Efficacy of diode and CO2 lasers along with calcium and fluoride-containing compounds for the remineralization of primary teeth

Soltanimehr, Elham; Bahrampour, Ehsan; Yousefvand, Zeynab

doi:10.1186/s12903-019-0813-6

Cited by 19 publications

(30 citation statements)

References 43 publications

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“…Alteration of the chemical composition in demineralized enamel is usually accompanied by changes in mechanical properties [ 21 ]. Microhardness testing has been used to provide information on such physical property and to quantify alterations in dental tissue in response to de-and remineralization protocols [ 22 , 23 ]. Deciduous tooth enamel has lower inorganic content than permanent tooth; thus, it has a lower microhardness.…”

Section: Discussionmentioning

confidence: 99%

Effects of 45S5 bioactive glass on the remineralization of early carious lesions in deciduous teeth: an in vitro study

Zhang

Gong

et al. 2021

BMC Oral Health

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Background Early childhood caries has been designated as a serious public health problem. The traditional restoration method is very challenging, especially in uncooperative patients. Non-invasive therapy, like remineralization agents, which have been developed to reverse the demineralization progress at the early stage of caries, may be a better choice. This study aimed to evaluate the remineralization efficacy of different concentrations of 45S5 bioactive glass (BAG) on artifical carious lesions of deciduous enamel. Methods 65 caries-like enamel lesions of the deciduous teeth were assigned to 5 groups (n = 13) and transported to a 14 days pH-cycling: Group A: 2%BAG, Group B: 4%BAG, Group C: 6%BAG, Group D: 8%BAG, and Group E: deionized water (DDW, negative control). 8 sound (Group F) and 8 demineralized teeth (Group G) were prepared for contrast. The recovery power of mechanical property was evaluated by Vickers hardness test through the recovery of enamel microhardness (%REMH). Surface morphology, mass fraction of Ca and P ions, and Ca/P atomic ratio were analyzed by scanning electron microscopy coupled with energy-dispersive X-ray spectroscopy (EDX). Moreover, Fourier transform infrared spectroscopy equipped with attenuated total reflectance was used to identify the chemical structure of newly formed compounds. Results % REMH were (42.65 ± 1.35), (52.59 ± 2.96), (57.40 ± 1.72), (52.91 ± 2.55), (12.46 ± 2.81) in 2%BAG, 4%BAG, 6%BAG, 8%BAG, and DDW groups respectively. Micro-spherical particles were deposited in all BAG groups and 6% BAG showed the densest and most uniform surface. EDX analysis identified significantly higher Ca(wt%) and P(wt%) in four BAG groups than in the demineralized group (p < 0.005), while 6% BAG showed the highest mineral gain efficacy. The infrared spectrum demonstrated that newly mineralized crystals were consisted of type-B hydroxycarbonate apatite. Conclusion BAG possessed a promising remineralization effect on artificial lesions in deciduous enamel by recovering enamel surface mechanical property, morphology and chemical elements. Among them, 6% BAG performed the greatest overall efficacy. Acting as a new caries-arresting biomaterial, 45S5 BAG has the potential to facilitate the adaptation of better carious prevention strategies in children.

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Section: Discussionmentioning

confidence: 99%

Effects of 45S5 bioactive glass on the remineralization of early carious lesions in deciduous teeth: an in vitro study

Zhang

Gong

et al. 2021

BMC Oral Health

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“…Lazer ışınının mine çubuklarında erime ve yeniden kristalleştirme oluşturarak mine üzerinde morfoloji değişikliklerine ve yüzeyde daha büyük hidroksiapatit kristallerinin oluşmasına neden olur ve bu yapı asit penetrasyonuna daha az geçirgendir. 65,66 CO 2 lazerin dalga boyu mine ve dentin yapılarındaki fosfat, karbonat ve hidroksil gruplarının emilimi ile uyumlu olsa da diğer lazer türleri ile karşılaştırıldığı çalışmaların sonuçları çelişkilidir. Diğer lazer türlerine göre kanıtlanmış bir üstünlüğü olmadığı söylenebilir.…”

