Dental+erosion
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KAIST Scientifically Identifies a Method to Prevent Dental Erosion from Carbonated Drinks
A Korean research team, which had previously visualized and scientifically proven the harmful effects of carbonated drinks like cola on dental health using nanotechnology, has now identified a mechanism for an effective method to prevent tooth damage caused by these beverages.
KAIST (represented by President Kwang Hyung Lee) announced on the 5th of December that a team led by Professor Seungbum Hong from the Department of Materials Science and Engineering, in collaboration with Seoul National University's School of Dentistry (Departments of Pediatric Dentistry and Oral Microbiology) and Professor Hye Ryung Byon’s research team from the Department of Chemistry, has revealed through nanotechnology that silver diamine fluoride (SDF)* forms a fluoride-containing protective layer on the tooth surface, effectively inhibiting cola-induced erosion.
*SDF (Silver Diamine Fluoride): A dental agent primarily used for the treatment and prevention of tooth decay. SDF strengthens carious lesions, suppresses bacterial growth, and halts the progression of cavities.
The team analyzed the surface morphology and mechanical properties of tooth enamel on a nanoscale using atomic force microscopy (AFM). They also examined the chemical properties of the nano-film formed by SDF treatment using X-ray photoelectron spectroscopy (XPS)* and Fourier-transform infrared spectroscopy (FTIR)*.
*XPS (X-ray Photoelectron Spectroscopy): A powerful surface analysis technique used to investigate the chemical composition and electronic structure of materials.
*FTIR (Fourier-Transform Infrared Spectroscopy): An analytical method that identifies the molecular structure and composition of materials by analyzing how they absorb or transmit infrared light.
The findings showed significant differences in surface roughness and elastic modulus between teeth exposed to cola with and without SDF treatment. Teeth treated with SDF exhibited minimal changes in surface roughness due to erosion (from 64 nm to 70 nm) and maintained a high elastic modulus (from 215 GPa to 205 GPa).
This was attributed to the formation of a fluoroapatite* layer by SDF, which acted as a protective shield.
*Fluoroapatite: A phosphate mineral with the chemical formula Ca₅(PO₄)₃F (calcium fluoro-phosphate). It can occur naturally or be synthesized biologically/artificially and plays a crucial role in strengthening teeth and bones.
< Figure 1. Schematic of the workflow. Surface morphology and mechanical properties of untreated and treated silver diamine fluoride (SDF) treated enamel exposed to cola were analyzed over time using atomic force microscopy (AFM). >
Professor Young J. Kim from Seoul National University's Department of Pediatric Dentistry noted, "This technology could be applied to prevent dental erosion and strengthen teeth for both children and adults. It is a cost-effective and accessible dental treatment."
< Figure 2. Changes in surface roughness and elastic modulus according to time of exposure to cola for SDF untreated and treated teeth. After 1 hour, the surface roughness of the SDF untreated teeth rapidly became rougher from 83 nm to 287 nm and the elastic modulus weakened from 125 GPa to 13 GPa, whereas the surface roughness of the SDF treated teeth changed only slightly from 64 nm to 70 nm and the elastic modulus barely changed from 215 GPa to 205 GPa, maintaining a similar state to the initial state. >
Professor Seungbum Hong emphasized, "Dental health significantly impacts quality of life. This research offers an effective non-invasive method to prevent early dental erosion, moving beyond traditional surgical treatments. By simply applying SDF, dental erosion can be prevented and enamel strengthened, potentially reducing pain and costs associated with treatment."
This study, led by the first author Aditi Saha, a PhD student in KAIST’s Department of Materials Science and Engineering, was published in the international journal Biomaterials Research on November 7 under the title "Nanoscale Study on Noninvasive Prevention of Dental Erosion of Enamel by Silver Diamine Fluoride". The research was supported by the National Research Foundation of Korea.
2024.12.11 View 170 -
Atomic Force Microscopy Reveals Nanoscale Dental Erosion from Beverages
KAIST researchers used atomic force microscopy to quantitatively evaluate how acidic and sugary drinks affect human tooth enamel at the nanoscale level. This novel approach is useful for measuring mechanical and morphological changes that occur over time during enamel erosion induced by beverages.
