Using fluoride mouthrinses before or after toothbrushing: effect on erosive tooth wear.

Using fluoride mouthrinses before or after toothbrushing: effect on erosive tooth wear.

Machado, Alana Cristina;Bezerra, Sávio José Cardoso;João-Souza, Samira Helena;Caetano, Tainá Mautone;Russo, Luciano Citadini;Carvalho, Thiago Saads;Scaramucci, Taís;
Archives of oral biology 2019 Vol. 108 pp. 104520
253
machado2019usingarchives

Abstract

1. To evaluate the use of fluoridated mouthrinses before or after toothbrushing on erosive tooth wear. 2. To compare the anti-erosive effect of the combination toothpaste and mouthrinse containing fluoride, with or without stannous chloride.Enamel and dentin specimens were randomly distributed into groups (n = 10 of each substrate/group): B-brushing, B + R-brushing + rinsing, and R + B-rinsing + brushing. The treatments were performed using a fluoride toothpaste (B: 1400 ppm fluoride, as amino fluoride-AmF) combined or not with a fluoride mouthrinse (R: 250 ppm fluoride, as AmF and sodium fluoride-NaF) or fluoride and stannous toothpaste (B: 1400 ppm fluoride, as AmF and NaF, 3500 ppm stannous, as stannous chloride-SnCl and 0.5% chitosan) combined or not with fluoride and stannous mouthrinse (R: 500 ppm fluoride, as AmF and NaF, 800 ppm stannous, as SnCl). As control, brushing was performed with artificial saliva (B). Specimens were submitted to a 5-day erosive-abrasive cycling model. Treatments were performed twice daily. Surface loss (SL) was determined by optical profilometry. Data were analyzed by ANOVA and Games-Howell tests (α = 0.05).For enamel, R+B and R+B presented significantly lower SL than the control, with R+B being significantly lower than R+B. For dentin, B had the lowest SL, not differing from B+R R+B and B. Groups R+B and B+R showed highest SL, not differing from B and B.For enamel, the use of a mouthrinse before brushing was able to reduce erosive wear for both fluoride and stannous products. For dentin, the use of stannous-containing products, irrespective of the order of application, presented superior effects.

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