Influence of cigarette smoke combined with different toothpastes on enamel erosion

Braz Oral Res. 2019 Dec 2:33:e114. doi: 10.1590/1807-3107bor-2019.vol33.0114. eCollection 2019.

Abstract

This in vitro study aimed to evaluate the effect of different toothpastes on dental enamel subjected to an erosive cycle with and without exposure to cigarette smoke. Bovine enamel specimens were randomly allocated into 12 groups (n = 12). For the in vitro simulation of smoking, half the groups underwent an exposure cycle of 20 cigarettes per day for 5 days. Subsequently, all groups were subjected to a 5-day erosion cycle intercalating demineralization (1 min; 1% citric acid; pH = 3.5) and treatment with toothpaste slurries (2 min) of NaF, SnF2, F/Sn/Chitosan, F/CaSiO3/Na3PO4, and F/bioactive glass. The control group was immersed in distilled water. Surface microhardness (SMH) was measured initially, after exposure to smoke, and after the erosive cycle, and %SMH was calculated. At the end of the experimental cycle, surface roughness, profilometry, and atomic force microscopy (AFM) were performed. SMH increased after exposure to cigarette smoke (p < 0.05). After the erosive cycle, there were no differences between the presence and absence of cigarette smoke exposure in SMH and roughness (p > 0.05). Besides increasing enamel SMH, cigarette smoke did not prevent enamel loss after the erosion cycle (p < 0.05). In profilometry, roughness and surface loss had the lowest values in the groups treated with SnF2 and F/Sn/Chitosan (p < 0.05). AFM showed lower mineral loss with F/CaSiO3/Na3PO4 and F/Sn/Chitosan. For all groups, except F/CaSiO3/Na3PO4, cigarette smoke resulted in higher enamel wear. F/Sn/Chitosan showed the best results against erosion.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Calcium Compounds / therapeutic use
  • Cariostatic Agents / therapeutic use
  • Cattle
  • Chitosan / therapeutic use
  • Cigarette Smoking / adverse effects*
  • Dental Enamel / drug effects*
  • Hardness Tests
  • Humans
  • Microscopy, Atomic Force
  • Reference Values
  • Reproducibility of Results
  • Saliva / chemistry
  • Silicates / therapeutic use
  • Surface Properties / drug effects
  • Time Factors
  • Tin Fluorides / therapeutic use
  • Tooth Demineralization / chemically induced
  • Tooth Demineralization / prevention & control
  • Tooth Erosion / etiology*
  • Tooth Erosion / prevention & control*
  • Toothpastes / therapeutic use*
  • Water / chemistry

Substances

  • Calcium Compounds
  • Cariostatic Agents
  • Silicates
  • Tin Fluorides
  • Toothpastes
  • Water
  • Chitosan
  • calcium silicate