Is there evidence for Novamin application in remineralization?: A Systematic review

Abstract

Background: Calcium sodium phosphor-silicate material, a type of bio-glass was originally developed as an implant material to regenerate bone and recently adapted for use in oral care products (NovaMin Technology Inc.). Novamin is used for many dental problems like hypersensitivity, gingivitis, bleeding, non-carious lesions, carious lesions, whitening and is currently emerging as one of the treatment modality for the remineralization of the tooth. Since the prescription of these novel materials to the patients are based on cost effectiveness, efficacy and effectiveness, a clinician should make decision based on best available evidence. Hence, the objective of this review is to find out the current evidence available on the use of Novamin as an agent for remineralization. Materials and methods: Relevant articles were searched and screened from several databases including PubMed, Cochrane review, Science Direct and trip which were published till 1988 to July 2017; The articles relevant to the objective of this review were included (RCT's) and articles out of interest of this review were excluded. The primary outcome for the chosen studies is the remineralization capacity of Novamin. Data extraction is done independently and jointly by 3 authors using data collection forms. Studies obtained were evaluated using the Cochrane Collaboration tools for accessing risk bias. The assessment of the quality of the evidence and the bias risk was obtained using the Grading of Recommendations Assessment Development and evaluation System. Results: The articles from the database obtained for further review was N = 1. According to the study reviewed, the baseline comparisons using decalcification index obtained between Novamin study group (ReNew) and the control group (Crest) yield a P-value of 0.97 whereas after a 3 months interval follow up the value is 0.0403 suggesting there was a trend towards improvement in white spot lesions in the control group and at 6 months' time point the p-value is 0.81 concluding that there are no significant difference of remineralization process obtained by using traditional toothpaste and Novamin. Conclusion: Review shows that Novamin has significantly less clinical evidence to prove its effectiveness as a remineralization agent in treating both carious and non-carious lesion. Hence, better designed clinical trials should be carried out in the future before definitive recommendations can be made.

Comparative Remineralization Efficacy of Topical NovaMin and Fluoride on Incipient Enamel Lesions in Primary Teeth: Scanning Electron Microscope and Vickers Microhardness Evaluation

“…9,16,17,18,19 NovaMin is an inorganic and synthetic compound, which releases sodium, calcium, phosphate, and silica when it exposed to an aqueous media, increases pH and forms Hydroxycarbonateapatite crystals, and thus initiates the remineralization process. 20,21,22 The pairwise comparisons showed of this study illustrate that there are no statistically significant differences between NovaMin and fluoride in SMH values. Although NovaMin did not offer further remineralization effect than did fluoride, this study shows it equally beneficial.…”

Analysis of laboratory adhesion studies in eroded enamel and dentin: a scoping review

“…Krithi [ 34 ], on one hand, also demonstrated that sodium fluoride (NaF) showed improvement in bond strength results. On the other hand, the authors stressed the need for more studies regarding NovaMin [ 34 ], a type of bioglass composed of calcium sodium phosphor-silicate and usually indicated for dentin hypersensitivity [ 60 ]. Since remineralizing agents have a vast intervention field in operative dentistry and very few studies investigated these agents, further studies should be considered.…”

Resistance against Erosive Challenge of Dental Enamel Treated with 1,450-PPM Fluoride Toothpastes Containing Different Biomimetic Compounds

“…The authors recommended better-designed clinical trials to make definitive recommendations about this technology. 27 The toothpaste containing proprietary REFIX technology, according to the manufacturer, represents a novel, multifunctional, phosphate-based dental gel technology in an acidified stabilized phosphate/fluoride complex which is established especially in saliva. 13 The combination of toothpaste, saliva, and dental tooth structures favors the generation of new minerals containing calcium/phosphate/fluorine, promoting the enamel surface, and remineralizing within the subsurface carious lesion.…”