Analysis of Dental Enamel Remineralization: A Systematic Review of Technique Comparisons

Bioengineering (Basel). 2023 Apr 12;10(4):472. doi: 10.3390/bioengineering10040472.

Abstract

The demineralization process conditions the structure of the enamel and begins with a superficial decalcification procedure that makes the enamel surface porous and gives it a chalky appearance. White spot lesions (WSLs) are the first clinical sign that can be appreciated before caries evolves into cavitated lesions. The years of research have led to the testing of several remineralization techniques. This study's objective is to investigate and assess the various methods for remineralizing enamel. The dental enamel remineralization techniques have been evaluated. A literature search on PubMed, Scopus, and Web of Science was performed. After screening, identification, and eligibility processes 17 papers were selected for the qualitative analysis. This systematic review identified several materials that, whether used singly or in combination, can be effective in the process of remineralizing enamel. All methods have a potential for remineralization when they come into contact with tooth enamel surfaces that have early-stage caries (white spot lesions). From the studies conducted in the test, all of the substances used to which fluoride has been added contribute to remineralization. It is believed that by developing and researching new remineralization techniques, this process might develop even more successfully.

Keywords: MI paste plus; enamel; enamel decalcification; fluoride; randomized controlled trial; remineralization; systematic review; tooth demineralization; white spot lesion.

Publication types

  • Review

Grants and funding

This research received no external funding.