Dental and Medical Problems
2016, vol. 53, nr 2, April-June, p. 268–272
Publication type: review article
Anti-Erosion Properties of a Stabilized Stannous Fluoride Dentifrice
Własności antyerozyjne past do zębów ze stabilizowanym fluorkiem cyny
1 Department of Conservative Dentistry, Medical University of Warsaw, Warsaw, Poland
2 Department of Periodontology, Wroclaw Medical University, Wrocław, Poland
Dental erosions are non-carious damages of hard dental tissues, resulting from their dissolution by the action of acids, whose presence in the oral cavity is not associated with the metabolic activity of cariogenic bacteria. Erosion losses are initiated on the enamel surface, and lack of control over their progress leads to the gradual destruction of dental tissues. The problem of the occurrence of dental erosion is increasingly present in the Polish population. An alarming intensification of this phenomenon can be found among adolescents and young adults. Due to the complex etiology of erosive lesions, new methods are sought to enhance the protective potential of dental tissues against erosive factors. New formulations of dentifrice with stannous fluoride stabilized with sodium hexametaphosphate are generating particular interest. The several years of presence of these products on the Polish market have provoked us to undertake studies evaluating their effectiveness in various areas of dental problems. This paper reviews literature reports on the effect of SnF2-containing toothpastes in reducing the occurrence of erosive lesions. Results indicate that dentifrice with stabilized formula of fluoride, tin, and sodium hexametaphosphate (SHMP) is more effective in protecting the enamel from erosion when compared with toothpastes containing other fluoride compounds. Prolonged application of formulation included SnF2 gradually increase the dental tissue resistance to acid attack.
prevention, toothpaste, stannous fluoride, dental erosion
zapobieganie, pasty do zębów, fluorek cyny, erozje zębów
- Johansson A.K., Omar R., Carlsson G.E., Johansson A.: Dental erosion and its growing importance in clinical practice: from past to present. Inter. J. Dent. 2012, Article ID 632907.
- Addy M., Shellis, R.P.: Interaction between attrition, abrasion and erosion in tooth wear. Monogr. Oral Sci. 2006, 20, 17–31.
- Mantonanaki M., Koletsi-Kounari H., Mamai-Homata E., Papaioannou W.: Dental erosion prevalence and associated risk indicators among preschool children in Athens, Greece. Clin. Oral Invest. 2013, 17, 585–593.
- Jaeggi T., Lussi A.: Prevalence, incidence and distribution of erosion. In: Erosive tooth wear – from diagnosis to therapy. Monographs in Oral Science Karger. Eds.: Lussi A., Ganss C. Basel, 2014, 25, 55–73.
- Bartlett D., Lussi A., West N., Bouchard P., Sanz M., Bourgeois D.: Prevalence of tooth wear on buccal and lingual surfaces and possible risk factors in young European adults. J. Dent. 2013, 41, 1007–1013.
- Wierzbicka M., Szatko F., Strużycka I., Rusyan E., Ganowicz M., Zawadziński M., Garus-Pakowska A.: Stan zdrowia jamy ustnej i jego uwarunkowania oraz potrzeby profilaktyczno-lecznicze dzieci wieku 5, 7, 15 lat. Monitoring Zdrowia Jamy Ustnej 2011.
- Strużycka I., Rusyan E., Bogusławska-Kapała A.: Prevalence of dental erosion in young adults aged 18 years in Poland. Przegl. Epidemiol. 2015, 68, 689–693.
- Ganss C.: Definition of erosion and links to tooth wear. Monogr. Oral Sci. 2006, 20, 9–16.
- Bartlett D.W.: The role of erosion in tooth wear: etiology, prevention and management. Int. Dent. J. 2005, 55, 277–284.
- Gurgel C.V., Rios D., de Oliveira T.M., Tessarolli V., Carvalho F.P.: A multifactorial analysis of factors associated with dental erosion. Int. J. Paediatr. Dent. 2011, 21, 50–57.
- Barbour M.E., Lussi A.: Erosion in relation to nutrition and the environment. Monogr. Oral Sci. 2014, 25, 143–154.
- Ranjitkar S., Kaidonis J.A., Smales R.J.: Gastroesophageal reflux disease and tooth erosion. Inter. J. Dent. 2012, 479850.
- Meshramkar R., Lekha K., Nadlger R.: Tooth wear, etiology, diagnosis and its management in elderly: a literature review. Inter. J. Prosth. Rest. Dent. 2012, 2, 38–41.
