Erosion protective properties of the enamel pellicle in-situ

• Published in: Journal of dentistry Vol. 147; p. 105103
• Main Authors: Schestakow, Anton, Echterhoff, Björn, Hannig, Matthias
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.08.2024
• Subjects: Adult; Animals; Atomic spectrophotometry; Calcium - analysis; Cattle; Citric Acid; Dental enamel; Dental Enamel - drug effects; Dental erosion; Dental Pellicle; Electron microscopy; Female; Hardness; Hardness test; Humans; Male; Microscopy, Electron, Scanning; Microscopy, Electron, Transmission; Time Factors; Tooth Erosion - prevention & control; Young Adult; Dental erosion; Atomic spectrophotometry; Hardness test; Dental enamel; Dental pellicle; Electron microscopy
• ISSN: 0300-5712; 1879-176X; 1879-176X
• DOI: 10.1016/j.jdent.2024.105103

Objectives: Previous studies on short- and long-term pellicles showed that the enamel pellicle provides partial protection against erosion. The aim of the present study was to investigate the protective properties of clinically relevant pellicles formed within 2 to 24 h. The hypothesis was that factors such as pellicle formation time, intraoral location, and acidic challenge severity would not influence the erosion-protective properties of the pellicle. Methods: Six subjects participated in the study. Bovine enamel specimens were prepared and intraorally exposed at buccal or palatal sites for 2, 6, 12, and 24 h to allow pellicle formation, followed by erosion using 0.1 % or 1 % citric acid. Calcium release and surface microhardness were measured, and specimens were analysed using scanning and transmission electron microscopy. Quantitative data were statistically analysed with three-way ANOVA and Tuckey's multiple comparison test (p = 0.05). Results: Pellicle formation time and intraoral location did not significantly influence the erosion-protective properties of the pellicle, while citric acid concentration significantly affected enamel erosion. The pellicle thickness increased with longer formation times and on buccal sites, but decreased or was entirely removed following treatment with 0.1 % or 1 % citric acid, respectively. The enamel surface exhibited a characteristic erosion pattern. Conclusions: This study underscores the importance of investigating pellicle properties within the critical 2- to 24-h timeframe and highlights the significance of pellicle thickness in acid resistance. Clinical significance: These findings provide valuable insights into the factors influencing the protective properties of enamel pellicles and could guide preventive measures in dental practice.