Fluoride release/uptake of glass-ionomer cements and polyacid-modified composite resins

The aim of this study was to investigate the fluoride release and fluoride recharge behaviors of two conventional glass-ionomer cements (GICs) and two polyacid-modified composite resins (PMCRs) after exposure to mouthwash and toothpaste. Fluoride released from the materials was measured at 1st, 2nd, 3rd, 4th, 7th, 14th, 21st, and 28th days. At 28th day, the specimens were divided into three groups. Specimens in the control group were stored in deionized water. For the other two groups, the specimens were exposed to 0.05% NaF solution and fluoridated toothpaste for one month. After refluoridation, fluoride amount was measured at 30th, 31st, 32nd, 36th, 44th, 52nd, and 60th days. All materials released fluoride. The highest amount of fluoride was obtained during the first 24 hours, and there was a statistically significant difference between the amounts of fluoride released from GICs and PMCRs (p < 0.0001). After exposure to mouthwash and fluoridated toothpaste, all materials were recharged and continued releasing fluoride. While the amount of fluoride release from the materials increased after reflouridation, the increase was higher in GICs.     

Fluoride recharge of aesthetic dental materials

The objective of the study was to compare the potential for fluoride recharge of two glass-ionomer cements, a resin-modified glass-ionomer cement, a compomer and a fluoride-containing composite in artificial saliva. Disc samples of each of the materials were placed into artificial saliva. The fluoride content of the artificial saliva was determined at various intervals up to 57 days. The discs were subjected to a 2 min exposure of NaF (500 parts/106). This recharge procedure was repeated at 64 and 120 days. The fluoride release was measured before and after recharge. The fluoride release for all of the materials increased after each exposure to NaF; however, the amount for the composite was very low. The resin-modified glass-ionomer cement displayed the greatest potential for fluoride recharge at 57 and 64 days (P<0.05). By 120 days, the amount of fluoride released in the 24 h post-recharge interval had decreased in all the materials. All the materials showed a potential for fluoride recharge. This effect, however, was minimal in the fluoride-containing composite.     

Fluoride release and uptake characteristics of aesthetic restorative materials

The aims of this study were firstly to investigate the fluoride-releasing characteristics of two composite resins (Tetric and Valux Plus), two polyacid-modified resin composites (Compoglass and Dyract), and conventional glass-ionomer cement (Ceramfil beta). The second aim was to assess the fluoride uptake and subsequent release from the same range of materials. Fifteen discs (6 mm diameter and 1.5 mm height) were prepared for each material. Each disc was immersed in 4 ML of deionized water within a plastic vial. The release of fluoride was measured daily at 1, 2, 3, 4, 5, 15, 30 and 60 days. After daily fluoride release was measured for 60 days, samples were refluoridated in 1000-ppm sodium fluoride (NaF) solutions (pH 6.6) for 10 min and fluoride release was measured daily for a total of 5 days. The release of fluoride from aesthetic restorative materials was measured by using specific fluoride electrode and an ionanalyser. Results were statistically analysed by two-way repeated measure ANOVA and Duncan's multiple range test. The results revealed that all fluoride-containing materials (Ceramfil beta, Compoglass, Dyract, Tetric) released fluoride initially and the release was greatest at the first day. At any time during the test period Ceramfil beta released the most and Valux Plus did not release any detectable fluoride (P < 0.01). Sample exposures to 1000 ppm NaF solution increased the 24-h fluoride release from all fluoride-containing materials. This difference lasted only 24-48 h after exposure. Ceramfil beta had a tendency to recharge not seen with the other materials (P < 0.05).     

Fluoride release from aged resin composites containing fluoridated glass filler.

OBJECTIVES: The aim of this study was to evaluate the fluoride release from aged resin composites containing different types of fluoridated glass filler into both deionized distilled water and lactic acid solution. METHODS: Three resin composites, UniFil S (containing fluoro-alumino-silicate glass filler), Reactmer (containing pre-reacted glass-ionomer filler) and Beautifil (containing both types of fillers) were used. A conventional glass-ionomer cement, Ketac-Fil, was used as a control. Five disk specimens of each material were prepared and aged in water for 10 weeks. After aging, specimens were immersed in deionized distilled water for a further 6 days and then in aqueous lactic acid (pH 4.0) for 2 days. This process was repeated twice more and the specimens were subsequently immersed in water for a further 12 days. Fluoride release was measured every 2 days throughout the post-aging period. RESULTS: The amount of fluoride release for aged UniFil S and Beautifil markedly increased in acid solution compared with water storage. The difference was not so great for aged Reactmer and Ketac-Fil. UniFil S and Beautifil gave significantly greater fluoride release in water following immersion in acid solution (p<0.05, two-way ANOVA and Scheffe's test), but Reactmer and Ketac-Fil showed no such increase in fluoride release after acid immersion. SIGNIFICANCE: These results suggested that the nature of the fluoridated glass filler within a resin composite and the way in which the material interacts with an acidic environment affected the amount of fluoride released.     

