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Effects of various toothpastes on remineralization of white spot lesions

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초록

Objective: The purpose of this in vitro study was to examine the effects of fluoridated, casein phosphopeptide–amorphous calcium phosphate complex (CPP-ACP)-containing, and functionalized β-tricalcium phosphate (fTCP)-containing toothpastes on remineralization of white spot lesions (WSLs) by using Quantitative light-induced fluorescence (QLF-D) BiluminatorTM 2. Methods: Forty-eight premolars, extracted for orthodontic reasons from 12 patients, with artificially induced WSLs were randomly and equally assigned to four treatment groups: fluoride (1,000 ppm), CPP-ACP, fTCP (with sodium fluoride), and control (deionized water) groups. Specimens were treated twice daily for 2 weeks and stored in saliva solution (1:1 mixture of artificial and human stimulated saliva) otherwise. QLF-D BiluminatorTM 2 was used to measure changes in fluorescence, indicating alterations in the mineral contents of the WSLs, immediately before and after the 2 weeks of treatment. Results: Fluorescence greatly increased in the fTCP and CPP-ACP groups compared with the fluoride and control groups, which did not show significant differences. Conclusions: fTCP- and CPP-ACP-containing toothpastes seem to be more effective in reducing WSLs than 1,000-ppm fluoride-containing toothpastes.

Abstract

Objective: The purpose of this in vitro study was to examine the effects of fluoridated, casein phosphopeptide–amorphous calcium phosphate complex (CPP-ACP)-containing, and functionalized β-tricalcium phosphate (fTCP)-containing toothpastes on remineralization of white spot lesions (WSLs) by using Quantitative light-induced fluorescence (QLF-D) BiluminatorTM 2. Methods: Forty-eight premolars, extracted for orthodontic reasons from 12 patients, with artificially induced WSLs were randomly and equally assigned to four treatment groups: fluoride (1,000 ppm), CPP-ACP, fTCP (with sodium fluoride), and control (deionized water) groups. Specimens were treated twice daily for 2 weeks and stored in saliva solution (1:1 mixture of artificial and human stimulated saliva) otherwise. QLF-D BiluminatorTM 2 was used to measure changes in fluorescence, indicating alterations in the mineral contents of the WSLs, immediately before and after the 2 weeks of treatment. Results: Fluorescence greatly increased in the fTCP and CPP-ACP groups compared with the fluoride and control groups, which did not show significant differences. Conclusions: fTCP- and CPP-ACP-containing toothpastes seem to be more effective in reducing WSLs than 1,000-ppm fluoride-containing toothpastes.

참고문헌 (26)

  1. Øgaard B, "White spot lesions during orthodontic treatment: mechanisms and fluoride preventive aspects", Semin Orthod, 14, pp.183~193 (2008)
  2. Lundström F, "Streptococcus mutans and lactobacilli frequency in orthodontic patients; the effect of chlorhexidine treatments", Eur J Orthod, 9, pp.109~116 (1987)
  3. Chatterjee R, "Effect of orthodontic band placement on the chemical composition of human incisor tooth plaque", Arch Oral Biol, 24, pp.97~100 (1979)
  4. Gorelick L, "Incidence of white spot formation after bonding and banding", Am J Orthod, 81, pp.93~98 (1982)
  5. Artun J, "Prevalence of carious white spots after orthodontic treatment with multibonded appliances", Eur J Orthod, 8, pp.229~234 (1986)
  6. O'Reilly MM, "Demineralization and remineralization around orthodontic appliances:an in vivo study", Am J Orthod Dentofacial Orthop, 92, pp.33~40 (1987)
  7. Geiger AM, "The effect of a fluoride program on white spot formation during orthodontic treatment", Am J Orthod Dentofacial Orthop, 93, pp.29~37 (1988)
  8. Ogaard B, "Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment", Am J Orthod Dentofacial Orthop, 96, pp.423~427 (1989)
  9. Ogaard B, "Orthodontic appliances and enamel demineralization. Part 1. Lesion development", Am J Orthod Dentofacial Orthop, 94, pp.68~73 (1988)
  10. Mitchell L, "Decalcification during orthodontic treatment with fixed appliances-an overview", Br J Orthod, 19, pp.199~205 (1992)
  11. Baysan A, "Reversal of primary root caries using dentifrices containing 5,000 and 1,100 ppm fluoride", Caries Res, 35, pp.41~46 (2001)
  12. Schirrmeister JF, "Effect of dentifrice containing 5000 ppm fluoride on non-cavitated fissure carious lesions in vivo after 2 weeks", Am J Dent, 20, pp.212~216 (2007)
  13. Artun J, "Clinical and scanning electron microscopic study of surface changes of incipient caries lesions after debonding", Scand J Dent Res, 94, pp.193~201 (1986)
  14. Reynolds EC, "Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions", J Dent Res, 76, pp.1587~1595 (1997)
  15. Shi XQ, "Comparison of QLF and DIAGNOdent for quantification of smooth surface caries", Caries Res, 35, pp.21~26 (2001)
  16. Murray JJ, "Classification and prevalence of enamel opacities in the human deciduous and permanent dentitions", Arch Oral Biol, 24, pp.7~13 (1979)
  17. Mizrahi E, "Enamel demineralization following orthodontic treatment", Am J Orthod, 82, pp.62~67 (1982)
  18. Dirks OB, "Posteruptive changes in dental enamel", J Dent Res, 45, pp.503~511 (1966)
  19. Zachrisson BU, "Caries incidence and oral hygiene during orthodontic treatment", Scand J Dent Res, 79, pp.394~401 (1971)
  20. Geiger AM, "Reducing white spot lesions in orthodontic populations with fluoride rinsing", Am J Orthod Dentofacial Orthop, 101, pp.403~407 (1992)
  21. Bröchner A, "Treatment of post-orthodontic white spot lesions with casein phosphopeptide-stabilised amorphous calcium phosphate", Clin Oral Investig, 15, pp.369~373 (2011)
  22. Bhat SS, "Incipient enamel lesions remineralization using casein phosphopeptide amorphous calcium phosphate cream with and without fluoride: a laser fluorescence study", J Clin Pediatr Dent, 36, pp.353~355 (2012)
  23. Ogata K, "Combined effect of paste containing casein phosphopeptide-amorphous calcium phosphate and fluoride on enamel lesions: an in vitro pH-cycling study", Pediatr Dent, 32, pp.433~438 (2010)
  24. Karlinsey RL, "Solid-state preparation and dental application of an organically modified calcium phosphate", J Mater Sci, 44, pp.346~349 (2009)
  25. Derks A, "Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. A systematic review", Caries Res, 38, pp.413~420 (2004)
  26. Silverstone LM, "Demineralisation and remineralisation of the teeth", pp.185~205 (1983), IRL Press

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