Enamel remineralization assessment after treatment with three different remineralizing agents using surface microhardness: An in vitro study

Shetty, Shishir Ram; Hegde, Mithra N; Bopanna, Thimmaiah P

doi:10.4103/0972-0707.124136

Cited by 86 publications

(76 citation statements)

References 21 publications

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“…The application of a CPP-ACP paste either before or before and after inoffice bleaching protocols proved to be able to prevent negative changes of roughness and hardness to enamel (Cunha et al, 2012). Therefore recently casein phosphopeptide-amorphous calcium phosphate and fluoride (CPP-ACPF) due to its added fluoride content has shown improved ability to remineralize initial caries (Oliveira et al, 2014;Shetty et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Protective effect of casein phosphopeptide‐amorphous calcium phosphate on enamel erosion: Atomic force microscopy studies

et al. 2015

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The aim of this study was to investigate the in vitro effect of a casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste (GC Tooth Mousse- TM, GC Corporation, Tokyo, Japan) on preventing enamel erosion, by using Atomic Force Microscopy (AFM). 30 human incisors, were equally assigned to 6 groups: intact enamel, enamel + soft drink, enamel + TM, enamel + TM + soft drink, enamel + soft drink + TM, enamel + soft drink + TM + soft drink. Specimens were observed through atomic force microscopy (AFM). The most common topographical parameters were determined, such as the surface roughness (Rrms ). The use of soft drink on intact enamel has roughened the surface of the sample. The application of the CPP-ACP paste on non-treated enamel made the surface smoother. A significant decrease in roughness was seen after remineralization with CPP-ACP paste. Significant differences were recorded when comparing softened enamel with softened enamel remineralized with CPP-ACP paste. Comparing eroded enamel with demineralized/remineralized specimens, the application of a CPP-ACP paste leads to a significant reduction in roughness values. AFM images of enamel surface treated with CPP-ACP resulted in less morphological changes of the tooth substrate when compared with the only eroded enamel surface morphology; thus, indicating that CPP-ACP paste promoted remineralization. Specimens' surface roughness remained similar regardless that the protective agent is used before or after exposure to coke or between two demineralizing cycles. The results confirmed the effectiveness of the CPP-ACP paste on preventing enamel erosion produced by soft drinks.

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Section: Introductionmentioning

confidence: 99%

Protective effect of casein phosphopeptide‐amorphous calcium phosphate on enamel erosion: Atomic force microscopy studies

et al. 2015

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“…The end-result of all those contributing factors is demineralization of teeth. While demineralization occurs at pH of 5.5 or lower, dental structures can be re-mineralized in higher pHs, in the presence of saliva saturated with calcium and phosphorous (Bradshaw and Lynch, 2013;Davies and Blinkhorn, 2013;Elkassas and Arafa, 2014;Shetty et al, 2014). …”

Section: Discussionmentioning

confidence: 99%

Comparing tap water mouth rinse with tooth brushing and sugar-free chewing-gum: Investigating the validity of a popular belief

Mirjalili¹,

Karbassi²,

Farahman³

2014

J. Dent. Oral Hyg.

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Among all oral diseases, tooth decay still imposes the greatest burden on health care systems. While patients prefer less complicated and time consuming preventive methods, the effectiveness of rinsing mouth with water has remained in the shadow. A great number of people, whether professional or not, believe that water rinse can be helpful where tooth-brush is not available. This study aimed to investigate that belief. In this study in three different attempts the basal saliva pH of 60 participants and their saliva pH after introducing to sugar solution, brushing teeth, chewing xylitol gum, and rinsing mouth with water were recorded. Data analysis showed that tap water may not be of any help in correcting oral pH after an acidic attack.

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“…Demineralization and remineralization are a dynamic physicochemical process that impact hardness and enamel strength. [6][7][8][9][10] Remineralization is the redeposition process of enamel's mineral, which occurs in the normal salivary pH. There are some ideal requirements of remineralization material; having low viscosity to diffuses into the subsurface or delivers calcium and phosphate into the subsurface.…”

Section: Introductionmentioning

confidence: 99%

“…It also works at an acidic pH, in xerostomic patients, and boosts the remineralization properties of saliva. [7][8][9][10] Milk provides large amounts of calcium and phosphates and helps tooth remineralization. 7 Pasteurized milk is a product that processed with heat exposure in the temperature of 62.8°C or 71.7°C, and the most kind of milk consumed by society.…”

Section: Introductionmentioning

confidence: 99%

The effect of pasteurized milk and pure soy milk on enamel remineralization

Metly¹,

Sumantri²,

Oenzil³

2019

Padjadjaran J Dent

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Introduction:Tooth remineralization agent can be found in pasteurized milk and soy milk. Ca 2+ and PO 4 3ions concentration in both products inhibited hydroxyapatite dissolution and enhanced remineralization. This study was aimed to investigate the effect of pasteurized milk and pure soy milk on tooth enamel remineralization. Methods:This study was an experimental laboratory with pre-test post-test control group design. Twenty-seven maxillary premolars were divided into 3 groups; 37% phosphoric acid used to demineralized the samples followed by initial enamel hardness measurement. All samples were immersed in aquadest, pasteurized milk, and pure soy milk for 14 days, 102 minutes per day. Final enamel hardness was measured with the Vickers hardness test. Results:Increasing enamel hardness was found in all groups. Two-way ANOVA test was used to compare the increase of enamel hardness in all group, which showed the p-value = 0.002. Post-hoc LSD test was then used to compare the increase of the enamel hardness in pasteurized milk and pure soy milk groups, which resulted in the p-value = 0.147. Conclusion:There was an effect of pasteurized milk and pure soy milk group on enamel remineralization. However, there was no difference in the increase of enamel hardness value between pasteurized milk and pure soy milk groups.

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Enamel remineralization assessment after treatment with three different remineralizing agents using surface microhardness: An in vitro study

Cited by 86 publications

References 21 publications

Protective effect of casein phosphopeptide‐amorphous calcium phosphate on enamel erosion: Atomic force microscopy studies

Protective effect of casein phosphopeptide‐amorphous calcium phosphate on enamel erosion: Atomic force microscopy studies

Comparing tap water mouth rinse with tooth brushing and sugar-free chewing-gum: Investigating the validity of a popular belief

The effect of pasteurized milk and pure soy milk on enamel remineralization

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