Skip to main content

Advertisement

Log in

Remineralizing potential of CPP-ACP applied for 1 min in vitro

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Aim

To evaluate (1) the remineralizing potential of Tooth Mousse® (TM) on artificial carious lesions, when applied for 1 min, and (2) the benefit of a fluoridated dentifrice prior to TM application.

Methods

Demineralisation caries-like lesions 120–200 μm deep were produced by placing molars in demineralizing solution for 96 h, sections 100–150 μm thick were then randomly assigned to four groups. Specimens were treated thrice daily with a non-fluoridated (Group A), or fluoridated dentifrice (1000 ppm) (Group B), or TM (Group C), or a fluoridated dentifrice followed by TM (Group D) then subjected to a 10-day pH cycling model. Lesion evaluation involved polarizing light microscopy and microradiography.

Results

Application of TM in isolation (Group C) for 1 min resulted in significant increase in lesion depth (LD), however, an increase in mineral content deposition (V max) was not significant. Post treatment LD increases were greatest in Group A, then Group C and Group B respectively. A decrease in LD (by 19.9 %) was noted only after fluoridated dentifrice and TM (Group D) were applied consecutively for 1 min each (p < 0.05). Mineral content deposition was also greatest in this group (Group D) and both V max and LD changes were statistically significant when compared to other groups.

Conclusions

TM alone failed to remineralize carious lesions when applied for 1 min. However, remineralization occurred after a prior application of a fluoridated dentifrice.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  • Al-Mullahi AM, Toumba KJ. Effect of slow-release fluoride devices and casein phosphopeptide/amorphous calcium phosphate nanocomplexes on enamel remineralization in vitro. Caries Res. 2010;44:364–71.

    Article  PubMed  Google Scholar 

  • Cochrane NJ, Saranathan S, Cai F, Cross KJ, Reynolds EC. Enamel subsurface lesion remineralisation with casein phosphopeptide stabilised solutions of calcium, phosphate and fluoride. Caries Res. 2008;42:88–97.

    Article  PubMed  Google Scholar 

  • Cochrane NJ, Shen P, Byrne SJ, et al. Remineralisation by chewing sugar-free gums in a randomised, controlled in situ trial including dietary intake and gauze to promote plaque formation. Caries Res. 2012;46:147–55.

    Article  PubMed  Google Scholar 

  • Cross KJ, Huq NL, Stanton DP, Sum M, Reynolds EC. NMR studies of a novel calcium, phosphate and fluoride delivery vehicle-alpha(S1)-casein(59–79) by stabilized amorphous calcium fluoride phosphate nanocomplexes. Biomaterials. 2004;25:5061–9.

    Article  PubMed  Google Scholar 

  • Elsayad I, Sakr A, Badr Y. Combining casein phosphopeptide-amorphous calcium phosphate with fluoride: synergistic remineralization potential of artificially demineralized enamel or not? J Biomed Opt. 2009;14:044039.

    Article  PubMed  Google Scholar 

  • Ferrazzano GF, Amato I, Cantile T, Sangianantoni G, Ingenito A. In vivo remineralising effect of GC tooth mousse on early dental enamel lesions: SEM analysis. Int Dent J. 2011;61:210–6.

    Article  PubMed  Google Scholar 

  • Iijima Y, Cai F, Shen P, et al. Acid resistance of enamel subsurface lesions remineralized by a sugar-free chewing gum containing casein phosphopeptide-amorphous calcium phosphate. Caries Res. 2004;38:551–6.

    Article  PubMed  Google Scholar 

  • Itthagarun A, King NM, Yiu C, Dawes C. The effect of chewing gums containing calcium phosphates on the remineralization of artificial caries-like lesions in situ. Caries Res. 2005;39:251–4.

    Article  PubMed  Google Scholar 

  • Itthagarun A, Wei SH, Wefel JS. The effect of different commercial dentifrices on enamel lesion progression: an in vitro pH-cycling study. Int Dent J. 2000;50:21–8.

    Article  PubMed  Google Scholar 

  • Jayarajan J, Janardhanam P, Jayakumar PD. Efficacy of CPP-ACP and CPP-ACPF on enamel remineralization—an in vitro study using scanning electron microscope and DIAGNOdent®. Indian J Dent Res. 2011;22:77–82.

    Article  PubMed  Google Scholar 

  • Kumar VL, Itthagarun A, King NM. The effect of casein phosphopeptide-amorphous calcium phosphate on remineralization of artificial caries-like lesions: an in vitro study. Aust Dent J. 2008;53:34–40.

    Article  PubMed  Google Scholar 

  • Lata S, Varghese NO, Varughese JM. Remineralization potential of fluoride and amorphous calcium phosphate-casein phospho peptide on enamel lesions: an in vitro comparative evaluation. J Conserv Dent. 2010;13:42–6.

    Article  PubMed  PubMed Central  Google Scholar 

  • Manton DJ, Walker GD, Cai F, et al. Remineralization of enamel subsurface lesions in situ by the use of three commercially available sugar-free gums. Int J Paediatr Dent. 2008;18:284–90.

    Article  PubMed  Google Scholar 

  • Margolis HC, Moreno EC. Physicochemical perspectives on the cariostatic mechanisms of systemic and topical fluorides. J Dent Res. 1990;69:606–13.

    Article  PubMed  Google Scholar 

  • Morgan MV, Adams GG, Bailey DL, et al. The anticariogenic effect of sugar-free gum containing CPP-ACP nanocomplexes on approximal caries determined using digital bitewing radiography. Caries Res. 2008;42:171–84.

    Article  PubMed  Google Scholar 

  • Pai D, Bhat SS, Taranath A, Sargod S, Pai VM. Use of laser fluorescence and scanning electron microscope to evaluate remineralization of incipient enamel lesions remineralized by topical application of casein phospho peptide amorphous calcium phosphate (CPP-aCP) containing cream. J Clin Pediatr Dent. 2008;32:201–6.

    Article  PubMed  Google Scholar 

  • Pulido MT, Wefel JS, Hernandez MM, et al. The inhibitory effect of MI paste, fluoride and a combination of both on the progression of artificial caries-like lesions in enamel. Oper Dent. 2008;33:550–5.

    Article  PubMed  Google Scholar 

  • Rahiotis C, Vougiouklakis G. Effect of a CPP-ACP agent on the demineralization and remineralization of dentine in vitro. J Dent. 2007;35:695–8.

    Article  PubMed  Google Scholar 

  • Reynolds EC. Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions. J Dent Res. 1997;76:1587–95.

    Article  PubMed  Google Scholar 

  • Reynolds EC. Anticariogenic complexes of amorphous calcium phosphate stabilized by casein phosphopeptides: a review. Spec Care Dentist. 1998;18:8–16.

    Article  PubMed  Google Scholar 

  • Reynolds EC, Cain CJ, Webber FL, et al. Anticariogenicity of calcium phosphate complexes of tryptic casein phosphopeptides in the rat. J Dent Res. 1995;74:1272–9.

    Article  PubMed  Google Scholar 

  • Reynolds EC, Cai F, Shen P, Walker GD. Retention in plaque and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar-free chewing gum. J Dent Res. 2003;82:206–11.

    Article  PubMed  Google Scholar 

  • Reynolds EC, Cai F, Cochrane NJ, et al. Fluoride and casein phosphopeptide-amorphous calcium phosphate. J Dent Res. 2008;87:344–8.

    Article  PubMed  Google Scholar 

  • Shen P, Cai F, Nowicki A, Vincent J, Reynolds EC. Remineralization of enamel subsurface lesions by sugar-free chewing gum containing casein phosphopeptide-amorphous calcium phosphate. J Dent Res. 2001;80:2066–70.

    Article  PubMed  Google Scholar 

  • Shen P, Manton D, Cochrane N, et al. Effect of added calcium phosphate on enamel remineralization by fluoride in a randomized controlled in situ trial. J Dent. 2011;39:518–25.

    Article  PubMed  Google Scholar 

  • Snedecor GW, Cochran WG. Statistical methods. 8th ed. Ames: Iowa State University Press; 1989.

    Google Scholar 

  • ten Cate JM, Duijsters PP. Alternating demineralization and remineralization of artificial enamel lesions. Caries Res. 1982;16:201–10.

    Article  PubMed  Google Scholar 

  • Thaveesangpanich P, Itthagarun A, King NM, Wefel JS, Tay FR. In vitro model for evaluating the effect of child formula toothpastes on artificial caries in primary dentition enamel. Am J Dent. 2005;18:212–6.

    PubMed  Google Scholar 

  • Walker GD, Cai F, Shen P, et al. Consumption of milk with added casein phosphopeptide-amorphous calcium phosphate remineralizes enamel subsurface lesions in situ. Aust Dent J. 2009;54:245–9.

    Article  PubMed  Google Scholar 

  • Walsh T, Worthington HV, Glenny AM, et al. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2010;20(1):CD007868.

    Google Scholar 

  • Yamaguchi K, Miyazaki M, Takamizawa T, Inage H, Moore BK. Effect of CPP-ACP paste on mechanical properties of bovine enamel as determined by an ultrasonic device. J Dent. 2006;34:230–6.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

None to declare.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to R. P. Anthonappa.

Ethics declarations

Conflict of interest

Author Gopalkrishnan declares that she has no conflict of interest. Author Anthonappa declares that he has no conflict of interest. Author King declares that he has no conflict of interest. Author Itthagarun declares that she has no conflict of interest.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gopalakrishnan, V., Anthonappa, R.P., King, N.M. et al. Remineralizing potential of CPP-ACP applied for 1 min in vitro. