Casein phosphopeptide-amorphous calcium phosphate and glass ionomer show distinct effects in the remineralization of proximal artificial caries lesion in situ

Dent Mater J. 2013;32(4):648-53. doi: 10.4012/dmj.2012-253.

Abstract

This study aimed to compare the ability of casein-phosphopeptide amorphous-calcium-phosphate (CPP-ACP) and glass-ionomer (GI) in remineralizing proximal artificial caries lesions (ACLs). Molar enamel-slabs were divided into: original-lesion control, intra-oral controls, and experimental (CPP-ACP or GI) groups. Specimens received ACLs and were bonded on subject maxillary first molars. After 4-weeks, mineral density (MD) was analyzed by μCT. Compared to control, CPP-ACP increased MD at 0-38/68-84 microns and the GI group had an increase at 0-68 microns, with a greater increase in MD compared to the CPP-ACP group from 0-53 microns. The mean percent remineralization (%R) showed differences between the GI, CPP-ACP groups and their paired controls. GI tended to increase remineralization more than CPP-ACP. In conclusion, CPP-ACP and GI demonstrated distinct remineralizing ability. GI induced greater remineralization in the superficial lesion, while CPP-ACP remineralized the lesion body. Their effects on percent remineralization and reducing lesion depth of proximal ACLs were similar.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cariostatic Agents / therapeutic use*
  • Caseins / therapeutic use*
  • Cross-Over Studies
  • Dental Caries / pathology
  • Dental Caries / therapy*
  • Dental Enamel / chemistry
  • Dental Enamel / drug effects
  • Dentifrices / therapeutic use
  • Double-Blind Method
  • Durapatite / analysis
  • Fluorides / therapeutic use
  • Glass Ionomer Cements / therapeutic use*
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Imaging, Three-Dimensional / methods
  • Minerals / analysis
  • Phosphates / therapeutic use
  • Tooth Remineralization / methods*
  • X-Ray Microtomography / methods
  • Young Adult

Substances

  • Cariostatic Agents
  • Caseins
  • Dentifrices
  • Fuji VII
  • Glass Ionomer Cements
  • Minerals
  • Phosphates
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • fluorophosphate
  • Durapatite
  • Fluorides