Abstract
This study aimed to evaluate the effect of three inorganic materials:casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), calcium sodium phosphosilicate (CSP) and sodium fluoride (NaF) on their remineralization potential. CPP-ACP, CSP and NaF were applicated in demineralized enamel for 4 h and then all enamel samples were immersed in remineralization solution. After 10 days, all samples were prepared for microhardness test, scanning electron microscopy (SEM) observation and the elemental level (%) analysis by energy dispersive X-ray spectroscopy (EDX). The surface microhardness (SMH) values of three experimental groups were significantly higher than that of control group (P<0.05). The SMH value of NaF group was significantly higher than other experimental groups (P<0.05). The SEM micrographs showed that three remineralization materials caused distinct morphological changes and remineralized deposits were different from each other. EDX elemental analysis showed that there were significant differences in the Ca (wt%) and Ca:P molar ratio of the enamel layer among control and experimental groups. The Ca (wt%) and Ca:P molar ratio in NaF group were significantly higher than those of other experimental groups. There were no significant differences in P (wt%) among control and experimental groups (P<0.05). Three remineralization materials used in our study had the potential of remineralizing the demineralized enamel. NaF is the best and most feasible choice to be used in remineralizing the demineralized enamel.
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References
Margolis HC, Moreno EC. Physicochemical Perspectives on the Cariostatic Mechanisms of Systemic and Topical Fluorides[J]. J. Dent. Res., 1990, 69 Spec No: 606–613, 634–636
Hicks J, Garcia-Godoy F, Flaitz C. Biological Factors in Dental Caries: Role of Remineralization and Fluoride in the Dynamic Process of Demineralization and Remineralization (Part 3)[J]. J Clin Pediatr Dent, 2004, 28(3):203–214
Cochrane NJ, Cai F, Huq NL, et al. New Approaches to Enhanced Remineralization of Tooth Enamel[J]. J. Dent. Res., 2010, 89(11):1 187–1 197
Benson PE, Shah AA, Millett DT, et al. Fluorides, Orthodontics and Demineralization: A Systematic Review[J]. J Orthod, 2005, 32(2): 102–114
Reynolds EC, Cain CJ, Webber FL, et al. Anticariogenicity of Calcium Phosphate Complexes of Tryptic Casein Phosphopeptides in the Rat[J]. J. Dent. Res., 1995, 74(6): 1 272–1 279
Reynolds EC, Cai F, Cochrane NJ, et al. Fluoride and Casein Phosphopeptide-Amorphous Calcium Phosphate[J]. J. Dent. Res., 2008, 87(4): 344–348
Cross KJ, Huq NL, Palamara JE, et al. Physicochemical Characterization of Casein Phosphopeptide-Amorphous Calcium Phosphate Nanocomplexes[J]. J. Biol. Chem., 2005, 280(15): 15 362–15 369
Yamaguchi K, Miyazaki M, Takamizawa T, et al. Effect of CPP-ACP Paste On Mechanical Properties of Bovine Enamel as Determined by an Ultrasonic Device[J]. J. Dent., 2006, 34(3): 230–236
Kokubo T, Kim HM, Kawashita M. Novel Bioactive Materials with Different Mechanical Properties[J]. Biomaterials, 2003, 24(13): 2 161–2 175
Burwell AK, Litkowski LJ, Greenspan DC. Calcium Sodium Phosphosilicate (NovaMin): Remineralization Potential[J]. Adv. Dent. Res., 2009, 21(1): 35–39
Tung MS, Eichmiller FC. Amorphous Calcium Phosphates for Tooth Mineralization[J]. Compend. Contin. Educ. Dent., 2004, 25(9 Suppl 1): 9–13
