In Vitro Investigation of the Effect of Different
Remineralizing Agents on Human Enamel
Volume 4 - Issue 3
Vincenzo Tosco, Riccardo Monterubbianesi, Scilla Sparabombe, Giulia Orilisi, Angelo Putignano and Giovanna
Orsini*
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- Polytechnic University of Marche, Department of Clinical Sciences and Stomatology (DISCO), Italy
*Corresponding author:
Giovanna Orsini, Polytechnic University of Marche, Department of Clinical Sciences and Stomatology
(DISCO), Via Tronto 10, 60126, Ancona, Italy
Received: March 03, 2020; Published: July 13, 2020
DOI: 10.32474/MADOHC.2020.04.000189
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Abstract
This in vitro study aimed to qualitatively evaluate the effect of different remineralizing agents on the enamel pattern, after
exposure to an acid solution. Fifteen human sound extracted third molars were collected and randomly allocated into the following
five groups: Control Group (CG), without treatment; Negative Group (NG), treated with lactic acid solution; Mousse Group (MG),
treated using a mousse of casein phosphopeptide (CPP) and amorphous calcium phosphate (ACP), associated with 0,33% sodium
monofluorophosphate; Biosmalto Group (BG), treated with a dentifrice containing amorphous calcium phosphate functionalized
with fluorine and carbonate-coated with citrate; Duraphat Group (DG), treated with a 5% sodium fluoride varnish. While CG remained
immersed in chloramine solution for the entire period of the study, all the other groups were immersed in lactic acid for 2 hours and
then subjected to the appropriate treatment for additional 2 hours, repeating the protocol 3 times a day, for 8 days. Finally, all samples
were examined by Scanning Electron Microscope (SEM). SEM micrographs showed that CG had the typical morphological features
of sound enamel, whereas NG presented superficial irregularities with early pattern of demineralization, characterized by apparent
destruction of enamel prism cores. MG showed intact enamel prismatic arrangement and slight interprismatic dissolution, while BG
and DG presented not defined margins of enamel prims and partial loss of interprismatic substance, being more pronounced in DG.
Qualitative SEM evaluations demonstrate that topical applications of CPP+ACP associated with sodium monofluorophosphate could
represent the most effective protocol for re-establishing the intact enamel structure, given acid environment.
Keywords: Dental caries; Dental enamel; CPP-ACP; Fluoride varnish; Sodium fluoride; Tooth demineralization; Tooth
remineralization
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