Fluoride in dental erosion

Magalhães, Ana Carolina; Wiegand, Annette; Rios, Daniela; Buzalaf, Marília Afonso Rabelo; Lussi, Adrian (2011). Fluoride in dental erosion. Monographs in oral science, 22, pp. 158-170. Basel: Karger

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Dental erosion develops through chronic exposure to extrinsic/intrinsic acids with a low pH. Enamel erosion is characterized by a centripetal dissolution leaving a small demineralized zone behind. In contrast, erosive demineralization in dentin is more complex as the acid-induced mineral dissolution leads to the exposure of collagenous organic matrix, which hampers ion diffusion and, thus, reduces further progression of the lesion. Topical fluoridation inducing the formation of a protective layer on dental hard tissue, which is composed of CaF(2) (in case of conventional fluorides like amine fluoride or sodium fluoride) or of metal-rich surface precipitates (in case of titanium tetrafluoride or tin-containing fluoride products), appears to be most effective on enamel. In dentin, the preventive effect of fluorides is highly dependent on the presence of the organic matrix. In situ studies have shown a higher protective potential of fluoride in enamel compared to dentin, probably as the organic matrix is affected by enzymatical and chemical degradation as well as by abrasive influences in the clinical situation. There is convincing evidence that fluoride, in general, can strengthen teeth against erosive acid damage, and high-concentration fluoride agents and/or frequent applications are considered potentially effective approaches in preventing dental erosion. The use of tin-containing fluoride products might provide the best approach for effective prevention of dental erosion. Further properly designed in situ or clinical studies are recommended in order to better understand the relative differences in performance of the various fluoride agents and formulations.

Item Type:	Journal Article (Further Contribution)
Division/Institute:	04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry
UniBE Contributor:	Lussi, Adrian
ISSN:	0077-0892
Publisher:	Karger
Language:	English
Submitter:	Eveline Carmen Schuler
Date Deposited:	04 Oct 2013 14:16
Last Modified:	05 Dec 2022 14:04
PubMed ID:	21701198
Web of Science ID:	PREV20110061947
URI:	https://boris.unibe.ch/id/eprint/4385 (FactScience: 208580)