Impact of self-assembling peptides in remineralisation of artificial early enamel lesions adjacent to orthodontic brackets

Sci Rep. 2020 Sep 15;10(1):15132. doi: 10.1038/s41598-020-72185-2.

Abstract

Enamel demineralisation can occur as a side effect during orthodontic treatment with fixed appliances. This study aimed to evaluate the efficacy of the self-assembling peptide P11-4 for remineralisation combined with fluorides, compared to application of fluoride varnish alone. De- and remineralisation was assessed by Quantitative light-induced fluorescence (QLF). Orthodontic brackets were bonded on 108 human enamel samples and white spot lesions were created. The samples were allocated randomly into three groups: Group I received no treatment, group II had a single application of fluoride varnish (22,600 ppm), and group III was treated with P11-4 following a single application of fluoride varnish. Quantitative light-induced fluorescence (QLF) measurements were performed at baseline, after demineralisation and after storage in remineralisation solution for 7 and 30 days. Non-parametric tests (Kruskal-Wallis test and Friedman test) were used for further analysis. After demineralisation, all samples showed a median ΔF -9.38% ± 2.79. After 30 days median ΔF values were as followed: group I = -9.04% ± 2.51, group II = -7.89 ± 2.07, group III = -6.08% ± 2.79). The median ΔF values differed significantly between all groups at all investigation times (p < 0.00001). Application of P11-4 with fluoride varnish was superior to the use of fluorides alone for remineralisation of enamel adjacent to brackets.

Publication types

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

MeSH terms

  • Cariostatic Agents / administration & dosage*
  • Dental Caries / drug therapy*
  • Fluorides, Topical / administration & dosage*
  • Humans
  • Orthodontic Brackets / adverse effects*
  • Peptide Fragments / administration & dosage*
  • Tooth Demineralization / etiology
  • Tooth Demineralization / prevention & control*
  • Tooth Remineralization / methods*

Substances

  • Cariostatic Agents
  • Fluorides, Topical
  • Peptide Fragments