Effect of three different remineralizing agents on artificial erosive lesions of primary teeth

Aust Dent J. 2022 Sep;67(3):271-280. doi: 10.1111/adj.12922. Epub 2022 Jun 27.

Abstract

Background: This study aimed to investigate the efficacy of three remineralizing agents on dental erosion in primary teeth.

Methods: Forty primary molars were randomly divided into four groups (n = 10 each): self-assembling peptide (P11-4 ), casein phosphopeptide-amorphous calcium fluoride phosphate (CPP-ACFP), sodium fluoride (NaF) and artificial saliva (AS; control). The erosion-like formation was created by immersing the samples in citric acid (4 × 2 min, pH 2.3) and AS (4 × 2 h, pH 7). The eroded samples were then treated with remineralizing agents and subjected to further erosion consisting of 15 cycles (3x/8-h interval) of immersion in citric acid and AS for 6 s each. Alterations in the mineral content and morphology of the samples were quantified using a microhardness tester and atomic force microscope.

Results: All agents had a significant remineralization effect on eroded primary tooth enamel. After further erosive challenge, enamel loss in the CPP-ACFP group was found to be significantly lower than in all other groups, and no significant difference was found between the P11-4 and NaF groups.

Conclusions: This study showed that all tested materials had remineralization ability, and CPP-ACFP had a superior effect in inhibiting enamel loss due to dental erosion in primary teeth. © 2022 Australian Dental Association.

Keywords: in vitro; Erosive lesion; primary teeth; self-assembling peptide; tooth remineralization.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Australia
  • Calcium Fluoride
  • Calcium Phosphates
  • Caseins* / pharmacology
  • Caseins* / therapeutic use
  • Citric Acid / adverse effects
  • Fluorides / therapeutic use
  • Humans
  • Minerals
  • Phosphopeptides
  • Saliva, Artificial
  • Sodium Fluoride / pharmacology
  • Sodium Fluoride / therapeutic use
  • Tooth Remineralization*
  • Tooth, Deciduous

Substances

  • Calcium Phosphates
  • Caseins
  • Minerals
  • Phosphopeptides
  • Saliva, Artificial
  • amorphous calcium phosphate
  • Citric Acid
  • Sodium Fluoride
  • Calcium Fluoride
  • Fluorides