Shetty Shishir, Hegde Mithra N, Bopanna Thimmaiah P
Department of Conservative Dentistry and Endodontics, A.B. Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore, Karnataka, India.
J Conserv Dent. 2014 Jan;17(1):49-52. doi: 10.4103/0972-0707.124136.
The aim of this study is to evaluate the enamel remineralization after treatment with three different remineralizing agents using surface microhardness assessment.
This in vitro study involves 50 enamel samples divided into five groups of 10 samples each. The positive control group consisted of intact enamel and a negative control group consisted of demineralized enamel samples. All groups excluding the positive control group were subjected to demineralization following which three of these groups were remineralized using remineralizing agents (casein phosphopeptide amorphous calcium phosphate [CPP-ACP] [GC tooth mousse], casein phosphopeptide amorphous calcium phosphate with fluoride [CPP-ACPF] [GC tooth mousse plus], sodium fluoride [phos-flur]). The groups treated with remineralizing agents were subjected to pH cycling over a period of 28 days. This was followed with assessment of surface microhardness (Micro Vickers Hardness tester, Matsuzawa Co., Ltd, Toshima, Japan).
One-way analysis of variance test and posthoc Tukey test were conducted for multiple group comparison.
There was an improved enamel remineralization in the group, remineralized using CPP-ACPF in comparison with the other groups.
Casein phosphopeptide with fluoride is a promising material for remineralization of enamel subsurface lesions.
本研究旨在通过表面显微硬度评估,评价三种不同再矿化剂治疗后牙釉质的再矿化情况。
本体外研究涉及50个牙釉质样本,分为五组,每组10个样本。阳性对照组由完整牙釉质组成,阴性对照组由脱矿牙釉质样本组成。除阳性对照组外的所有组均进行脱矿处理,然后其中三组使用再矿化剂(酪蛋白磷酸肽无定形磷酸钙[CPP-ACP][GC护齿泡沫]、含氟酪蛋白磷酸肽无定形磷酸钙[CPP-ACPF][GC护齿泡沫加强型]、氟化钠[氟化物牙膏])进行再矿化。用再矿化剂处理的组在28天内进行pH循环。随后评估表面显微硬度(日本东京都丰岛区松泽有限公司的显微维氏硬度计)。
进行单因素方差分析和事后Tukey检验以进行多组比较。
与其他组相比,使用CPP-ACPF再矿化的组牙釉质再矿化情况有所改善。
含氟酪蛋白磷酸肽是牙釉质表层下病变再矿化的一种有前景的材料。