International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: https://www.sciepub.com/journal/ijdsr Editor-in-chief: Marcos Roberto Tovani Palone
Open Access
Journal Browser
Go
International Journal of Dental Sciences and Research. 2018, 6(5), 138-142
DOI: 10.12691/ijdsr-6-5-6
Open AccessArticle

Susceptibility of Human Deciduous Enamel to Erosive Wear after Exposure to Commonly Prescribed Oral Pediatric Liquid Medicaments: An AFM Based in vitro Analysis

Sandleen Feroz1, , Sidra Aamir1 and Shazia Nawabi2

1Department of Dental Materials, Foundation University College of Dentistry, Islamabad, Pakistan

2Department of Prosthodontics, Qassim University, Kingdom of Saudia Arabia

Pub. Date: September 28, 2018

Cite this paper:
Sandleen Feroz, Sidra Aamir and Shazia Nawabi. Susceptibility of Human Deciduous Enamel to Erosive Wear after Exposure to Commonly Prescribed Oral Pediatric Liquid Medicaments: An AFM Based in vitro Analysis. International Journal of Dental Sciences and Research. 2018; 6(5):138-142. doi: 10.12691/ijdsr-6-5-6

Abstract

Aim: The aim of this in vitro analysis was to determine the effects of various commonly prescribed pediatric oral liquid medicaments on deciduous teeth. Material and methods: Thirty extracted human deciduous incisors were cleaned and then sectioned longitudinally resulting in 60 samples from a total of 30 tooth samples. After polishing all samples were randomly divided into three groups. Group 1: untreated group, Group 2: Immersion of samples in Paracetamol (sugar-free), Group 3: Immersion of samples in Chlorpheniramine. All the tooth samples in Group 2 and 3 were exposed to twenty cycles of 15 seconds immersion at 6 hours’ interval. The root mean square roughness (Rrms) was calculated for surface roughness assessment from the AFM images. Anova and Tuckey’s post hoc test were used to analyze the differences in mean roughness values between the three groups. Results: One way Anova showed a statistically significant differences (p-value of 0.00) between the mean roughness values of three groups. Furthermore, Tuckey post hoc test revealed a statistically significant difference between the surface roughness values of Group 2 and Group 3 (0.158±0.012) and between Group 1 and Group 2 (0.085±0.012), indicating that mean surface roughness values increased significantly after frequent exposures to pediatric oral liquids. Conclusion: The tested pediatric oral liquids could significantly increases the surface roughness values of all treated tooth surfaces giving encorughment to the erosive potential of these oral liquid medicaments towards more enamel loss.

Keywords:
Atomic Force Microscopy (AFM) remineralization enamel demineralization oral liquids

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]  Poggio C LM, Dagna A, Chiesa M, Bianchi S. Protective effect on enamel demineralization of a CPP-ACP paste: An AFM invitro study. J Dent 2009; 37:949-954.
 
[2]  Padma Gandi MS, Sangeeta Meena and Pallavi Waghmare. Comparative Study on remineralizing ability of Casein hosphopeptide Amorphous calcium phosphate and b-tricalcium phosphate on dental erosion: An invitro AFM Study. Gandi et al, Dentistry, 2015; 5:8.
 
[3]  Lazarchik DA, Filler SJ. Effects of gastroesophageal reflux on the oral cavity. The American journal of medicine. 1997; 103(5): 107-13.
 
[4]  Harley K. Tooth wear in the child and the youth. British dental journal. 1999; 186(10).
 
[5]  A. L. Erosive tooth wear_ a multifactorial condition of growing concern and increasing knowledge. Monogr Oral Sci 20: 1-8. 2006.
 
[6]  Jaeggi TLA. Prevalence, Incidence and distribution of erosion. Monogr Oral Sci 20:44-65. 2006.
 
[7]  Bartlett D, Coward P, Nikkah C, Wilson R. The prevalence of tooth wear in a cluster sample of adolescent schoolchildren and its relationship with potential explanatory factors. British dental journal. 1998; 184(3): 125-9.
 
[8]  Shaw L, Smith A. Paediatric Dentistry: Dental erosion-the problem and some practical solutions. British dental journal. 1999; 186(3): 115-8.
 
[9]  Milosevic A, Young P, Lennon M. The prevalence of tooth wear in 14-year-old school children in Liverpool. Community Dental Health. 1994; 11(2): 83-6.
 
[10]  Neves, B.G.; Farah, A.; Lucas E.; de Sausa, V.P.; Maia, L.C. Are paediatric medicines risk factors for dental caries and dental erosion? Commun. Dent. Health 2010, 27, 46-51.
 
[11]  Mennella, J.A.; Spector, A.C.; Reed, D.R.; Coldwell, S.E. The bad taste of medicines: Overview of basic research on bitter taste. Clin. Ther .2013, 35, 1225-1246.
 
[12]  Maguire, A.; Baqir, W.; Nunn, J.H. Are sugars-free medicines more erosive than sugars-containing medicines? An in vitro study of paediatric medicines with prolonged oral clearance used regularly and long-term by children. Int. J.Paediatr. Dent. 2007, 17, 231-238.
 
[13]  Liem, D.G.; Mennella, J.A. Heightened sour preferences during childhood. Chem. Senses 2003, 28, 173-180.
 
[14]  Marquezan, M.; Pozzobon, R.,; Oliveira, M. Medicines used by pediatric dentistry patients and its cariogenic potential. RPG Rev.Pos. Grad. 2007, 13, 334-339.
 
[15]  Durward, C.; Thou, T. Dental caries and sugar-containing liquid medicines for children in New Zealand. N.Z.Dent. J.1997, 93, 124-129.
 
[16]  Feigal, R.J.;Jensen , M.E.;Mensing , C.A. Dental caries potential of liquid medications. Pediatrics 1981, 68,416-419.
 
[17]  Babu, K.L.; Doddamani, G.M., Naik, L.R.; Jagadeesh, K.N. Pediatric liquid medicaments- Are they cariogenic? An in vitro study. J. Int. Soc. Prev. Commun. Dent.2014, 4, 108-112.
 
[18]  Arora , R.; Mukherjee, U.; Arora , V. Erosive potential of sugar free and sugar containing pediatric medicines given regularly and long term to children. Indian J. Pediatr. 2012, 79, 759-763.
 
[19]  Babu, K.L.G.; Rai, K.; Hedge, A.M. Pediatric liquid medicaments – Do they erode the teeth surface? An in vitro study: Part I. J. Clin. Pediatr. Dent .2008, 32, 189-194.
 
[20]  Sahgal, J.; Sood, P.B.; Raju, O.S. A comparison of oral hygiene status and dental caries in children on long term liquid oral medications to those not administered with such medications. J. Indian Soc. Pedod. Prev. Dent. 2002, 20,144-151.
 
[21]  Cavalcanti, A.; de Oliveira, K.; Xavier , A.; Pinto, D.; Vieira, F. Evaluation of total soluble solids content (TSSC) and endogenous ph in antimicrobials of pediatric use. Indian J.Dent. Res. 2013, 24, 498-501.
 
[22]  Hegedus C BT, Flora-Nagy F, Keszthelyi G, Jenei A. “An atomic force microscopy study on the effect of bleaching agents on enamel surface”. J Dent ; 27: 509-15. 1999.
 
[23]  Adebayo OA BM, Tyas MJ. “An SEM evaluation of conditioned and bonded enamel following carbamide peroxide bleaching and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) treatment”. J Dent; 37: 297-306. 2009.