Caries Remineralization Therapy: Implications for Dental Readiness

Diefenderfer, Kim E.; Stahl, Jonathan

doi:10.7205/milmed.173.supplement_1.48

Cited by 8 publications

(10 citation statements)

References 13 publications

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“…However, if the disease signs are the only factors taken into consideration, the strategies used to treat patients with white spot lesions or early signs of the disease may repeat the same mistakes made in the past when filling was considered the solution for caries. 3,4 Furthermore, there is clear evidence showing that the main effect found when a white spot lesion becomes clinically less evident (and does not progress to a cavity) is the result of mechanical abrasion of the enamel surface, and not only of repair ("remineralization") of the mineral loss suffered by enamel. 2 Understanding that the "treatment of a white spot" was not only the result of true reprecipitation of minerals (remineralization) was very important because it emphasized the relevance of plaque control not only to arrest the lesion but also to restore the physiological equilibrium between tooth minerals and oral fluids (and allow natural remineralization from saliva) and, as a result, control the disease.…”

Section: Dental Caries: the Disease And Its Signalsmentioning

confidence: 99%

Enamel remineralization: controlling the caries disease or treating early caries lesions?

Cury¹,

2009

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The emphasis currently given to new technologies for enamel remineralization suggests that the changes in the understanding of the dental caries disease, which occurred in the last century, were either not yet adopted or were forgotten. Just like in the past, when the disease was "treated" by restoring cavities, there is presently a misunderstanding on the concept of incipient lesion remineralization. The aim of this paper was to review some concepts about caries, the natural phenomenon of enamel remineralization and the effect of fluoride (F) on it, and also to discuss the clinical relevance of remineralizing products recently launched in the marketplace aiming to "treat early caries lesions".

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Section: Dental Caries: the Disease And Its Signalsmentioning

confidence: 99%

Enamel remineralization: controlling the caries disease or treating early caries lesions?

Cury¹,

2009

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“… 6 Caries occurs as a result of a continuum of cyclic demineralization and remineralization of enamel. 7 Some components of the caries process act at the tooth surface (saliva, biofilm, diet, fluoride), while another set of determinants of the process act at an individual level (a person’s behavior, knowledge, attitude, education, socioeconomic status, income). 8 The formation of plaque biofilm enables the proliferation of acidogenic, aciduric, and cariogenic bacteria 5 and consequently reduces salivary pH.…”

Section: Dental Caries: Biology and Epidemiologymentioning

confidence: 99%

Update on Nonsurgical, Ultraconservative Approaches to Treat Effectively Non-Cavitated Caries Lesions in Permanent Teeth

Borges

Araújo

et al. 2011

Eur J Dent

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Dental caries on tooth surfaces is still a problem in many industrialized countries. For many years, dentistry was influenced by a mechanical approach characterized by the use of high-speed rotary cutting instruments, and dentists predominantly used surgical methods to address caries. This included radical removal of diseased portions of the tooth, along with material-driven geometric extensions to areas that were assumed to be caries-resistant. This concept of extension for prevention was introduced by G. V. Black and influenced dentists for more than 120 years. Recently, a new paradigm of operative conservatism, sometimes referred to as “minimally invasive dentistry,” has gained popularity. This paradigm is designed to promote maximum preservation of healthy dental structures over a lifetime. The aim of this review is to discuss the efficacy of current nonsurgical treatments for non-cavitated caries lesions in permanent teeth. Based on results obtained from clinical trials, this review evaluates treatments such as consumption of CPP-ACP added gums, resin infiltration and fissure sealing. Although in a few cases an invasive approach is needed to arrest caries progression, the non-surgical approach generally provides potential benefits that include conserving structure by delaying intervention or minimizing the operative procedure. All current non-invasive methods are effective in treating non-cavitated caries lesions. The adoption of non-invasive approaches in the management of these lesions can preserve dental tissues, thus increasing tooth longevity.

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“…A state of oral health exists when net mineral loss (demineralization) and net mineral gain (remineralization) remain in equilibrium [ 24 ]. The primary objective of deep caries management is to conserve the tooth structure, as well as to maintain the integrity of pulp health.…”

Section: Discussionmentioning

confidence: 99%

Effect of casein phosphopeptide-amorphous calcium phosphate on fluoride release and micro-shear bond strength of resin-modified glass ionomer cement in caries-affected dentin

2018

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ObjectivesThis study was conducted to evaluate fluoride release and the micro-shear bond strength of resin-modified glass ionomer cement (RMGIC) in casein phosphopeptide-amorphous calcium phosphate (CPP-ACP)-remineralized caries-affected dentin (CAD).Materials and MethodsExposed dentin surfaces of 30 human third molar teeth were divided into 2 equal groups for evaluating fluoride release and the micro-shear bond strength of RMGIC to CAD. Each group was subdivided into 3 equal subgroups: 1) control (sound dentin); 2) artificially demineralized dentin (CAD); 3) CPP-ACP remineralized dentin (remineralized CAD). To measure fluoride release, 15 disc-shaped specimens of RMGIC (4 mm in diameter and 2 mm in thickness) were bonded on one flat surface of the dentin discs of each group. Fluoride release was tested using ion chromatography at different intervals; 24 hours, 3, 5, 7 days. RMGIC micro-cylinders were built on the flat dentin surface of the 15 discs, which were prepared according to the assigned group. Micro-shear bond strength was measured after 24 hours water storage. Data were analyzed using 1- and 2-way analysis of variance and the post hoc least significant difference test (α = 0.05).ResultsFluoride detected in solutions (at all intervals) and the micro-shear bond strength of RMGIC bonded to CPP-ACP-remineralized dentin were significantly higher than those bonded to artificial CAD (p < 0.05).ConclusionsDemineralized CAD consumes more fluoride released from RMGIC into the solution for remineralization than CPP-ACP mineralized dentin does. CPP-ACP increases the micro-shear bond strength of RMGIC to CAD.

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Caries Remineralization Therapy: Implications for Dental Readiness

Cited by 8 publications

References 13 publications

Enamel remineralization: controlling the caries disease or treating early caries lesions?

Enamel remineralization: controlling the caries disease or treating early caries lesions?

Update on Nonsurgical, Ultraconservative Approaches to Treat Effectively Non-Cavitated Caries Lesions in Permanent Teeth

Effect of casein phosphopeptide-amorphous calcium phosphate on fluoride release and micro-shear bond strength of resin-modified glass ionomer cement in caries-affected dentin

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