Effects of polysiloxane coating of NaF on the release profile of fluoride ion from Bis-GMA/TEGDMA resin containing NaF.

The aim of this study was to regulate fluoride release from restorative resin containing NaF using N-(beta-aminoethyl)-gamma-aminopropylmethyldimethoxysilane (AMMS) and evaluate factors that regulate fluoride release from the resin. ESCA analysis, FT-IR measurements along with SEM observations demonstrated that a polysiloxane layer was formed on the surface of NaF treated with AMMS. Bis-GMA/TEGDMA resin containing NaF powder treated with AMMS released lower concentrations of fluoride for longer periods when compared with that containing untreated NaF. However, AMMS treatment of NaF was less effective for the regulation of fluoride released from the resin than gamma-methacryloxypropyltrimethoxysilane (gamma-MPTS) treatment, despite its higher hydrophobic polysiloxane layer formation. These findings may have been caused by the higher density of polysiloxane prepared with gamma-MPTS than that prepared with AMMS. The present findings suggested, therefore, that alkoxysilane should be chosen based not only on hydrophobicity but also the density of polysiloxane to effectively regulate fluoride release from the restorative resin containing NaF.     

Effect of CaF2 content on rate of fluoride release from filled resins

Information on the time-dependent release of fluoride from filled resins containing fluoride particles as a function of particle content and solution pH is limited. This study characterized the fluoride ion release from filled resins containing CaF2 particles as a function of filler content and pH. Urethane dimethacrylate and triethylene glycol dimethacrylate resins were used to make filled-resin disks containing 9.09, 23.08, or 33.33 mass% CaF2 filler. Fluoride ion release for the 9.09 mass% concentration was independent of pH. Increasing the filler content from 9.09 to 33.33 mass% increased the fluoride release rate in pH 4.0 buffer solution, because of greater surface degradation. Fluoride ion release from disks stored in pH 6.0 buffer solutions occurred mainly by diffusion from disk surfaces, while fluoride release from disks in pH 4.0 buffers was controlled by diffusion from disk surfaces and degeneration of the resin matrix, which exposed more CaF2 particle surface area.     

The effect of layered double hydroxide on fluoride release and recharge from a commercial and an experimental resin varnish

ObjectivesLayered Double Hydroxide (LDH) is capable of fluoride anion exchange and release. This study investigated the effects of incorporating ZnAl-LDH in commercial and experimental dental varnishes, on fluoride release and re-release after charging in NaF.MethodsFive discs of each material (commercial ClinproXT varnish and experimental light cured resin varnish), with and without 9%ZnAl-LDH were immersed and agitated in deionised water (DW) at 37 °C. A fluoride ion selective electrode measured fluoride release in DW daily over two-weeks. At 3, 6, 9 and 12 days the discs were recharged in 15 ml 0.05 M NaF solution (37 °C) for five minutes followed by immersion in DW. Energy dispersive X-ray spectra (EDS), weight changes and SEMs were performed on discs, before and after each cycle.ResultsEvidence of ZnAl-LDH was confirmed by the presence of peaks for zinc and aluminium in EDS spectra. Cumulative fluoride and mean fluoride released between Clinpro, Clinpro + LDH and resin were significantly different (ANOVA, Tukey’s HSD post-hoc test, p < 0.001) except between the resin and resin + LDH. Mean fluoride concentrations differed significantly after every recharge between Clinpro, Clinpro + LDH and resin, but not between the resin and resin + LDH (p < 0.01). The weights and SEMs of the experimental resins +/-LDH, appeared to be stable whilst the weights of Clinpro samples +/?LDH, fluctuated and fragmented.SignificanceClinproXT and experimental resin containing ZnAl-LDH recharged with fluoride did not significantly increase fluoride release compared to the unmodified materials. However, all LDH-F incorporated materials demonstrated fluoride recharging properties which appear beneficial to dentistry and thus further work is required to improve these properties.     