- Frese C., Frese F., Kuhlmann S., Saure D., Reljic D., Staehle H.J., Wolff D.: Effect of endurance training on dental erosion, caries, and saliva. Scand. J. Med. Sci. Sport 2015, 25, e319–326.
- Cury J.A., Tenuta L.M.: Enamel remineralization: controlling the caries disease or treating early caries lesions? Braz. Oral Res. 2009, 23, Suppl. 1, 23–30.
- Tenuta L.M., Cury J.A.: Laboratory and human studies to estimate anticaries efficacy of fluoride toothpastes. Monogr. Oral Sci. 2013, 23,108–124.
- Cheaib Z., Lussi A.: Impact of acquired enamel pellicle modification on initial dental erosion. Caries Res. 2011, 45, 107–112.
- Hara A.T., Ando M., Gonzalez-Cabezas C., Cury J.A., Serra M.C., Zero D.T.: Protective effect of the dental pellicle against erosive challenges in situ. J. Dent. Res. 2006, 85, 612–616.
- Hannig M., Hannig C.: The pellicle and erosion. Monogr. Oral Sci. 2014, 25, 206–214.
- Muhler J.C., Radike A.W., Nebergall W.H., Day H.G.: The effect of a stannous fluoride-containing dentifrice on caries reduction in children. J. Dent. Res. 1954, 33, 606–612.
- Muhler J.C., Radike A.W.: Effect of a dentifrice containing stannous fluoride on dental caries in adults. II. Results at the end of two years of unsupervised use. J. Am. Dent. Assoc. 1957, 55, 196–198.
- Busscher H., White D., van der Mei H., Baig A., Kozak K.: Hexametaphosphate effects on tooth surface conditioning film chemistry – in vitro and in vivo studies. J. Clin. Dent. 2002, 13, 38–43.
- White D.J.: A “return” to stannous fluoride dentifrices. J. Clin. Dent. 1995, 6, 29–36.
- Attin T., Wegehaupt F.J.: Methods of assessment of dental erosion. Monogr. Oral Sci. 2014, 25, 123–142.
- Hooper S.M., Newcombe R.G., Faller R., Eversole S., Addy M., West N.X.: The protective effects of toothpaste against erosion by orange juice: studies in situ and in vitro. J. Dent. 2007, 35, 476–481.
- Baig A.A., Faller R.V., Yan J., Ji N., Lawless M., Eversole S.L.: Protective effects of SnF2 – Part I. Mineral solubilisation studies on powdered apatite. Inter. Dent. J. 2014, 64, Suppl 1, 4–10.
- Faller R.V., Eversole S.L., Tzeghai G.E.: Enamel protection: a comparison of marketed dentifrice performance against dental erosion. Am. J. Dent. 2011, 24, 205–210.
- Faller R.V., Eversole S.L., Saunders-Burkhardt K.: Protective benefits of a stabilized stannous-containing fluoride dentifrice against erosive acid damage. Int. Dent. J. 2014, 64, Suppl. 1, 29–34.
- Eversole S.L., Saunders-Burkhardt K., Faller R.V.: Erosion protection comparison of stabilised SnF2, mixed fluoride active and SMFP/arginine-containing dentifrices. Int. Dent. J. 2014, 64, Suppl. 1, 22–28.
- Hooper S., Seong J., Macdonald E., Claydon N., Hellin N., Barker M.L., He T., West N.X.: A randomised in situ trial, measuring the anti-erosive properties of a stannous-containing sodium fluoride dentifrice compared with a sodium fluoride/potassium nitrate dentifrice. Int. Dent. J. 2014, 64, Suppl. 1, 35–42.
- Bellamy P.G., Harris R., Date R.F., Mussett A.J., Manley A., Barker M.L., Hellin N., West N.X.: In situ clinical evaluation of a stabilized, stannous fluoride dentifrice. Int. Dent. J. 2014, 64, Suppl 1, 43–50.
- Huysmans M.C., Jager D.H., Ruben J.L., Unk D.E., Klijn C.P., Vieira A.M.: Reduction of erosive wear in situ by stannous fluoride containing toothpaste. Caries Res. 2011, 45, 518–523.
- Carvalho T.S., Colon P., Ganss C., Huysmans M.C., Lussi A., Schlueter N., Schmalz G., Shellis R.P., Tveit A.B., Wiegand A.: Consensus report of the European Federation of Conservative Dentistry: erosive tooth wear – diagnosis and management. Clin. Oral Invest. 2015, 19, 1557–1561.