed. Enamel blocks were exposed to an S. mutans biofilm, and the percentage of surface microhardness loss was obtained. Biocompatibility and microhardness data were analysed using ANOVA/Tukey tests (p < 0.05). ResultsAt T1, the cell viability results of the nanocomplexes were similar to that of the blank control. At T2 and T3, the 72 h nanocomplexes demonstrated cell viability results similar to that of the blank, while the 12 h solutions showed results different from that of the blank (p < 0.05). All fluoridated nanocompounds inhibited S. mutans (MBC = 0.25%), while the MBC of TiF4 alone was 0.13%. All fluoridated compounds presented a percentage of surface microhardness loss lower than that of deionized water (p < 0.05). ConclusionsThe new fluoridated nanocomplexes did not induce critical cytotoxic effects during the experimental periods, whilst they did show bactericidal potential against S. mutans and inhibited enamel mineral loss.

Long-term evaluation of the stability of dentin matrix following treatments with aqueous solutions of titanium tetrafluoride at different concentrations

ObjectiveThe purpose of this study was to investigate the effects of aqueous solutions of different concentrations of titanium tetrafluoride (TiF4) on dentin matrix stability up to six months. DesignDentin specimens prepared from fifteen nonerupted molars were demineralized and randomly distributed into groups: 2.5% TiF4, 4% TiF4, 1000 ppm NaF, and control (distilled water). The modulus of elasticity (ME) and dry masses of the dentin matrix were determined at baseline, and up to 6 months following treatment. Collagen solubilization was estimated by hydroxyproline (HYP) quantification in the simulated body fluid used to store the dentin specimens. ResultsThe 2.5% TiF4 group presented higher ME immediately after treatment, and at 3 and 6 months storage, whereas 4% TiF4 showed higher means at 3 and 6 months (p < 0.001). No significant differences were observed among the groups over time (p = 0.9325). However, the 2.5% TiF4 group showed significantly higher ME than the control group, immediately after treatment. All the groups presented significantly higher mass change immediately, compared with 3 and 6 months (p < 0.0001). Except for the 4% TiF4 group, HYP release was higher in the first quarter (p = 0.0152), when no significant differences were found among the groups. In the second quarter, the means were significantly higher in the 2.5% TiF4 and 4% TiF4 groups. The group treated with 2.5% TiF4 had a statistically higher HYP release than the control group. ConclusionAn aqueous solution of 2.5% TiF4 increases the immediate stiffness values, but does not stabilize the collagenous dentin matrix.

Effect of a Titanium Tetrafluoride Varnish in the Prevention and Treatment of Carious Lesions in the Permanent Teeth of Children Living in a Fluoridated Region: Protocol for a Randomized Controlled Trial.

BackgroundTitanium tetrafluoride (TiF4) has regained interest due to new formulations that have been shown to be more effective against tooth demineralization than sodium fluoride (NaF) formulations in vitro and in situ.ObjectiveThe aim of this study is to evaluate the effect of two types of varnishes (4% TiF4 and a commercial 5% NaF) on the prevention of carious lesions and the treatment of noncavitated enamel carious lesions in the permanent teeth of children living in a fluoridated area.MethodsThis randomized, controlled, parallel and single-blind clinical trial involves 63 children, 6-7 years old, living in Bauru, São Paulo, Brazil. Children were selected according to their caries activity (ie, presence of at least 1 tooth with a Nyvad score of 1) and randomly divided into the following treatment categories: 4% TiF4 varnish (2.45 % F-, pH 1, FGM); 5% NaF varnish (2.26% F-, pH 5, Duraphat, Colgate) and control (placebo varnish, pH 5, FGM). The varnishes will be applied on all permanent teeth, once a week for 4 weeks and they will be reapplied only once 6 and 12 months after the study begins. Two calibrated examiners will carry out the clinical examination (International Caries Detection and Assessment System [ICDAS] and Nyvad indexes, kappa>.8) at baseline, before the first application, after the 1st, 6th, 12th, and 18th month of the study begins. Furthermore, quantitative fluorescence changes will be measured using Quantitative Light-Induced Fluorescence (QLF). The degree of patient satisfaction with the treatment will also be computed. The data will undergo statistical analysis (P<.05).ResultsThis ongoing study is funded by funding agencies from Brazil (São Paulo Research Foundation, FAPESP-015/14149-1, and National Council for Scientific and Technological Development, CNPq-401313/2016-6). We expect to confirm the efficacy of TiF4 on the prevention and treatment of carious lesions by comparing it to NaF varnish. The subjects are under 1 month evaluation and the dropout was about 8%. No differences between the treatments have been detected at the first month so far (P>.05).ConclusionsIf our hypothesis is confirmed, TiF4 varnish can be marketed and applied at the individual level and used in community programs to control dental caries.Trial RegistrationBrazilian Clinical Trials Registry: RBR-5VWJ4Y; http://www.ensaiosclinicos.gov.br/rg/?q=RBR-5VWJ4Y (Archived by WebCite at http://www.webcitation.org/6wUurEnm7)