Tensile strength of the bond between resin to enamel etched with phosphoric acid containing fluoride

The tensile bond strength of Epoxylite 9075 and Enamelite to enamel treated with NaF and SnF2, at two concentrations, in the etching acid (H3PO4) was determined. The average fracture stress of those samples in which fracture occurred in the resin only, may be considered as the tensile strength of the resin, 69.8 +/- 5.6 kg/cm2. The mean fracture stresses of the Epoxy 9075 systems etched with pure phosphoric acid or with acid solutions containing 0.5% F salts were significantly higher than those treated with acid solutions containing 2% F salts. Incorporation of NaF or SnF2 in the etching solutions highly increased the fluoride concentration of enamel. The fluoride increase dependend on the fluoride concentration of the etching solution and was greater for NaF than SnF2.     

Formation of fluoride on enamel in vitro after exposure to fluoridated mouthrinses.

The aim of this study was to quantify the formation of alkali-soluble fluoride (loosely bound fluoride such as calcium fluoride-like material and absorbed fluoride) and alkali-insoluble fluoride (firmly bound fluoride or apatitically bound fluoride) when fluoride mouthrinsing solutions were applied on sound human enamel in vitro. Two commercial products containing 0.2% or 0.05% NaF were used during 30 sec, 60 sec, 5 min, and 60 min. The formation of loosely bound fluoride was determined by KOH extraction and visualized by scanning electron microscopy. The firmly bound fluoride was measured by three consecutive acid etchings of the enamel. Even during short periods of application there were deposits on the enamel surface. The amount of deposit increased with time of exposure to the 0.2% NaF solution. Only after treatment for 60 min with 0.05% NaF were significant amounts of alkali-soluble fluoride deposited. No measurable amounts of firmly bound fluoride were observed.     

Regulation of NaF release from bis-GMA/TEGDMA resin using gamma-methacryloxypropyltrimethoxysilane.

OBJECTIVES: The aim of this study was to evaluate the feasibility of regulation of NaF release from bis-GMA/TEGDMA resin using gamma-methacryloxypropyltrimethoxysilane (gamma-MPTS). METHODS: NaF powder was treated with gamma-MPTS to form a polysiloxane layer on its surface. The morphology and the composition of the NaF powder treated with gamma-MPTS were evaluated using scanning electron microscopy, infrared spectroscopy, contact angle measurement and X-ray photoelectron spectroscopy. Bis-GMA/TEGDMA resin containing 50 wt% NaF powder was prepared as a model resin and immersed in distilled water at 37 degrees C, and the amount of fluoride released from the resin was measured using a fluoride electrode. The mechanical strength in terms of diametral tensile strength before and after fluoride release was also measured, and statistically analyzed using one-way factorial ANOVA and Fisher's PLSD method. RESULTS: NaF powder was covered with hydrophobic gamma-MPTS delivered polysiloxane. A larger amount of fluoride was released at the initial stage from the resin containing NaF treated with no gamma-MPTS. However, fluoride release terminated in a relatively shorter period. In contrast, we observed a smaller amount of fluoride released for a longer period from the resin containing NaF treated with gamma-MPTS. SIGNIFICANCE: We found that gamma-MPTS treatment is useful for the regulation of NaF release from bis-GMA/TEGDMA resin. The mechanism of slow NaF release may be the formation of a hydrophobic polysiloxane layer on the surface of NaF powder and resulting slow water diffusion to NaF powder.     

Effects of different fluoride recharging protocols on fluoride ion release from various orthodontic adhesives

Objective

The purpose of this study was to find the most effective fluoride recharging protocol for orthodontic adhesives.

Methods

Five orthodontic adhesives were used: a non-fluoride-releasing composite, a fluoride-releasing composite, a polyacid-modified composite (compomer), and two resin-modified glass-ionomer cements (RMGICs). Each specimen was placed into deionized water (DW) and the initial fluoride ion release was measured for 2 months. Each specimen was then subjected to four different treatments to simulate a fluoride recharge: 1000 ppm NaF solution, acidulated phosphate fluoride gel (APF), fluoride-containing dentifrice and DW (control). After topical fluoride treatment, each specimen was submitted to fluoride re-release tests.

