Effects of acids used in the microabrasion technique: Microhardness and confocal microscopy analysis

Background This study evaluated the effects of the acids used in the microabrasion on enamel. Material and Methods Seventy enamel/dentine blocks (25 mm2) of bovine incisors were divided into 7 groups (n=10). Experimental groups were treated by active/passive application of 35% H3PO4 (E1/E2) or 6.6% HCl (E3/E4). Control groups were treated by microabrasion with H3PO4+pumice (C5), HCl+silica (C6), or no treatment (C7). The superficial (SMH) and cross-sectional (CSMH; depths of 10, 25, 50, and 75 µm) microhardness of enamel were analyzed. Morphology was evaluated by confocal laser-scanning microscopy (CLSM). Data were analyzed by analysis of variance (Proc Mixed), Tukey, and Dunnet tests (α=5%). Results Active application (E1 and E3) resulted in higher microhardness than passive application (E2 and E4), with no difference between acids. For most groups, the CSMH decreased as the depth increased. All experimental groups and negative controls (C5 and C6) showed significantly reduced CSMH values compared to the control. A significantly higher mean CSMH result was obtained with the active application of H3PO4 (E1) compared to HCl (E3). Passive application did not result in CSMH differences between acids. CLSM revealed the conditioning pattern for each group. Conclusions Although the acids displayed an erosive action, use of microabrasive mixture led to less damage to the enamel layers. Key words:Enamel microabrasion, enamel microhardness, confocal laser scanning microscopy.

[1]  J. Lovadino,et al.  Enamel morphology after microabrasion with experimental compounds , 2015, Contemporary Clinical Dentistry.

[2]  L. Martins,et al.  Enamel microabrasion: An overview of clinical and scientific considerations. , 2015, World journal of clinical cases.

[3]  G. Ambrosano,et al.  In situ assessment of the saliva effect on enamel morphology after microabrasion technique , 2014 .

[4]  C. Pagani,et al.  Microhardness change of enamel due to bleaching with in-office bleaching gels of different acidity , 2012, Acta odontologica Scandinavica.

[5]  J. Lovadino,et al.  Evaluation of physical properties of enamel after microabrasion, polishing, and storage in artificial saliva , 2011, Biomedical materials.

[6]  W. Sohn,et al.  In-vitro evaluation of various treatments to prevent demineralization next to orthodontic brackets. , 2010, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[7]  M. Buzalaf,et al.  Cross-Sectional Microhardness of Human Enamel Subjected to Erosive, Cariogenic or Combined Erosive/Cariogenic Challenges , 2010, Caries Research.

[8]  M. Sundefeld,et al.  Evaluation "in situ" of tag formation in dental enamel submitted to microabrasion technique. Effect of two etching times. , 2010, Acta odontologica latinoamericana : AOL.

[9]  F. Demarco,et al.  Surface roughness and enamel loss with two microabrasion techniques. , 2009, The journal of contemporary dental practice.

[10]  L. Santos-Pinto,et al.  Primary tooth enamel loss after manual and mechanical microabrasion. , 2008, Pediatric dentistry.

[11]  R. Welbury,et al.  Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents , 2008 .

[12]  P. Schmidlin,et al.  Effects of microabrasion on substance loss, surface roughness, and colorimetric changes on enamel in vitro. , 2008, Quintessence international.

[13]  T. Attin,et al.  Impact of the in situ formed salivary pellicle on enamel and dentine erosion induced by different acids , 2008, Acta odontologica Scandinavica.

[14]  I. Krejci,et al.  Indications and limits of the microabrasion technique. , 2007, Quintessence international.

[15]  I. Krejci,et al.  Minimally invasive treatment of white spot enamel lesions. , 2007, Quintessence international.

[16]  D. J. White,et al.  Effects of elevated hydrogen peroxide 'strip' bleaching on surface and subsurface enamel including subsurface histomorphology, micro-chemical composition and fluorescence changes. , 2007, Journal of dentistry.

[17]  S. Paris,et al.  Surface Layer Erosion of Natural Caries Lesions with Phosphoric and Hydrochloric Acid Gels in Preparation for Resin Infiltration , 2007, Caries Research.

[18]  A. Briso,et al.  Considerations about enamel microabrasion after 18 years. , 2007, American journal of dentistry.

[19]  A. Briso,et al.  Enamel microabrasion followed by dental bleaching for patients after orthodontic treatment--case reports. , 2007, Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.].

[20]  N. Amizuka,et al.  Ultrastructural Images of Enamel Tufts in Human Permanent Teeth , 2005 .

[21]  P. Schmidlin,et al.  Histological, morphological, profilometric and optical changes of human tooth enamel after microabrasion. , 2003, American journal of dentistry.

[22]  R. Welbury,et al.  UK National Clinical Guidelines in Paediatric Dentistry: Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. , 2001, International journal of paediatric dentistry.

[23]  G. Stookey,et al.  Measurement of Enamel Remineralization Using Microradiography and Confocal Microscopy , 1998, Caries Research.

[24]  T. Croll Enamel microabrasion: observations after 10 years. , 1997, Journal of the American Dental Association.

[25]  R. I. Howes,et al.  Microabrasion: effect of time, number of applications, and pressure on enamel loss. , 1995, Pediatric dentistry.

[26]  Kamp Aa Removal of white spot lesions by controlled acid-pumice abrasion. , 1989 .

[27]  T. Croll Enamel microabrasion for removal of superficial discoloration. , 1989, Journal of esthetic dentistry.

[28]  A. A. Kamp Removal of white spot lesions by controlled acid-pumice abrasion. , 1989, Journal of clinical orthodontics : JCO.