Enamel erosion control by strontium-containing TiO2- and/or MgO-doped phosphate bioactive glass

Clin Oral Investig. 2022 Feb;26(2):1915-1925. doi: 10.1007/s00784-021-04168-0. Epub 2021 Sep 10.

Abstract

Objectives: To evaluate the effect of strontium-containing titanium- and/or magnesium-doped phosphate bioactive glass on the control of dental erosion.

Materials and methods: Fifty fragments of human enamel were divided into five groups: negative control, 45S5 bioglass, strontium-containing Ti-doped phosphate bioactive glass (PBG-Ti), strontium-containing Mg-doped phosphate bioactive glass (PBG-Mg), and strontium-containing Ti- and Mg-doped phosphate bioactive glass (PBG-TiMg). The specimens underwent cycles of erosive challenge twice daily for 5 days with 1 mL of citric acid for 2 min followed by 1 mL of the suspension with bioactive substances for 3 min. After the cycles, profilometry, roughness and microhardness testing, and scanning electron microscopy (SEM) were performed. The following statistical tests were used: one-way ANOVA (profile, roughness, and surface microhardness (%VMS) data variation), Tukey's HSD (%VMS), Games-Howell test (profilometry), Student's t test (roughness), and Pearson's correlation between the variables.

Results: The lower loss of enamel surface and lower %VMS was observed in the PBG-Mg and PBG-TiMg groups, and only the PBG-Mg group showed similar roughness between baseline and eroded areas (p > 0.05). On SEM micrographs, PBG-Ti and PBG-Mg groups showed lower apparent demineralization.

Conclusion: All bioactive materials protected the enamel against erosion. However, strontium-containing phosphate bioactive glasses showed lower enamel loss, and the presence of Mg in these bioactive glasses provided a greater protective effect.

Clinical relevance: Experimental strontium-containing phosphate bioactive glasses are effective in controlling enamel erosion. The results obtained in this study will guide the development of new dental products.

Keywords: Bioactive glass; Bioglass 45S5; Enamel erosion; Microhardness; Profilometry; Roughness.

MeSH terms

  • Dental Enamel
  • Glass
  • Humans
  • Magnesium Oxide*
  • Phosphates
  • Strontium
  • Titanium
  • Tooth Erosion* / prevention & control

Substances

  • Phosphates
  • titanium dioxide
  • Magnesium Oxide
  • Titanium
  • Strontium