Results

Fluoride-containing adhesives initially showed higher rates of fluoride ion release, but significantly declined to lower levels. The overall cumulative fluoride ion release during the initial period was RMGICs > compomer > fluoride-containing composite > non-fluoride-releasing composite. After topical fluoride treatment, the amount of fluoride ion re-released was proportional to the amount of fluoride ion previously released from the adhesives. However, the amount of fluoride ions released only lasted for 2 days and then returned to the levels before fluoride application. The overall cumulative fluoride ion re-release according to the fluoride treatments was APF and NaF solution > dentifrice.

Conclusion

This study suggests that using the combination of RMGICs and a fluoride-containing mouth rinse solution is the most effective protocol for long-term fluoride re-release from orthodontic adhesives, given the difficulty of routine use of APF at home, although all topical fluoride treatments can recharge fluoride ion in adhesives.     

Effect of fluoride-releasing liner on demineralized dentin.

OBJECTIVE: The aim of this study was to evaluate the remineralization of residual demineralized dentin underneath restorations by fluoride-releasing liners in vitro. METHOD AND MATERIALS: Two glass-ionomer cement liners, Lining Cement (GC) and RK-141A (GC), and two light-cured resin liners with and without 5 wt% NaF were used in this study. The resin liners were made by mixing TEGDMA and bis-GMA. Class 5 cavities were prepared on extracted human premolars. Demineralized dentin was promoted by using a bacterial caries induction system at the cavity floor. Cavities were restored with a resin composite following application of each liner. Specimens were then stored for 4 weeks at 37 degrees C and 100% humidity. After storage, the specimens were cut through the restorations, and axial sections of about 80-microm thickness were prepared. Contact microradiographs were taken, and the radiopacity of the demineralized dentin layer underneath the liner was analyzed. RESULTS: The ratios of radiopacity of demineralized dentin under the fluoride-releasing liners were significantly higher than those under the resin liner without fluoride release. Although the amounts of fluoride release from the glass-ionomer cement liners were lower than that from the resin liner with fluoride release, there were no significant differences in the ratios of radiopacity in demineralized dentin layers among the 3 liners with fluoride release. CONCLUSION: Although the fluoride released from liners can enhance remineralization of demineralized dentin, the amount of fluoride release does not affect the ratio of radiopacity in the remineralized dentin.     

Properties of fluoride-releasing light-activated resin cement.

OBJECTIVES: Fluoroaluminosilicate glass and poly(acrylic acid) in small water phase was incorporated into resin composite cements to reduce or prevent secondary caries around luted restorations. The purpose of this study was to investigate the physical properties and the amounts of fluoride released from four types of visible light-activated resin cements. METHODS: A powder was composed of silanized SiO2 filler and 4.5 wt.% (G-4.5), 9.5 wt.% (G-9.5) or 19.5 wt.% (G-19.5) fluoroaluminosilicate glass and 0.5 wt.% reducing agent. The 45.25 wt.% triethylene glycol dimethacrylate (TEGDMA), 45.25 wt.% 2-hydroxyethyl methacrylate (HEMA), 9 wt.% poly(acrylic acid) solution in water and 0.5 wt.% camphorquinone were contained in a liquid. The powder and liquid were mixed at a 3:1 ratio by weight and the three types of specimen disks were cured using a photo-curing lamp. The TEGDMA-based composite cement was used as control (G-0). The specimens were immersed in water at 37 degrees C for 24 h or 6 months and compressive strength (CS) and diametral tensile strength (DTS) were evaluated for the four experimental materials. Disks prepared from the four resin cements were also immersed in deionized distilled water at 37 degrees C, and the fluoride released was measured over a period of 24 weeks. RESULTS: G-9.5 specimens showed almost the same CS and DTS as G-4.5 and G-0 specimens and significantly higher values for both parameters than G-19.5 specimens after 6 months of water storage. The amount of fluoride released from the three fluoride-containing resin cements continued to increase over the entire experimental period. The fluoride release rates of G-9.5 and G-19.5 resin cements were almost the same and were significantly greater than that of the G-4.5 resin cement. SIGNIFICANCE: G-9.5 containing 9.5 wt.% fluoroaluminosilicate glass may be a clinically useful resin cement due to its favorable physical properties and fluoride release.     