Enamel is the hard-white substance that forms the outer part of a tooth. It is the hardest substance in the human body, even stronger than bone. Its resilient surface is 96 percent mineral, the highest percentage of any body tissue, making it durable and damage-resistant. The enamel acts as a barrier to protect the soft inner layers of the tooth, but can become susceptible to degradation by acids and sugars.
Enamel erosion occurs when the tooth enamel is overexposed to excessive consumption of acidic and sugary food and drinks. The loss of enamel, if left untreated, can lead to various tooth conditions including stains, fractures, sensitivity, and translucence. Once tooth enamel is damaged, it cannot be brought back. Therefore, thorough studies on how enamel erosion starts and develops, especially at the initial stages, are of high scientific and clinical relevance for dental health maintenance.
A research team led by Professor Seungbum Hong from the Department of Materials Science and Engineering at KAIST reported a new method of applying atomic force microscopy (AFM) techniques to study the nanoscale characterization of this early stage of enamel erosion. This study was introduced in the Journal of the Mechanical Behavior of Biomedical Materials (JMBBM) on June 29.
AFM is a very-high-resolution type of scanning probe microscopy (SPM), with demonstrated resolution on the order of fractions of a nanometer (nm) that is equal to one billionth of a meter. AFM generates images by scanning a small cantilever over the surface of a sample, and this can precisely measure the structure and mechanical properties of the sample, such as surface roughness and elastic modulus.
The co-lead authors of the study, Dr. Panpan Li and Dr. Chungik Oh, chose three commercially available popular beverages, Coca-Cola®, Sprite®, and Minute Maid® orange juice, and immersed tooth enamel in these drinks over time to analyze their impacts on human teeth and monitor the etching process on tooth enamel.
Five healthy human molars were obtained from volunteers between age 20 and 35 who visited the KAIST Clinic. After extraction, the teeth were preserved in distilled water before the experiment. The drinks were purchased and opened right before the immersion experiment, and the team utilized AFM to measure the surface topography and elastic modulus map.
The researchers observed that the surface roughness of the tooth enamel increased significantly as the immersion time increased, while the elastic modulus of the enamel surface decreased drastically. It was demonstrated that the enamel surface roughened five times more when it was immersed in beverages for 10 minutes, and that the elastic modulus of tooth enamel was five times lower after five minutes in the drinks.
Additionally, the research team found preferential etching in scratched tooth enamel. Brushing your teeth too hard and toothpastes with polishing particles that are advertised to remove dental biofilms can cause scratches on the enamel surface, which can be preferential sites for etching, the study revealed.
Professor Hong said, “Our study shows that AFM is a suitable technique to characterize variations in the morphology and mechanical properties of dental erosion quantitatively at the nanoscale level.”
This work was supported by the National Research Foundation (NRF), the Ministry of Science and ICT (MSIT), and the KUSTAR-KAIST Institute of Korea.
A dentist at the KAIST Clinic, Dr. Suebean Cho, Dr. Sangmin Shin from the Smile Well Dental, and Professor Kack-Kyun Kim at the Seoul National University School of Dentistry also collaborated in this project.
Publication:
Li, P., et al. (2020) ‘Nanoscale effects of beverages on enamel surface of human teeth: An atomic force microscopy study’. Journal of the Mechanical Behavior of Biomedical Materials (JMBBM), Volume 110. Article No. 103930. Available online at https://doi.org/10.1016/j.jmbbm.2020.103930
Profile: Seungbum Hong, Ph.D.
Associate Professor
seungbum@kaist.ac.kr
http://mii.kaist.ac.kr/
Materials Imaging and Integration (MII) Lab.
Department of Materials Science and Engineering (MSE)
Korea Advanced Institute of Science and Technology (KAIST)
https://www.kaist.ac.kr
Daejeon 34141, Korea
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2020.07.21 View 10794