In Vitro Evaluation of the Effects of Toothpastes and Color Correctors on the Surface Integrity of Demineralized Human Enamel

Background/Objectives: This in vitro study evaluated the effects of fluoride-free toothpaste, fluoride-containing toothpaste, and a color-correcting gel on the morphology, composition, and mechanical properties of demineralized human enamel. The hypothesis was that fluoride-containing formulations would better preserve enamel integrity compared to non-fluoride and cosmetic products. Methods: Extracted human teeth (n = 3 per group) were demineralized with 36% phosphoric acid and assigned to four groups: E0 (control), E1 (fluoride-free toothpaste), E2 (fluoride-containing toothpaste), and E3 (color-correcting gel). Brushing was performed manually twice daily for 7 days using standardized force. Surface morphology and elemental composition were assessed via SEM–EDX; chemical changes were analyzed by FTIR; mechanical properties were evaluated using the Vickers microhardness test. Results: E1 exhibited the highest microhardness (343.6 HV) but also the highest Ca/P ratio (2.37) and most pronounced surface roughness (p < 0.05 vs. control). E2 showed a balanced Ca/P ratio (2.07), smoother morphology, and detectable fluoride incorporation, despite a lower hardness value (214.5 HV). E3 presented moderate changes in both morphology and composition, with a Ca/P ratio similar to the control (2.06) but surface irregularities visible by SEM. The apparent paradox in E1—high hardness with structural damage—may be due to superficial mineral precipitation without true remineralization. Conclusions: Fluoride-containing toothpaste preserved enamel morphology and chemistry more effectively than the other formulations. Increased hardness in E1 does not necessarily indicate clinical benefit. In vivo studies with longer protocols and pH cycling are needed to confirm these findings.