Fluoride release and uptake from glass ionomer cements and composite resins

The aim of this investigation was to evaluate fluoride release and uptake from 4 glass ionomer cements (GICs)--Vitremer (VIT), Fuji II LC (FII LC), Fuji IX (FIX), Chelon Fill (CHE)--and 2 composite resins (CRs)--Heliomolar (H) and Zeta-100 (Z-100). Eight discs (8 mm x 2 mm) were made of each material and were stored in plastic vials containing artificial saliva at 37 degrees C. In group 1 (N = 3), the specimens were immersed in artificial saliva which was changed daily for 25 days. In group 2 (N = 5), besides receiving the same treatment as group 1, the specimens were immersed, after 24 hours, in a fluoride solution (1% NaF) for 1 min before daily saliva change. An ion-specific electrode (9609 BN-Orion) connected to an ion analyzer (SA-720 Procyon) was used to determine the amount of fluoride released at days 1, 2, 5, 10, 15, 20 and 25. Data were analyzed using two way ANOVA and Friedman's test. GICs released more fluoride during the first day and after this period the mean fluoride released decreased. Composite resin H released fluoride during the first day only and Z-100 did not release fluoride. In terms of NaF treatment, CRs did not show fluoride uptake, whereas the GICs showed fluoride uptake (VIT = FII LC = CHE > FIX).     

Cytotoxicity of a trial resin composite liner containing TiK2F6 on rat dental pulp cells

The aim of this study was to assess the toxicological responses of a resin composite containing TiK2F6 and NaF in rat dental pulp cells. Trial resin composite liners were made, containing 3 wt% fluorides (TiK2F6 or NaF). These specimens were immersed in 5 ml of cell culture medium supplemented at 37 degrees C for 24 hours. The eluates were used for the experiments. We judged the cytotoxicity of the samples by the cell viability. The original elute solution was serially diluted and then the medium was exchanged for the dilute medium. The cell viability at 1, 2 or 5 days after commencement of re-culturing was calculated. The viability of cells in the eluate from the resin composite liners containing TiK2F6 and NaF decreased with time. The cytotoxicity of TiK2F6 was weaker than that of NaF at all times.     

Fluoride release from three glass ionomers, a compomer, and a composite resin in water, artificial saliva, and lactic acid

The amounts and the pattern of fluoride release from one metal-reinforced glass ionomer cement, two resin-modified glass ionomer cements, one compomer, and one composite resin placed in double-distilled water, artificial saliva, and lactic acid were evaluated in this study. Measurements of fluoride ion release were made for a total of 105 cylindrical specimens (10 mm in diameter and 1.5 mm in height). They were taken over a period of 16 weeks at the intervals of 4, 8, 12, and 24 hours, as well as 2, 3, 7, 14, 28, 56, and 112 days. The pattern of fluoride release was similar for all of the examined materials. The greatest amount of fluoride was released from the metal-reinforced glass ionomer Argion. The resin-modified glass ionomers Vitremer, Fuji II LC; the compomer Dyract; and the composite resin Tetric followed in ranking order. The pH of the environment strongly affected the fluoride release from the materials. There was a significant difference (P < 0.001) in the amounts of fluoride released in lactic acid vs water and artificial saliva, whereas, there was no significant difference (P > 0.05) in the amounts of fluoride released in water vs artificial saliva.     

Novel dental resin composites containing LiAl-F layered double hydroxide (LDH) filler: Fluoride release/recharge,mechanical properties,color change,and cytotoxicity

ObjectivesA novel LiAl-F layered double hydroxide (LDH) with a beneficial anions-exchangeable feature was developed for use as a fluoride reservoir. This study aims to investigate the fluoride release/ recharge capability of an LDH-contained dental resin composite and their effects on physical and biological properties.Methods3% and 5% of LDH (R3, R5), wet-milled micro-scale LDH (R3W, R5W), or dry-milled nano-scale LDH (R3D, R5D) were added to a micro-hybrid flowable resin composite (RX). A commercial dental compomer (CC) was selected for comparison. An ion selective electrode recorded the daily fluoride release for 90 days (Daily fluoride recharging from 30th to 60th day). The flexural tests were performed according to ISO 4049. Also, the surface microhardness, color changes (L*, a*, b*), Al³⁺/Li⁺ ion leaching, and cytotoxicity were evaluated.ResultsThe LDH-contained resin composites show significantly increased fluoride release and recharge capability. Among them, R3 and R5 have more stable and long-term fluoride release than R3W, R5W, R3D, R5D, and CC. The LDH filler did not induce cytotoxicity, although few amounts of Al³⁺/Li⁺ ions were detected on the first day. The LDH filler did not alter the flexural strength of RX, and the microhardness (R3, R5, R3D, and R5D) was significantly higher than the CC group (P < 0.01). The LDH filler slightly increased the color of the composite in red (a* values) and yellow (b* values).Significance. The LiAl-F LDH can be a fluoride reservoir filler for dental resin composites that increases the anti-caries ability.     

