Effects of ammonium hexafluorosilicate application on demineralized enamel and dentin of primary teeth

J Oral Sci. 2012 Sep;54(3):267-72. doi: 10.2334/josnusd.54.267.

Abstract

Silver diamine fluoride (Ag(NH(3))(2)F) arrests caries but stains teeth black. To overcome this drawback, we applied ammonium hexafluorosilicate (AHF; (NH(4))(2)SiF(6)) and observed changes in the color and structure of demineralized enamel and dentin of extracted primary teeth. Enamel and dentin were demineralized in 10% EDTA solution for 90 s followed by 35% phosphoric acid gel for 60 s, then soaked in AHF solution for 60 s. Before analysis by scanning electron microscopy (SEM) and energy-dispersive X-ray spectrometry (EDS), enamel and dentin were demineralized in 10% EDTA for 90 s. Teeth were divided into 4 groups according to AHF application and artificial saliva immersion status and then examined. The data were statistically analyzed using one-way ANOVA and Fisher's PLSD test at a significance level of P < 0.05. AHF treatment did not cause visible discoloration. Enamel prisms and dental tubules appeared by demineralization were covered with precipitates by AHF application. A sphere-filled membranous structure was observed in the saliva immersion groups. EDS analysis showed that AHF application had no effect on enamel; however, F% and Ca/P ratio were significantly higher on dentin surfaces after AHF application without artificial saliva immersion. Further study on arresting caries treatment is required.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Analysis of Variance
  • Calcium Phosphates / analysis
  • Dental Caries / drug therapy*
  • Dental Caries / pathology*
  • Dental Enamel / chemistry
  • Dental Enamel / drug effects*
  • Dentin / chemistry
  • Dentin / drug effects*
  • Fluorides / analysis
  • Fluorides / pharmacology
  • Fluorides / therapeutic use
  • Humans
  • Microscopy, Electron, Scanning
  • Quaternary Ammonium Compounds / pharmacology*
  • Quaternary Ammonium Compounds / therapeutic use
  • Silicic Acid / pharmacology
  • Silicic Acid / therapeutic use
  • Spectrometry, X-Ray Emission
  • Tooth, Deciduous / drug effects*

Substances

  • Calcium Phosphates
  • Quaternary Ammonium Compounds
  • Silicic Acid
  • hexafluorosilicate
  • calcium phosphate
  • Fluorides