Section: Kitosanunclassified

“…Diğer lazer türlerine göre kanıtlanmış bir üstünlüğü olmadığı söylenebilir. 65,67,68 Lazer ve şelasyon materyali beraber kullanıldığında kristallerin kompakt bir şekilde büyüdüğü ve bu kompakt kristal katmanın doğal mine prizmalarına benzer elastik modüle sahip olduğu bildirilmiştir. Lazer kullanımının mineralizasyonu hızlandırdığı, aynı zamanda kristal büyümesini de kontrol edebileceği düşünülmektedir.…”

Section: Kitosanunclassified

“…67,69 Topikal florür tedavisi ile birleştirilen lazer ışınlamasının, florür alımını arttıran ve minenin çözünme oranını tek başına lazer veya florür uygulamasına kıyasla önemli ölçüde azaltan sinerjistik bir etki yarattığı gösteren çalışmalar olduğu gibi lazer uygulamasının belirgin remineralizasyon etkisinin olmadığı ve florun etkisini arttırmadığını da bulgulayan çalışmalar da mevcuttur. [70][71][72] Ayrıca çeşitli lazer türlerinin CPP-ACP içeren remineralizasyon materyalleri ile birlikte kullanımı ile ilgili araştırmalar da yapılmıştır. Bazı araştırmacılar lazerin demineralize mine yüzeyindeki CPP-ACP'nin remineralizasyon etkisini arttırdığını bildirse de bazı çalışma sonuçlarına göre lazer ve CCP-ACP'nin birlikte kullanılmasının sinerjistik bir remineralizasyon etkisinin olmadığı gözlemlenmiştir.…”

Section: Kitosanunclassified

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Current Overview of Remineralization Materials and Technologies

Demir¹

2020

Yeditepe J Dent

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“…Several non-invasive methods using remineralizing agents have been proposed to provide these ions in the oral cavity. [ 6 ]…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effect of fluoride gel and two toothpastes with different materials on remineralization of initial carious lesions in primary teeth

Kazempour

Meshki

Basir

et al. 2021

Journal of Family Medicine and Primary Care

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Introduction: Various types of toothpastes are claimed to be able to improve initial enamel caries. This study compared the effect of fluoride gel and two toothpastes on remineralization of initial caries lesions in primary teeth. Materials and Methods: A total of sixty-four sound extracted primary canine were immersed in demineralizing solution at 37°C for 96 h to produce artificial caries in vitro . Enamel pieces (3 × 3 × 5 mm) were prepared from each tooth and mounted in self cure acrylic blocks. The specimens were randomly assigned to four groups ( n = 16) based on treatment agent (fluoride gel, Chitodent toothpaste, ReminPro toothpaste, no treatment as control) and underwent a pH cycling model for 10 days. Vickers microhardness (VH) was measured before and after treatment. Data was analyzed using analysis of variance and paired t -test by SPSS 18 ( P < 0.05). Results: No significant difference was found in VH between groups at baseline (fluoride group: 265.9 ± 44.8, Chitodent group: 282.6 ± 34.6, ReminPro group: 266.5 ± 26.6, control: 272.7 ± 32.5; P = 0.516). Microhardness significantly increased after exposure to ReminPro toothpaste (VH change: 24.1%, P < 0.001) and fluoride gel (VH change: 10.9%, P = 0.046), but no significant changes were observed in Chitodent (VH change: 2.8%, P = 0.635) and control (VH change: - 2.2%, P = 0.181) groups. Conclusion: ReminPro toothpaste might be effective in remineralizing initial carious lesions of primary teeth.

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Efficacy of diode and CO2 lasers along with calcium and fluoride-containing compounds for the remineralization of primary teeth

Cited by 19 publications

References 43 publications

Effects of 45S5 bioactive glass on the remineralization of early carious lesions in deciduous teeth: an in vitro study

Effects of 45S5 bioactive glass on the remineralization of early carious lesions in deciduous teeth: an in vitro study

Current Overview of Remineralization Materials and Technologies

Comparison of the effect of fluoride gel and two toothpastes with different materials on remineralization of initial carious lesions in primary teeth

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