The early fluoride release pattern of an aged glass ionomer treated with fluoride

The aim of this study was to examine the pattern of early fluoride release from aged glass-ionomer cement after treatment with a 1,000 mg/L NaF solution using hourly and daily time point and to investigate whether surface profile affected release. Composite resin was used as a control. The aged glass-ionomer discs showed a 1.5 fold greater rate of fluoride release during 1st hour post-treatment, equivalent to the original fluoride release value of the newly mixed material. This rate of release dropped sharply to 3 fold greater than baseline during the 2nd hour Composite resin showed negligible levels of release. No significant differences were found between smooth and rough surfaced groups.     

Fluoride release and uptake by various dental materials after fluoride application

PURPOSE: To measure the amounts of fluoride released from fluoride-containing materials before and after daily topical fluoride applications. METHODS: A conventional glass-ionomer: Fuji Ionomer Type II (F2); a resin-modified glass-ionomer: Fuji Ionomer Type II LC (LC); two "giomer" materials: Reactmer Paste (RP), and Beautifil (BT); a fluoride-containing resin composite: Unifil F (UF); and a non-fluoride resin composite: AP-X (AP) were used in this study. Each material was filled into a plastic mold, with inner diameter of 9 mm wide x 3 mm high. The specimens were stored in vials filled with 8 ml distilled deionized water for 24 hours at 37 degrees C. The specimens were then removed from the vials and the amount of fluoride released into the water, over the 24-hour period, was measured. The amount of fluoride released was measured by using specific fluoride electrode and an ion-analyzer. These procedures were repeated at Days 2, 3, 7, 14, and 21. After 21 days, all specimens were exposed to 1000 ppm F NaF solution for 5 minutes once a day. This procedure and measurement of fluoride release were continued for 14 days. After 14 days, the specimens were placed in water for 7 days and fluoride release was measured. The results were statistically analyzed using Kruskal-Wallis and Mann-Whitney U-test (P< 0.05). RESULTS: At the 22nd day (1 day after starting fluoride exposure), there was no difference between the F2 and RP, though there were significant differences between the two GICs and the groups BT and UF. After that day, there were significant differences between GIC and the group RP, BT and UF. All materials showed a decrease in fluoride release 7 days after end of the fluoride immersion period. F2, LC, and UF showed no significant difference of fluoride release between Day 21 and 1 day after the end of the fluoride immersion period (P= 0.310: F2 and UF, 0.548: LC). On the other hand, RP and BT revealed lower fluoride release 1 day after the end of the fluoride immersion period as compared to Day 21 (P= 0.075: RP, 1.000: BT). For AP, fluoride release was not detected after the fluoride immersion period.     

Effect in vitro acidification on plaque fluid composition with and without a NaF or a controlled-release fluoride rinse

Plaque fluid ion concentration changes, especially fluoride, in response to the pH decrease associated with a cariogenic episode are important components of the caries process. A "controlled-release" (CR) fluoride rinse, based on the controlled release of fluoride in the presence of calcium, has been shown to form large fluoride reservoirs in resting plaque. In this study, the in vitro acid-induced release of fluoride, and other ions, was examined in 48-hour-fasted plaque fluid from subjects (n = 11) who received no rinse, or who used a 228-ppm CR or NaF fluoride rinse 1 hr before being sampled. After collection, the plaque was centrifuged to yield plaque fluid, acidified (0.1 microL of 0.5 mol/L HCl per milligram plaque), and then re-centrifuged before a second sample was obtained. Although previous studies indicated a higher plaque fluid fluoride after the new rinse relative to NaF, no statistically significant difference was observed here. Average fluoride release after acidification (average pH, 5.2) was statistically greater following the use of the CR rinse (153 micromol/L) compared with the NaF rinse (17 micromol/L). No fluoride release was seen in the no-rinse samples. The pH, free calcium, phosphate, acetate, propionate, and buffer capacity were not affected by the different amounts of fluoride deposited in the plaque. However, following acid addition, an increase in free calcium and phosphate was observed, which was also independent of the rinse. The large release of fluoride following acidification suggests that the new rinse may provide an improved cariostatic effect.