Effect of remineralization on the nanomechanical properties and microtribological behaviour of acid-eroded human tooth enamel

Abstract Acid-eroded human tooth enamel is more susceptible to abrasion and attrition than intact enamel. Previous studies suggested that remineralization may be a useful way to improve the mechanical properties of acid-eroded enamel. The objective of our study was to investigate the effect of remineralization on the nanomechanical properties and microtribological behaviour of acid-eroded human tooth enamel. In this paper, enamel specimens were prepared from human molar teeth. The enamel specimens were first immersed in citric acid solution (pH = 3.20) for 10 min to obtain acid-eroded enamel specimens. Remineralization was conducted in vitro by immersing the acid-eroded enamel specimens in artificial saliva for 12 h. A nano-indentation/scratch tester was used to study the nanomechanical properties and microtribological behaviour of the enamel specimens. Results showed that a layer of mineral deposits was formed on the acid-eroded enamel surface after in vitro remineralization. Compared with the original enamel surface, this layer had a similar chemical composition, but a significantly different crystal orientation. The nanomechanical and microtribological properties of the acid-eroded enamel surface were significantly enhanced by remineralization. However, the loss of the hardness and Young's modulus of enamel surface by acid erosion could not be totally recovered after in vitro remineralization. The wear volume of the acid-eroded enamel decreased obviously after remineralization, but it was still much higher than that of the original enamel. In summary, remineralization in artificial saliva could improve the anti-wear properties of acid-eroded enamel. The results would be helpful to extend the understanding of the remineralization repair mechanism for acid-eroded human tooth enamel.

[1]  F. Lagerlöf,et al.  Salivary clearance of citric acid after an oral rinse. , 1995, Journal of dentistry.

[2]  K. Jandt,et al.  In situ remineralisation of surface softened human enamel studied with AFM nanoindentation , 2004 .

[3]  J. Kirkham,et al.  Dental enamel : formation to destruction , 1995 .

[4]  P. Smith,et al.  The influence of varying fluoride concentrations on in vitro remineralisation of artificial dentinal lesions with differing lesion morphologies. , 2008, Archives of oral biology.

[5]  Jandt,et al.  The Early Stages of Native Enamel Dissolution Studied with Atomic Force Microscopy. , 2000, Journal of colloid and interface science.

[6]  H. Devlin,et al.  Hardness of enamel exposed to Coca-Cola and artificial saliva. , 2006, Journal of Oral Rehabilitation.

[7]  T. Sun,et al.  Study on effects of tip geometry on AFM nanoscratching tests , 2007 .

[8]  B T Amaechi,et al.  Dental erosion: possible approaches to prevention and control. , 2005, Journal of dentistry.

[9]  K. Jandt,et al.  In vitro demineralization/remineralization cycles at human tooth enamel surfaces investigated by AFM and nanoindentation. , 2004, Journal of colloid and interface science.

[10]  L Blunt,et al.  Measurement of tooth wear in patients with palatal erosion , 1997, British Dental Journal.

[11]  Michele E Barbour,et al.  Human enamel dissolution in citric acid as a function of pH in the range 2.30< or =pH< or =6.30--a nanoindentation study. , 2003, European journal of oral sciences.

[12]  A. Kielbassa,et al.  Saliva substitute in combination with high-concentrated fluoride toothpaste: effects on demineralised dentin in vitro. , 2010, Journal of dentistry.

[13]  D. Tantbirojn,et al.  Effect of acidic food and drinks on surface hardness of enamel, dentine, and tooth-coloured filling materials. , 2006, Journal of dentistry.

[14]  N X West,et al.  Effects of pH and concentration of citric, malic and lactic acids on enamel, in vitro. , 2000, Journal of dentistry.

[15]  D. K. Whittaker Structural variations in the surface zone of human tooth enamel observed by scanning electron microscopy. , 1982, Archives of oral biology.

[16]  B. Amaechi,et al.  In vitro remineralisation of eroded enamel lesions by saliva. , 2001, Journal of dentistry.

[17]  M. Bolla,et al.  In vitro action of Bordeaux red wine on the microhardness of human dental enamel. , 2003, Archives of oral biology.

[18]  M. Eisenburger,et al.  Erosion and attrition of human enamel in vitro part I: interaction effects. , 2002, Journal of dentistry.

[19]  Rob Dwyer-Joyce,et al.  Wear of human teeth: A tribological perspective , 2005 .

[20]  Linmao Qian,et al.  Erosion behavior of human tooth enamel in citric acid solution , 2009 .

[21]  Adrian Lussi,et al.  Erosion--chemical and biological factors of importance to the dental practitioner. , 2005, International dental journal.

[22]  A. Lussi,et al.  Effect of Amine/Sodium Fluoride Rinsing on Toothbrush Abrasion of Softened Enamel in situ , 2004, Caries Research.

[23]  Matthias Hannig,et al.  Protective effect of the in situ formed short-term salivary pellicle. , 2004, Archives of oral biology.

[24]  E. Veerman,et al.  Salivary Proteins: Protective and Diagnostic Value in Cariology? , 2004, Caries Research.

[25]  K. Jandt,et al.  Enamel dissolution in citric acid as a function of calcium and phosphate concentrations and degree of saturation with respect to hydroxyapatite. , 2003, European journal of oral sciences.

[26]  E J Kay,et al.  Prevention. Part 3: Prevention of tooth wear , 2003, British Dental Journal.

[27]  T. P. Weihs,et al.  Nanoindentation mapping of the mechanical properties of human molar tooth enamel. , 2002, Archives of oral biology.

[28]  Zhongrong Zhou,et al.  Tribology of dental materials: a review , 2008 .

[29]  M. McGurk,et al.  Killey's fractures of the mandible , 1992 .

[30]  J. M. Cate,et al.  Remineralization of artificial enamel lesions in vitro. , 1977, Caries research.

[31]  T. Stolarski,et al.  Wear: mechanisms, manifestations and measurement. Report of a workshop. , 1996, Journal of dentistry.

[32]  F. García-Godoy,et al.  Maintaining the integrity of the enamel surface: the role of dental biofilm, saliva and preventive agents in enamel demineralization and remineralization. , 2008, Journal of the American Dental Association.

[33]  P. Suter,et al.  Dental erosion in a population of Swiss adults. , 1991, Community dentistry and oral epidemiology.

[34]  H. Näveri,et al.  Experimental sports drinks with minimal dental erosion effect. , 1990, Scandinavian journal of dental research.

[35]  N X West,et al.  The protective effects of toothpaste against erosion by orange juice: studies in situ and in vitro. , 2007, Journal of dentistry.

[36]  F. Cui,et al.  The enamel softening and loss during early erosion studied by AFM, SEM and nanoindentation , 2009, Biomedical materials.

[37]  A J Gwinnett,et al.  Structure and composition of enamel. , 1992, Operative dentistry.