Du Min Q, Bian Z, Jiang H, et al. Clinical Evaluation of a Dentifrice Containing Calcium Sodium Phosphosilicate (Novamin) for the Treatment of Dentin Hypersensitivity[J]. Am. J. Dent., 2008, 21(4): 210–214
Featherstone JD. The Science and Practice of Caries Prevention[J]. Journal of American Dental Association, 2000, 131:887–899
Weir MD, Chow LC, Xu HH. Remineralization of Demineralized Enamel Via Calcium Phosphate Nanocomposite[J]. J. Dent. Res., 2012, 91(10): 979–984
Cochrane NJ, Zero DT, Reynolds EC. Remineralization Models[J]. Adv. Dent. Res., 2012, 24(2): 129–132
Amaechi BT, Ramalingam K, Mensinkai PK, et al. In Situ Remineralization of Early Caries by a New High-Fluoride Dentifrice[J]. Gen. Dent., 2012, 60(4): e186–e192
Khoroushi M, Mazaheri H, Manoochehri A. Effect of CPP-ACP Application On Flexural Strength of Bleached Enamel and Dentin Complex[J]. Oper. Dent., 2011, 36(4): 372–379
Reynolds EC. Anticariogenic Complexes of Amorphous Calcium Phosphate Stabilized by Casein Phosphopeptides: A Review[J]. Spec. Care. Dentist., 1998, 18(1):8–16
Aimutis WR. Bioactive Properties of Milk Proteins with Particular Focus On Anticariogenesis[J]. J. Nutr., 2004, 134(4):989S–995S
Cochrane NJ, Saranathan S, Cai F, et al. Enamel Subsurface Lesion Remineralisation with Casein Phosphopeptide Stabilised Solutions of Calcium, Phosphate and Fluoride[J]. Caries Res., 2008, 42(2): 88–97
Srinivasan N, Kavitha M, Loganathan SC. Comparison of the Remineralization Potential of CPP-ACP and CPP-ACP with 900 Ppm Fluoride On Eroded Human Enamel: An in Situ Study[J]. Arch. Oral Biol., 2010, 55(7): 541–544
Cerruti MG, Greenspan D, Powers K. An Analytical Model for the Dissolution of Different Particle Size Samples of Bioglass in TRISbuffered Solution[J]. Biomaterials, 2005, 26(24): 4 903–4 911
Andersson OH, Kangasniemi I. Calcium Phosphate Formation at the Surface of Bioactive Glass in Vitro[J]. J. Biomed. Mater. Res., 1991, 25(8): 1 019–1 030
Amaechi BT, Ramalingam K, Mensinkai PK, et al. In Situ Remineralization of Early Caries by a New High-Fluoride Dentifrice[J]. Gen Dent, 2012, 60(4): e186–e192
Al-Mullahi AM, Toumba KJ. Effect of Slow-Release Fluoride Devices and Casein Phosphopeptide/Amorphous Calcium Phosphate Nanocomplexes On Enamel Remineralization in Vitro[J]. Caries Res., 2010, 44(4): 364–371
Langhorst SE, O’Donnell JN, Skrtic D. In Vitro Remineralization of Enamel by Polymeric Amorphous Calcium Phosphate Composite: Quantitative Microradiographic Study[J]. Dent. Mater., 2009, 25(7): 884–891
Zhang LL, Li JY, Zhou XD, et al. Chemical and Crystallographic Study of Remineralized Surface On Initial Carious Enamel Treated with Galla Chinensis[J]. Scanning, 2009, 31(6): 236–245
Hara AT, Karlinsey RL, Zero DT. Dentine Remineralization by Simulated Saliva Formulations with Different Ca and Pi Contents[J]. Caries Res., 2008, 42(1):51–56
Lambrou D, Larsen MJ, Fejerskov O, Tachos B. The Effect of Fluoride in Saliva On Remineralization of Dental Enamel in Humans[J]. Caries Res., 1981, 15(5): 341–345
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Funded by the National Natural Science Foundation of China (Nos. 81070852 and 81171010)
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Lei, J., Guo, J., Fu, D. et al. Influence of three remineralization materials on physicochemical structure of demineralized enamel. J. Wuhan Univ. Technol.-Mat. Sci. Edit. 29, 410–416 (2014). https://doi.org/10.1007/s11595-014-0931-6
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DOI: https://doi.org/10.1007/s11595-014-0931-6