Objectives: Application of acidulated phosphate fluoride (APF) gels has long been considered to cause deterioration of composite surfaces. The aims of this study were to demonstrate that nanocomposite surfaces were not affected by some APF gels and to investigate the possible underlying mechanisms.
Methods: The elemental composition and viscosity of 3 acidulated phosphate fluoride (APF) agents (60 Second Taste Gel, Topex, and Zap) and 1 neutral fluoride agent (pH7 Gel) were analyzed. Subsequently, 320 specimens of 3 nanocomposites (Premisa, Filtek Z350, and Grandio) and a microhybrid composite (Estelite Sigma) with 80 specimens for each composite were randomly divided into 5 groups (n=16) and treated with 4 fluoride gels as well as distilled water which served as the control. Fluoride gels were applied on composite resin surfaces 4 times, 30 min each time. The roughness and microhardness were measured after treatments. Qualitative examination of the surface degradation of the composites was carried out with Fourier transforming infrared spectroscopy (FTIR) and scanning electron microscopy (SEM).
Results: Topex and Zap did not cause surface changes of composite resins, the possible reason being ascribed to the presence of magnesium aluminum silicate (MAS) clays. In contrast, 60 Second Taste Gel treatments caused significant roughness increase, microhardness decrease, more prominent filler dissolution, and IR spectral changes of Premisa, Filtek Z350, and Grandio. Estelite Sigma was less affected by the 4 fluoride gels.
Significance: The composite surfaces were not affected by Topex or Zap even after extended treatments. These two APF gels may be more suitable for clinical applications.
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