Titanium Tetrafluoride (TiF4) in the Treatment of Dental Erosion

A erosão dental é uma patologia multifatorial que leva a uma perda de substrato dental causada pela sua exposição a ácidos de origem nãobacteriana.O processo se inicia com uma desmineralização superficial do esmalte, que, quando da continua exposição a soluções erosivas,pode levar a exposição do esmalte, causando problemas estéticos/funcionais aos pacientes, além de aumentar a chance de hipersensibilidadedentinária. Os produtos fluoretados, quando aplicados sobre a superfície dental, formam uma barreira física de proteção, que também pode agir como reservatório de íons F. Entretanto, frente a recorrentes desafios erosivos, esta proteção tem efetividade limitada. A literatura recentejá demonstrou a capacidade de compostos contendo cátions metálicos polivalentes associados a fluoretos, incluindo o tetrafluoreto de titânio (TiF4), para formar camadas mais ácido-resistentes. A capacidade do íon titânio de se ligar simultaneamente aos íons F e ao tecido dentalpermite a formação de uma barreira de difusão na superfície dental, conhecida como glaze, que a protege contra desmineralização ácida.Entretanto, ainda é necessário estabelecer um protocolo clínico ideal envolvendo a definição de fatores capazes de determinar o sucesso do tratamento, como concentração, pH, veículo e forma/tempo de aplicação, além da frequência para reaplicação. A presente revisão crítica tem como objetivo proporcionar uma breve visão geral dos mecanismos de ação do TiF4 e discutir os fatores que podem melhorar sua capacidade protetora contra a erosão dental.Palavras-chave: Erosão Dentária. Flúor. Titânio.AbstractDental erosion is a multifactorial pathology that leads to dental substrate loss caused by its exposure to acids of non-bacterial origin. The process begins with a superficial demineralization of enamel, which, when continuously exposed to erosive solutions, can even lead to dentin exposure, causing aesthetic/functional problems to patients, besides increasing the chances of dentin hypersensitivity. Fluoride products, when applied onto dental surface, form a protective physical barrier, which also acts as F ions reservoir. However, against recurrent erosive challenges, this protection has limited effectiveness. Current literature has already proven the capacity of compounds containing polyvalentmetal cations associated with fluorides, including titanium tetrafluoride (TiF4), to form more acid-resistant layers. The ability of the titanium ion to bind simultaneously to F ions and dental tissue allow the formation of a diffusion barrier on the tooth surface, known as glaze, which may protect it against acid demineralization. However, it is still necessary to establish an ideal clinical protocol involving the definition of factors capable of determining the success of the treatment, such as concentration, pH, excipient and form/period of application, as well as frequency for reapplication. The present critical review aims to provide a brief overview of TiF4’s mechanisms of action and discuss the factors that may improve its protection capacity against dental erosion.Keywords: Tooth Erosion. Fluorine. Titanium.

Is Adding TiF4 in Supply Water a Viable Measure for the Control of Dental Erosion?

Introduction: The prevention of tooth erosion, progressive and irreversible loss of hard dental tissue due to the chemical process without bacterial involvement, can be mediated by the use of fluoride compounds with incorporation of titanium. The Hypothesis: The addition of titanium tetrafluoride (TiF4) to public water supply is an efficient and economical alternative for the management of dental erosion. Evaluation of the Hypothesis: Several studies show that TiF4, in gel or varnish forms, has a significant effect on the prevention of dental erosion, so that the increase of this compound in public water supply would contribute to a greater comprehensiveness of its protective effects on tooth erosion. The addition of TiF4 in public water supply is an effective and economical alternative for the prevention of dental erosion, contributing to a greater comprehensiveness of the protective effects of this compound.