logo
Volume 11, Issue 3 (9-2026)                   J Res Dent Maxillofac Sci 2026, 11(3): 259-267 | Back to browse issues page

Ethics code: IR.SBMU.DRC.REC.1402.087

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Mojtahedzadeh K, Panahandeh N, Nikaein M. Comparative Effects of Two Fluoride Varnishes on Microhardness of Demineralized Enamel: An In Vitro Study. J Res Dent Maxillofac Sci 2026; 11 (3) :259-267
URL: http://jrdms.dentaliau.ac.ir/article-1-1438-en.html
1- Dental Research Center, Research Institute of Dental Sciences, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
2- Department of Restorative Dentistry, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran. , Mahsanikaeen1994@gmail.com
Abstract:   (15 Views)
Background and Aim: Different fluoride varnish formulations may exhibit varying effects on the recovery of demineralized enamel. This study aimed to compare the effects of two fluoride varnishes on the microhardness of demineralized enamel.   
Materials and Methods: In this in vitro experimental study, 40 sound enamel specimens were prepared and assigned to four groups (n=10): sound enamel, demineralized enamel, remineralized enamel using AV varnish (Avijeh Teb Parsian), and remineralized enamel using Enamelast (Ultradent). In each group, the baseline enamel microhardness was first measured at the surface and then from the most superficial point towards the dentinoenamel junction at 10 µm intervals. To measure the depth of demineralization and remineralization, the specimens were mesiodistally sectioned by a thin sectioner. A standard acid with a pH of 4.4 was used for enamel demineralization. Microhardness was measured by the Vickers microhardness tester. Data were analyzed by repeated measures ANOVA and Tukey’s HSD test (alpha=0.05).   
Results: Application of fluoride varnish effectively enhanced enamel remineralization, and the efficacy of the two varnishes was significantly different for enamel remineralization both at the enamel surface and also at different depths (P<0.05).
Conclusion: The results showed that both Enamelast and AV fluoride varnishes increased demineralized enamel microhardness. Enamelast was more effective than AV for enhancement of superficial enamel microhardness while AV was more effective in enhancement of deep enamel microhardness. None of the varnishes could increase demineralized enamel microhardness to the level of sound enamel.
  |   |   Full-Text (HTML)  (3 Views)  
Type of Study: Original article | Subject: Restorative Dentistry

