CARIOLOGY
REMINERALIZING POTENTIAL OF SALIVA ON PATIENTS HAVING DENTAL EROSIONS DUE TO WINE CONSUMPTION
Nicoleta Tofan 1a , Sorin Andrian 1b * , Irina Nica 1c , Simona Stoleriu 1d , Claudiu Topoliceanu 1e , Petru Edward Nica 2f , Maria Bolat 1g , Galina Pancu 1h
1
Department of Odontology , Periodontology and Fixed Prosthodontics , Faculty of Dental Medicine “ Grigore T . Popa ” University of Medicine and Pharmacy of Jassy , Jassy , Romania
2
Department of Physics , ” Gheorghe Asachi ” Technical University of Jassy , Jassy , Romania a
DDS , PhD Student b
DDS , PhD , Professor c
DDS , PhD , Assistant Professor d
DDS , PhD , Lecturer e
DDS , PhD , Assistant Professor f
DDS , PhD , Professor , g
DDS , PhD , Assistant Professor h
DDS , PhD , Assistant Professor
Cite this article : Tofan N , Andrian S , Nica I , Stoleriu S , Topoliceanu C , Nica PE , Bolat M , Pancu G . Remineralizing potential of saliva on patients having dental erosions due to wine consumption . Stoma Edu J . 2016 ; 3 ( 1 ): 16-21 .
Received : April 10 , 2016 Received in revised form : April 24 , 2016
Accepted : May 1 , 2016 Published online : April 13 , 2016
ABSTRACT
Introduction : The aim of the study is to assess the action of a remineralizing product ( calcium-phosphatefluoride-based varnish ) on the saliva remineralization capacity on patients having dental erosions caused by frequent wine consumption . Methodology : The study group was made up of 15 patients who are frequent wine consumers . Unstimulated saliva was collected on the same day and at the same hour for each patient . A total amount of 0.5 ml of unstimulated saliva was placed on a glass plate , dried for 30 minutes in a thermostat at + 37˚C , and then studied using a Nikon Eclipse E 600 . The images were saved and stored on a computer . The IMK index was determined using the formula : IMK = number of the network areas filled with crystals / number of the network areas projected on the entire saliva drop . The treatment plan for each patient included a five-week application of MI Varnish ( GC Corporation ) once a week . After 5 weeks IMK values were recorded again . Results : The mean value of IMK increased from 0.33 before treatment to 0.83 after treatment . The distribution of micro-crystallization categories varied from 86 % Type II before treatment to 93 % Type I after treatment . Conclusions : The fluor local treatment that uses varnishes containing casein phosphopeptide , tri-calcium phosphate , amorphous calcium phosphate and fluoride , increase the saliva remineralising potential and can be recommended both as preventive therapy and to counteract the erosive effect of acid oral environment on patients with dental erosions related to the frequent consumption of wine . Local treatment with GC Recaldent MI Varnish increased the remineralizing potential of saliva on patients with dental erosions due to wine consumption . Keywords : erosion , wine , salivary micro-crystallization index , remineralization .
1 . Introduction
Non-carious lesions are chemical , mechanical and corosive complex processes . Despite the existance of numerous and various studies related to the topic , the issue is still considered a challenge for modern dentistry . Many questions remain unanswered regarding the definitions , factors and mechanisms of non-carious lesions . Some researchers such as P . Fouchard 1 and others 2-4 tried to explain the non-carious dental loss as related especially to chemical exogenous and endogenous factors . G . V . Black defined , in 1908 , dental erosion as related to the effects of acid on dental tissues . He identified factors related to dental erosions as follows : defects of teeth formation , dental loss related to powder products , unknown acids , decreased saliva secretion , increased consumption of beverages , action of alkaline fluids on calcium
* Corresponding author : Professor Sorin Andrian , DDS , PhD , Department of Odontology , Periodontology and Fixed rosthodontics Faculty of Dental Medicine , „ Gr . T . Popa ” University of Medicine and Pharmacy , 16 Universitatii Str ., RO-700115 Jassy , Romania Tel / Fax : + 40232301618 , e-mail : sorinandrian @ yahoo . com
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