The aim was to determine the effect of xylitol, fluoride and xylitol/f
luoride combined on the erosion of dental enamel by pure orange juice
in vitro. Freshly extracted bovine incisors were sectioned vertically
into four equal por portions. Each portion was then coated with an aci
d-resistant nail varnish except for an enamel window on the labial sur
face of the tooth. These were then divided into four groups with each
group containing one portion of each tooth selected randomly. Four ero
sive agents were prepared as follows: CA) pure orange juice only; pure
orange juice plus either (B) xylitol (25% w/v) or (C) fluoride (0.5 p
arts/10(6)) or (D) xylitol/fluoride (25% and 0.5 parts/10(6) respectiv
ely). Each group was assigned to one of the erosive agents and immerse
d six times daily for a period of 5 min on each occasion, and stored i
n artificial saliva between exposures and for 12 hr overnight, for 24
days making a total of 12 hr of exposure to the assigned erosive agent
. Sections were cut from each enamel specimen, ground to a thickness o
f 80 mu m, and microradiographed. Mineral loss was quantified by a two
-step image analysis. Mineral loss was significantly lower (p < 0.05)
in group D (xylitol/fluoride) only when compared with group A (pure or
ange juice only). The numerical values of mineral loss could be ranked
as follows: group D < group C < group B < group A. It was concluded t
hat xylitol and fluoride have an additive effect in the reduction of d
ental erosion by pure orange juice in vitro. (C) 1998 Elsevier Science
Ltd. All rights reserved.