References
1. Dhillon SN, Deshpande AN, Macwan C, Patel KS, Shah YS, Jain AA. Comparative evaluation of microhardness and enamel solubility of treated surface enamel with resin infiltrant, fluoride varnish, and casein phosphopeptide-amorphous calcium phosphate: An in vitro study. Int J Clin Pediatr Dent. 2020;13(Suppl 1):S14-25. [DOI:10.5005/jp-journals-10005-1833] [PMID] [PMCID]
2. Maden EA, Altun C, Polat GG, Basak F. The in vitro evaluation of the effect of xyliwhite, probiotic, and the conventional toothpastes on the enamel roughness and microhardness. Niger J Clin Pract. 2018 Mar;21(3):306-11. [DOI:10.4103/njcp.njcp_431_16] [PMID]
3. Alkattan R, Lippert F, Tang Q, Eckert GJ, Ando M. The influence of hardness and chemical composition on enamel demineralization and subsequent remineralization. J Dent. 2018 Aug;75:34-40. [DOI:10.1016/j.jdent.2018.05.002] [PMID]
4. Featherstone JD. Dental caries: a dynamic disease process. Aust Dent J. 2008 Sep;53(3):286-91. [DOI:10.1111/j.1834-7819.2008.00064.x] [PMID]
5. Basir L, Meshki R, Aghababa H, Rakhshan V. Effects of three commercial toothpastes incorporating" chitosan, casein phosphopeptide-amorphous calcium phosphate, sodium monofluorophosphate, and sodium fluoride" on remineralization of incipient enamel caries in the primary dentition: A preliminary in vitro study. J Dent Res. 2020 Dec;17(6):433-8. [DOI:10.4103/1735-3327.302895] [PMID] [PMCID]
6. Zandoná AG, Ritter AV, Eidson RS. Dental caries: etiology, clinical characteristics, risk assessment, and management. InSturdevant's Art and Science of Operative Dentistry 2018 Jan. Elsevier. pp. 40-94. [DOI:10.1016/B978-0-323-47833-5.00002-2]
7. Rashid S, ElSalhy M. Efficacy of MI Paste® on Bleaching-Related Sensitivity: Randomized Clinical Trial. Int J Dent. 2021 Jun;2021:9963823. [DOI:10.1155/2021/9963823] [PMID] [PMCID]
8. Hashemikamangar SS, Merati H, Valizadeh S, Saberi S. Effects of lasers and fluoride varnish on microhardness and calcium and phosphorus content of demineralized enamel. Front Dent. 2024 Jul;21:27. [DOI:10.18502/fid.v21i27.16142] [PMID] [PMCID]
9. Kooshki F, Fatemi SM, Darvishghaderi S, Vahedi P. Comparison of the effects of fluoride varnish containing silver nanoparticles and conventional fluoride varnish on the surface microhardness of tooth enamel. Dent Med Probl. 2024 Mar-Apr;61(2):241-7. [DOI:10.17219/dmp/151702] [PMID]
10. Abd El Halem S. Effect of diode laser and fluoride application on micro-hardness of demineralized enamel (an in vitro study). Ahram Can Dent J. 2024 Oct;3(4):89-97. [DOI:10.21608/acdj.2024.396560]
11. Dionysopoulos D, Koliniotou-Koumpia E, Tolidis K, Gerasimou P. Effect of fluoride treatments on bleached enamel microhardness and surface morphology. Oral Health Prev Dent. 2017;15(2):169-75.
12. Godoi FA, Carlos NR, Bridi EC, Amaral FL, França FM, Turssi CP, et al. Remineralizing effect of commercial fluoride varnishes on artificial enamel lesions. Braz Oral Res 2019 May;33:e044. [DOI:10.1590/1807-3107bor-2019.vol33.0044] [PMID]
13. Tulumbaci F, Gungormus M. In vitro remineralization of primary teeth with a mineralization-promoting peptide containing dental varnish. J Appl Oral Sci. 2020 Sep;28:e20200259. [DOI:10.1590/1678-7757-2020-0259] [PMID] [PMCID]
14. Kooshki F, Fatemi SM, Darvishghaderi S, Vahedi P. Comparison of the effects of fluoride varnish containing silver nanoparticles and conventional fluoride varnish on the surface microhardness of tooth enamel. Dent Med Probl. 2024 Mar-Apr;61(2):241-7. [DOI:10.17219/dmp/151702] [PMID]
15. Ozgul BM, Orhan K, Oz FT. Micro-computed tomographic analysis of progression of artificial enamel lesions in primary and permanent teeth after resin infiltration. Journal of Oral Science. 2015;57(3):177-83.. [DOI:10.2334/josnusd.57.177] [PMID]
16. Punhagui MF, Jussiani EI, Andrello AC, Favaro JC, Guiraldo RD, Lopes MB, et al. Effect of application time and concentration of silver diamine fluoride on the enamel remineralization. J Clin Exp Dent. 2021 Jul;13(7):e653-8. [DOI:10.4317/jced.58318] [PMID] [PMCID]
17. Kooshki F, Pajoohan S, Kamareh S. Effects of treatment with three types of varnish remineralizing agents on the microhardness of demineralized enamel surface. J Clin Exp Dent. 2019 Jul;11(7):e630-5. [DOI:10.4317/jced.55611] [PMID] [PMCID]
18. Fejerskov O, Nyvad B, Kidd E, editors. Dental caries: the disease and its clinical management. John Wiley & Sons; 2015 May 26. Chapter 14, p.283.
19. Giacaman R, Fernández C, Muñoz-Sandoval C, Fuentes N. Longer retention time of fluoridated varnishes enhances enamel remineralisation in vitro. Oral Health Prev Dent. 2017;15(6):569-73.
20. Fernández CE, Tenuta LM, Zárate P, Cury JA. Insoluble NaF in Duraphat® may prolong fluoride reactivity of varnish retained on dental surfaces. Braz Dent J. 2014;25(2):160-4. [DOI:10.1590/0103-6440201302405] [PMID]
21. Behrouzi P, Heshmat H, Ganjkar MH, Tabatabaei SF, Kharazifard MJ. Effect of two methods of remineralization and resin infiltration on surface hardness of artificially induced enamel lesions. J Dent. 2020 Mar;21(1):12-7.

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.