Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods

Objective: To analyse the surface roughness and microhardness of artificial enamel white spot lesions before and after WSL formation, after treatment (Opalsutre™ microabrasion, Sylc® bioactive glass, and ICON® resin infiltration), and after pH cycling with the help of the profilometer surface roughn...

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Main Authors: Mina MG. Chabuk, Abdulla MW. Al-Shamma
Format: Article
Language:English
Published: Elsevier 2023-07-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2405844023054919
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author Mina MG. Chabuk
Abdulla MW. Al-Shamma
author_facet Mina MG. Chabuk
Abdulla MW. Al-Shamma
author_sort Mina MG. Chabuk
collection DOAJ
description Objective: To analyse the surface roughness and microhardness of artificial enamel white spot lesions before and after WSL formation, after treatment (Opalsutre™ microabrasion, Sylc® bioactive glass, and ICON® resin infiltration), and after pH cycling with the help of the profilometer surface roughness tester and the digital Vickers microhardness tester. Materials and methods: Seventy-five extracted molars were used to acquire one hundred specimens. 50 specimens were randomly assigned to five groups (n = 10) for the surface roughness study: 1) Sound group, 2) WSL group, 3) micro abrasion (MA; Opalustre, Ultradent, South Jordan, UT, USA), 4) bioactive glass 45S5 Sylc powder (Sylc; Denfotex Research Ltd, Inverkeithing, UK), and 5) ICON resin infiltration (ICON; DMG, Hamburg, Germany). An additional 25 specimens were used to obtain 50 enamel slabs for the surface microhardness study, which were also assigned to the same groups. All groups underwent a final stage of pH cycling. Surface roughness and surface microhardness measurements were performed at different stages for all groups. Results: Regarding surface roughness, ICON significantly reduced the surface roughness compared to Opalustre and Sylc, with no significant difference between Opalustre and Sylc. In terms of surface microhardness, ICON showed the highest improvement, followed by Sylc and then Opalustre. Both surface roughness and microhardness were significantly affected by demineralization, partially improved after treatment, and then regressed significantly after pH cycling. Conclusion: ICON resin infiltrant can be considered as a superior treatment option for improving surface roughness and microhardness, while Opalustre demonstrated relatively the poorest performance compared to the other treatment options. It is noteworthy that the pH cycling procedure had an adverse impact irrespective of the treatment option used.
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spelling doaj.art-b8f5e4a33ee54d7c83fbdd544dd6e0f62023-07-27T05:59:09ZengElsevierHeliyon2405-84402023-07-0197e18283Surface roughness and microhardness of enamel white spot lesions treated with different treatment methodsMina MG. Chabuk0Abdulla MW. Al-Shamma1Corresponding author. Department of Restorative and Aesthetic Dentistry, College of Dentistry, University of Baghdad. Al-Mansour, Baghdad, 10011, Iraq.; Department of Restorative and Aesthetic Dentistry, College of Dentistry, University of Baghdad, Baghdad, IraqDepartment of Restorative and Aesthetic Dentistry, College of Dentistry, University of Baghdad, Baghdad, IraqObjective: To analyse the surface roughness and microhardness of artificial enamel white spot lesions before and after WSL formation, after treatment (Opalsutre™ microabrasion, Sylc® bioactive glass, and ICON® resin infiltration), and after pH cycling with the help of the profilometer surface roughness tester and the digital Vickers microhardness tester. Materials and methods: Seventy-five extracted molars were used to acquire one hundred specimens. 50 specimens were randomly assigned to five groups (n = 10) for the surface roughness study: 1) Sound group, 2) WSL group, 3) micro abrasion (MA; Opalustre, Ultradent, South Jordan, UT, USA), 4) bioactive glass 45S5 Sylc powder (Sylc; Denfotex Research Ltd, Inverkeithing, UK), and 5) ICON resin infiltration (ICON; DMG, Hamburg, Germany). An additional 25 specimens were used to obtain 50 enamel slabs for the surface microhardness study, which were also assigned to the same groups. All groups underwent a final stage of pH cycling. Surface roughness and surface microhardness measurements were performed at different stages for all groups. Results: Regarding surface roughness, ICON significantly reduced the surface roughness compared to Opalustre and Sylc, with no significant difference between Opalustre and Sylc. In terms of surface microhardness, ICON showed the highest improvement, followed by Sylc and then Opalustre. Both surface roughness and microhardness were significantly affected by demineralization, partially improved after treatment, and then regressed significantly after pH cycling. Conclusion: ICON resin infiltrant can be considered as a superior treatment option for improving surface roughness and microhardness, while Opalustre demonstrated relatively the poorest performance compared to the other treatment options. It is noteworthy that the pH cycling procedure had an adverse impact irrespective of the treatment option used.http://www.sciencedirect.com/science/article/pii/S2405844023054919Bioactive glassMicroabrasionResin infiltrationWhite spot lesionspH cycling
spellingShingle Mina MG. Chabuk
Abdulla MW. Al-Shamma
Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
Heliyon
Bioactive glass
Microabrasion
Resin infiltration
White spot lesions
pH cycling
title Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
title_full Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
title_fullStr Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
title_full_unstemmed Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
title_short Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
title_sort surface roughness and microhardness of enamel white spot lesions treated with different treatment methods
topic Bioactive glass
Microabrasion
Resin infiltration
White spot lesions
pH cycling
url http://www.sciencedirect.com/science/article/pii/S2405844023054919
work_keys_str_mv AT minamgchabuk surfaceroughnessandmicrohardnessofenamelwhitespotlesionstreatedwithdifferenttreatmentmethods
AT abdullamwalshamma surfaceroughnessandmicrohardnessofenamelwhitespotlesionstreatedwithdifferenttreatmentmethods