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Journal of Dental Research, Vol. 81, No. 5, 329-333 (2002)
DOI: 10.1177/154405910208100508

Fluoride Uptake, Retention, and Remineralization Efficacy of a Highly Concentrated Fluoride Solution on Enamel Lesions in situ

W. Buchalla1,2,*, T. Attin3, J. Schulte-Mönting4 and E. Hellwig2

1 Oral Health Research Institute, Indiana University School of Dentistry, Indianapolis, IN, USA;
2 Department of Operative Dentistry and Periodontology, University of Freiburg, Germany;
3 Department of Operative Dentistry and Periodontology, University of Göttingen, Germany; and
4 Institute for Medical Biometry, University of Freiburg, Germany;


Figure 1
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Figure 1. Study design. One volunteer's specimen regimen for study period I is shown. Study period II follows the same regimen except that volunteers who received elmex fluid in period I get a placebo and vice versa. Specimens worn by an individual volunteer originated from 5 teeth. Specimens for fluoride and microradiographic analysis removed at the same time in both periods originated from the same tooth (n = 4). Specimens for microradiography had 2 demineralized windows, with one covered with resin to serve as a demineralized control. Specimens for fluoride analysis had the entire surface demineralized.

 

Figure 2
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Figure 2. Means and standard deviations (represented by error bars) from fluoride analyses (A,B) and microradiography (C,D) of the previously demineralized enamel specimens after an in situ period of 5 min, 7, 14, 21, and 28 days following application of elmex fluid or placebo. Asterisks indicate significant (p ≤ 0.05) differences between elmex fluid and placebo for the given time. (A) KOH-soluble fluoride [µg/cm2] decreased significantly (p ≤ 0.001) with time for elmex fluid. The SD for elmex fluid after 5 min had to be truncated and is therefore written in brackets. (B) Structurally bound fluoride [µg/cm3] increased significantly (p ≤ 0.001) up to 3 wks following elmex fluid application, but only minimally in the placebo group. (C) Mineral gain [vol% x µm] increased significantly (p ≤ 0.01) with time following elmex fluid application. (D) Lesion depth reduction [µm] increased significantly with time (p ≤ 0.05) in both groups.

 

Figure 3
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Figure 3. Scatter plot and trend line of the stimulated saliva flow rate (mL/min) vs. (A) KOH-soluble fluoride (µg/cm2) and (B) structurally bound fluoride (µg/cm3) of the fluoridated enamel specimens of all volunteers shown for 14 days in situ (n = 18). Both KOH-soluble (A) and structurally bound fluoride (B) accumulate logarithmically less in volunteers with higher salivary flow rates. A linear relationship can be seen between stimulated salivary flow rate and mineral gain (vol% x µm) shown after 28 days in situ (n = 18) for the elmex fluid group (C) and the placebo group (D).

 

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