Efeito de formulações de dentifricios com CaCO3 versus SiO2 na inibição da desmineralização do esmalte dental : estudo in situ

AUTOR(ES)
DATA DE PUBLICAÇÃO

2000

RESUMO

Precipitated ca1cium carbonate (CaCO3) is the main abrasive used in dentifiices comercialized in Brazü. It may reduce bacterial acidogenicity, potentiating the effect of fluoride in the development of dental caries due to its aIkaline and buífering capacities. The effect of CaCO3 on the reduction of enamel demineralization was evaluated by using the short-tenn intra-oral model (Zero et ai., J Dent Res. 71: 871 - 8,1992). Enamel blocks (5 x 5 mm), with known surfãce microhardness, were covered with a layer of bacteria (tltest plaque") obtained ftom a culture of S. _utans, and were placed on palatal appliances manufactured for the volunteers (approved by the Research and Ethics Committe of FOP UNICAMP). This study fiad a crossover design and 10 volunteers were submitted to 3 treatment groups: control (brushing without dentiftice), with dentifiice containing 1500 ppm F (MFP) and silica (SiO2) or carbonate (CaCO3) At the same time that the volunteers brushed their teeth with the dentifiices, the appliances were placed in a suspension of the same dentifiice (1 :3). In the control group, the appliance was immersed in 20 mM bicarbonate buffer, pH 7. Immediately after the toothbrushing the appliances were put back in the mouth After 20 minutes of dentifrice action on "artificial plaque", 200Á! Sucrose solution was rinsed. After 45 minutes of sucrose fennentation by "artificial plaque", the appliances were removed. Enamel surface microhardness and the percentage of change in relation to baseline (%SMC) were calculated, as well as fluoride uptake in enamel. In artificial plaque, the concentration of ionic fluoride (FI) and fluoride as monofluotphosphate was detennined (MFP). The results (means :t s.d.) respectively for the control, MFP/SiO2 and MFP/CaCO3 in tenns the media at the distances were: %SMC: 24.75:1: 3.33a; 7.70:tO.32b; 3.54:tO.32c.. Fluoride concentration in enamel was:: 127322 :!:: 267.2a; 1713.64 :!:: 426.0a; 1565.03 :I: 351.3a. Fluoride in plaque ({Jtglg): FI= 0.02 :!:O.Ob; 0.93:!:: 0.600; 1.36:!:: 1.0a.; MFP = 0.14 :!:: 0.1a; 1.78:!:: 1.26b; 1.40:!:: 0.9b. Means followed by distinct letters differ ftom each other (p<0.05). The results showed that Caco3 reduces enamel demineralization, suggesting that the abrasive may contribute to a higher effect offluoride present in the dentifiice on dental caries control

ASSUNTO(S)

streptococcus mutans carbonato de calcio caries dentarias abrasivos dentifricio

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