Caries-preventive effect of anti-erosive and nano-hydroxyapatite-containing toothpastes in vitro

Esteves‐Oliveira, Marcella; Nm, Santos; Meyer-Lueckel, Hendrik; Wierichs, Richard Johannes; Rodrigues, José Augusto

doi:10.1007/s00784-016-1789-0

Cited by 47 publications

(28 citation statements)

References 49 publications

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“…These slices were prepared for transversal microradiography (TMR) analysis in order to select specimens with comparable and homogeneous demineralization. This way, 220 specimens with a mean (95% confidence interval [CI]) baseline mineral loss (ΔZ B ) of 2,365 vol% × µm (2,298; 2,432) and a mean lesion depth (LD B ) of 143.5 µm (140.3; 146.8) were chosen from the 400 specimens originally prepared [Esteves-Oliveira et al, 2017].…”

Section: Lesion Formationmentioning

confidence: 99%

Caries-Preventive Effect of NaF, NaF plus TCP, NaF plus CPP-ACP, and SDF Varnishes on Sound Dentin and Artificial Dentin Caries in vitro

Wierichs

Stausberg²,

Lausch³

et al. 2018

Caries Res

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The aim of this study was to compare the caries-preventive effect of different fluoride varnishes on sound dentin as well as on artificial dentin caries-like lesions. Bovine dentin specimens (n = 220) with one sound surface (ST) and one artificial caries lesion (DT) were prepared and randomly allocated to 11 groups. The interventions before pH cycling were as follows: application of a varnish containing NaF (22,600 ppm F^-; Duraphat [NaF₀/NaF₁]), NaF plus tricalcium phosphate (22,600 ppm F^-; Clinpro White Varnish Mint [TCP₀/TCP₁]), NaF plus casein phosphopeptide-stabilized amorphous calcium phosphate complexes (CPP-ACP; 22,600 ppm F^-; MI Varnish [CPP₀/CPP₁]), or silver diamine fluoride (SDF; 35,400 ppm F^-; Cariestop 30% [SDF₀/SDF₁]) and no intervention (N_NB/N₀/N₁). During pH cycling (14 days, 6 × 120 min demineralization/day) half of the specimens in each group were brushed (10 s; 2 times/day) with either fluoride-free (“0”; e.g., TCP₀) or 1,100 ppm F^- (“1”; e.g., TCP₁) dentifrice slurry. In another subgroup, the specimens were pH cycled but not brushed (N_NB). Differences in integrated mineral loss (ΔΔZ), lesion depth (ΔLD), and colorimetric values (ΔΔE) were calculated between the values after initial demineralization and those after pH cycling, using transversal microradiography and photographic images. After pH cycling, no discoloration could be observed. Furthermore, N_NB, N₀, and N₁ showed significantly increased ΔZ_DT/LD_DT and ΔZ_ST/LD_ST values, indicating further demineralization. In contrast, CPP₀, CPP₁, SDF₀, and SDF₁ showed significantly decreased ΔZ_DT/LD_DT values, indicating remineralization (p ≤ 0.004; paired t test). CPP₀, CPP₁, SDF₀, and SDF₁ showed significantly higher changes in ΔΔZ_DT/ΔLD_DT and ΔΔZ_ST/ΔLD_ST than N_NB, N₀, and N₁ (p < 0.001; Bonferroni post hoc test). In conclusion, under the conditions chosen, all fluoride varnishes prevented further demineralization. However, only NaF plus CPP-ACP and SDF could remineralize artificial dentin caries-like lesions under net-demineralizing conditions, thereby indicating that NaF plus CPP-ACP and SDF may be helpful to high-caries-risk patients.

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Section: Lesion Formationmentioning

confidence: 99%

Caries-Preventive Effect of NaF, NaF plus TCP, NaF plus CPP-ACP, and SDF Varnishes on Sound Dentin and Artificial Dentin Caries in vitro

Wierichs

Stausberg²,

Lausch³

et al. 2018

Caries Res

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“…Changes in mineral loss (ΔΔZ = ΔZ baseline -ΔZ pH-cycle ) and lesion depth (ΔLD = LD baseline -LD pH-cycle ) were calculated between values after pre-demineralization and after pH-cycling (ΔΔZ and ΔLD) using transversal microradiographic images. Microradiographs of the enamel specimens were obtained and analyzed as described previously [Meyer-Lueckel et al, 2015b;Esteves-Oliveira et al, 2017]. Furthermore, graphics of mean mineral density profiles were prepared for all groups with the TMR/ WIM Calculation Program (v5.25; University of Groningen, The Netherlands) and are presented in online supplementary Figure 5 .…”

Section: Transversal Microradiographic Analysismentioning

confidence: 99%

Effects of Self-Assembling Peptide P11-4, Fluorides, and Caries Infiltration on Artificial Enamel Caries Lesions in vitro

et al. 2017

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The application of a self-assembling peptide on noncavitated caries lesions is supposed to be a feasible approach to facilitate remineralization and mask their unfavorable appearance. However, demineralizing conditions are common in the oral environment, so the aim of this pH-cycling study was to compare recommended and novel treatment methods regarding their ability to hamper demineralization and as a consequence mask artificial enamel caries lesions. Artificial caries lesions were prepared in bovine enamel and randomly allocated to 11 groups (n = 22). Treatments before pH-cycling were as follows: the application of a self-assembling peptide (Curodont™ Repair [C]), a low-viscosity resin (Icon® [I]), 2 fluoride solutions (10,000 ppm F^-: Elmex fluid [E] and 43,350 ppm F^-: Tiefenfluorid® [T]), and no intervention (N). During pH-cycling (28 days, 6 × 60 min demineralization/day) half of the specimens in each group were brushed (10 s; 2 ×/day) with either fluoride-free (named e.g., C₀) or NaF (1,100 ppm F^-; e.g., C₁) dentifrice slurry. In another subgroup specimens were pH-cycled but not brushed (N_NB). Differences in integrated mineral loss (ΔΔZ), lesion depth (ΔLD), and colorimetric values (ΔΔE) were calculated between values after pre-demineralization, surface treatment, and pH-cycling. Specimens of C₀, C₁, N_NB, N₀, N₁, T₀, and E₀ showed significantly increased ΔZ and LD values after pH-cycling (p ≤ 0.003; paired t test). C₀, C₁, N_NB, and N₀ showed significantly higher changes in ΔΔZ than E₁, I₀, I₁, and T₁ (p < 0.001; ANOVA). Significantly reduced colorimetric values could only be observed for I₁, I₀, E₁, and E₀ after treatment and after pH-cycling (p ≤ 0.027; paired t test). In conclusion, under the conditions chosen only the application of a low-viscosity resin could mask caries lesions significantly, whereas self-assembling peptides could neither inhibit lesion progression nor mask the lesions considerably.

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“…Although most of the literature confirmed these promising properties of hydroxyapatite nanoparticles, there are very divergent results [7]. While an increasing number of experiments revealed the potential of nano-HAP to repair enamel [1,2,[19][20][21], other studies present no difference between the nano-HAP treatment and the standard fluoride treatment regarding the remineralization effects, some even showing less effective results [3,11,22]. These varying conclusions might be related to the methodology applied.…”

Section: Introductionmentioning

confidence: 99%

Adhesion of Hydroxyapatite Nanoparticles to Dental Materials under Oral Conditions

2020

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Hydroxyapatite nanoparticles (nano-HAP) are receiving considerable attention for dental applications, and their adhesion to enamel is well established. However, there are no reports concerning the effects of HAP on other dental materials, and most of the studies in this field are based on in vitro designs, neglecting the salivary pellicle-apatite interactions. Thus, this in situ pilot study aims to evaluate the effects of three hydroxyapatite-based solutions and their interactions with different dental material surfaces under oral conditions. Hence, two volunteers carried intraoral splints with mounted samples from enamel and from three dental materials: titanium, ceramics, and polymethyl-methacrylate (PMMA). Three HAP watery solutions (5%) were prepared with different shapes and sizes of nano-HAP (HAP I, HAP II, HAP III). After 3 min of pellicle formation, 10 ml rinse was performed during 30 sec. Rinsing with water served as control. Samples were accessed immediately after rinsing, 30 min and 2 h after rinsing. Scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were used to characterize the particles, and SEM evaluated the pellicle-HAP interactions. SEM and TEM results showed a high variation in the size range of the particles applied. A heterogeneous HAP layer was present after 2 h on enamel, titanium, ceramics, and PMMA surfaces under oral conditions. Bridge-like structures were visible between the nano-HAP and the pellicle formed on enamel, titanium, and PMMA surfaces. In conclusion, nano-HAP can adhere not only to enamel but also to artificial dental surfaces under oral conditions. The experiment showed that the acquired pellicle act as a bridge between the nano-HAP and the materials’ surface.

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Caries-preventive effect of anti-erosive and nano-hydroxyapatite-containing toothpastes in vitro

Abstract: While both anti-erosive and anti-caries toothpastes reduced mineral loss to a similar extent, the fluoride-free nano-hydroxyapatite-containing toothpaste seemed not to be suitable for inhibition of caries demineralization in vitro.

Cited by 47 publications

References 49 publications

Caries-Preventive Effect of NaF, NaF plus TCP, NaF plus CPP-ACP, and SDF Varnishes on Sound Dentin and Artificial Dentin Caries in vitro

Caries-Preventive Effect of NaF, NaF plus TCP, NaF plus CPP-ACP, and SDF Varnishes on Sound Dentin and Artificial Dentin Caries in vitro

Effects of Self-Assembling Peptide P11-4, Fluorides, and Caries Infiltration on Artificial Enamel Caries Lesions in vitro

Adhesion of Hydroxyapatite Nanoparticles to Dental Materials under Oral Conditions

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