Reduction of erosive wear in situ by stannous fluoride-containing toothpaste

Marie Charlotte D.N.J.M. Huysmans*, D. H.J. Jager, J. L. Ruben, D. E.M.F. Unk, C. P.A.H. Klijn, A. M. Vieira

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background/Aims: Stannous fluoride (SnF) has been suggested as a dental erosion-preventive agent. The aim of this single-centre, randomized, double-blind, in situ study was to evaluate the effect of toothpastes with SnF in the prevention of erosive enamel wear. Methods: A combined split-mouth (extra-oral water or toothpaste brushing) and crossover (type of toothpaste) set-up was used. Twelve volunteers wore palatal appliances containing human enamel samples. Three toothpastes were used, in three consecutive runs, in randomized order: two toothpastes containing SnF (coded M and PE) and one toothpaste containing only sodium fluoride (coded C). On day 1 of each run the appliances were worn for pellicle formation. On days 2-5 the samples were also brushed twice with a toothpaste-water slurry or only water (control). Erosion took place on days 2-5 extra-orally 3 times a day (5 min) in a citric acid solution (pH 2.3). Enamel wear depth was quantified by optical profilometry. The effect of toothpastes was tested using General Linear Modeling. Results: Average erosive wear depth of control samples was 23 μm. Both SnF toothpastes significantly reduced erosive wear: M by 34% (SD 39%) and PE by 26% (SD 25%). The control toothpaste reduced erosive wear non-significantly by 7% (SD 20%). Both SnF-containing toothpastes significantly reduced erosive wear compared to the sodium fluoride toothpaste. Conclusion: We conclude that SnF-containing toothpastes are able to reduce erosive tooth wear in situ.

Original languageEnglish
Pages (from-to)518-523
Number of pages6
JournalCaries Research
Issue number6
Publication statusPublished - Dec 2011

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