Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study

Abstract Background Professionally applied topical fluoride preparations have been commonly used and have proven to prevent dental decay. Alternative preparations that provide further benefits may be of interest to investigate. This study aimed to investigate the effect of experimental nano silver f...

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Main Authors: Dina I. El-Desouky, Azza Hanno, Yasmine Elhamouly, Sara A. Hamza, Lubna M. El-Desouky, Karin M. L. Dowidar
Format: Article
Language:English
Published: BMC 2022-06-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-022-02271-6
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author Dina I. El-Desouky
Azza Hanno
Yasmine Elhamouly
Sara A. Hamza
Lubna M. El-Desouky
Karin M. L. Dowidar
author_facet Dina I. El-Desouky
Azza Hanno
Yasmine Elhamouly
Sara A. Hamza
Lubna M. El-Desouky
Karin M. L. Dowidar
author_sort Dina I. El-Desouky
collection DOAJ
description Abstract Background Professionally applied topical fluoride preparations have been commonly used and have proven to prevent dental decay. Alternative preparations that provide further benefits may be of interest to investigate. This study aimed to investigate the effect of experimental nano silver fluoride (NSF) formulation compared to commercial sodium fluoride varnish (FV) on prevention of in vitro demineralization of initially sound enamel in primary teeth. Methods Forty-eight extracted/exfoliated sound molars were sectioned buccolingually into 96 specimens then assigned randomly into two equal groups. Each group was further subdivided into two equal subgroups (Ia: NSF, IIa: FV, Ib and IIb as negative controls). The test materials were applied, then all the specimens were subjected to a demineralization pH cycling model for 7 days. Specimens were examined for surface microhardness using Vickers microhardness device and lesion depth was evaluated by polarized light microscope using image J 1.46r software. Data were analyzed using paired t-test, independent t-test, and Mann Whitney U test. Results The test materials were significantly superior to their negative controls, (P < 0.001) and comparable to each other, (P > 0.05) regarding microhardness and lesion depth. In comparison to FV, NSF showed lower yet statistically insignificant percent increase in microhardness and decrease in lesion depth, (P = 0.81, 0.86, respectively). Qualitative evaluation revealed that both agents reduced the lesion depth formation. Conclusion NSF showed similar effect to that of FV in limiting in vitro enamel demineralization caused by acidic challenge. Hence, it could be regarded as a promising alternative preventive agent in primary teeth.
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spelling doaj.art-ee83342e292b4796b05a4b1f50619c262022-12-22T02:38:29ZengBMCBMC Oral Health1472-68312022-06-0122111010.1186/s12903-022-02271-6Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro studyDina I. El-Desouky0Azza Hanno1Yasmine Elhamouly2Sara A. Hamza3Lubna M. El-Desouky4Karin M. L. Dowidar5Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityDepartment of Pediatric and Community Dentistry, Faculty of Dentistry, Pharos University in AlexandriaDepartment of Oral Biology, Faculty of Dentistry, Alexandria UniversityDepartment of Pharmaceutics, Faculty of Pharmacy, Alexandria UniversityDepartment of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria UniversityAbstract Background Professionally applied topical fluoride preparations have been commonly used and have proven to prevent dental decay. Alternative preparations that provide further benefits may be of interest to investigate. This study aimed to investigate the effect of experimental nano silver fluoride (NSF) formulation compared to commercial sodium fluoride varnish (FV) on prevention of in vitro demineralization of initially sound enamel in primary teeth. Methods Forty-eight extracted/exfoliated sound molars were sectioned buccolingually into 96 specimens then assigned randomly into two equal groups. Each group was further subdivided into two equal subgroups (Ia: NSF, IIa: FV, Ib and IIb as negative controls). The test materials were applied, then all the specimens were subjected to a demineralization pH cycling model for 7 days. Specimens were examined for surface microhardness using Vickers microhardness device and lesion depth was evaluated by polarized light microscope using image J 1.46r software. Data were analyzed using paired t-test, independent t-test, and Mann Whitney U test. Results The test materials were significantly superior to their negative controls, (P < 0.001) and comparable to each other, (P > 0.05) regarding microhardness and lesion depth. In comparison to FV, NSF showed lower yet statistically insignificant percent increase in microhardness and decrease in lesion depth, (P = 0.81, 0.86, respectively). Qualitative evaluation revealed that both agents reduced the lesion depth formation. Conclusion NSF showed similar effect to that of FV in limiting in vitro enamel demineralization caused by acidic challenge. Hence, it could be regarded as a promising alternative preventive agent in primary teeth.https://doi.org/10.1186/s12903-022-02271-6Artificial cariesEnamel demineralizationFluoride varnishNano silver fluoridePrimary teeth
spellingShingle Dina I. El-Desouky
Azza Hanno
Yasmine Elhamouly
Sara A. Hamza
Lubna M. El-Desouky
Karin M. L. Dowidar
Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study
BMC Oral Health
Artificial caries
Enamel demineralization
Fluoride varnish
Nano silver fluoride
Primary teeth
title Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study
title_full Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study
title_fullStr Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study
title_full_unstemmed Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study
title_short Preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth: in vitro study
title_sort preventive potential of nano silver fluoride versus sodium fluoride varnish on enamel caries like lesions in primary teeth in vitro study
topic Artificial caries
Enamel demineralization
Fluoride varnish
Nano silver fluoride
Primary teeth
url https://doi.org/10.1186/s12903-022-02271-6
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