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      Role of titanium tetrafluoride (TiF 4) in conservative dentistry: A systematic review

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          Abstract

          The role of fluoride to reduce demineralization and enhance remineralization of dental hard tissue has been well documented. Different forms of fluoride solutions have been topically used in dentistry as prophylactic agents against tooth decay. In the recent past, metal fluorides, especially titanium tetrafluoride, have become popular in the fraternity of dental research due to their unique interaction with dental hard tissue. Many studies on titanium tetrafluoride, with positive and negative conclusions, have been published in many research journals. This gives the reader a plethora of inconclusive results with one study neutralizing the outcome of other, which confuses us regarding the present status of titanium tetrafluoride in the field of dentistry. This is an endeavor to organize and present the various studies of this unique compound, to provide us with a lucid overall review of its versatile potential application in dentistry, along with its fallacy/drawbacks. We have discussed its role as a cariostatic agent, pit and fissure sealant, tooth desensitizer, against dental erosion, as a root canal irrigant and others.

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          Most cited references54

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          A preliminary scanning electron microscopic study of root canals after endodontic procedures.

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            Dental erosion. Definition, classification and links.

            An overview of tooth wear, i.e. of non-carious destructive processes affecting the teeth including abrasion, demastication, attrition, abfraction, resorption and erosion is presented. The nomenclature and classification of dental erosion commonly used in the dental literature are summarized. They are based on etiology (extrinsic, intrinsic, idiopathic), on clinical severity (Classes I to III), on pathogenetic activity (manifest, latent) or on localization (perimolysis). Interactions between erosion and abrasion, demastication, attrition, and abfraction as well as caries and low salivary flow rate are highlighted.
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              Antimicrobial actions of fluoride for oral bacteria.

              Fluoride is widely used as a highly effective anticaries agent. Although it is felt that its anticaries action is related mainly to effects on mineral phases of teeth and on the process of remineralization, fluoride also has important effects on the bacteria of dental plaque, which are responsible for the acidification of plaque that results in demineralization. The results of recent studies have shown that fluoride can affect bacterial metabolism through a set of actions with fundamentally different mechanisms. It can act directly as an enzyme inhibitor, for example for the glycolytic enzyme enolase, which is inhibited in a quasi-irreversible manner. Direct action seems also to occur in inhibition of heme-based peroxidases with binding of fluoride to heme. The flavin-based peroxidases of many oral bacteria are insensitive to fluoride. Another mode of action involves formation of metal-fluoride complexes, most commonly AlF4-. These complexes are responsible for fluoride inhibition of proton-translocating F-ATPases and are thought to act by mimicking phosphate to form complexes with ADP at reaction centers of the enzymes. However, the actions of fluoride that are most pertinent to reducing the cariogenicity of dental plaque are those related to its weak-acid character. Fluoride acts to enhance membrane permeabilities to protons and compromises the functioning of F-ATPases in exporting protons, thereby inducing cytoplasmic acidification and acid inhibition of glycolytic enzymes. Basically, fluoride acts to reduce the acid tolerance of the bacteria. It is most effective at acid pH values. In the acidic conditions of cariogenic plaque, fluoride at levels as low as 0.1 mM can cause complete arrest of glycolysis by intact cells of Streptococcus mutans. Overall, the anticaries actions of fluoride appear to be complex, involving effects both on bacteria and on mineral phases. The antibacterial actions of fluoride appear themselves to be complex but to be dominated by weak-acid effects.
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                Author and article information

                Journal
                J Conserv Dent
                JCD
                Journal of Conservative Dentistry : JCD
                Medknow Publications (India )
                0972-0707
                0974-5203
                Apr-Jun 2011
                : 14
                : 2
                : 98-102
                Affiliations
                [1]Department of Conservative Dentistry, Chandra Dental College and Hospital, Safedabad, Barabanki, India
                [1 ]FODS-CSMMU, Faculty of dental sciences-Chatrapati Shahuji Maharaja Medical University, Lucknow, Uttar Pradesh, India
                Author notes
                Address for correspondence: Dr. Pragya Wahengbam, 2\27 Vivek Khand, 2 Gomti Nagar, Lucknow, Uttar Pradesh - 226 010, India. E-mail: w.pragya78@ 123456gmail.com
                Article
                JCD-14-98
                10.4103/0972-0707.82598
                3146121
                21814345
                57229da2-b78e-4035-974f-c152fa580fe1
                © Journal of Conservative Dentistry

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 13 March 2010
                : 22 June 2010
                : 13 September 2010
                Categories
                Invited Review

                Dentistry
                irrigant,fissure,desensitizer,tif4,erosion,pit,chemistry,cariostatic
                Dentistry
                irrigant, fissure, desensitizer, tif4, erosion, pit, chemistry, cariostatic

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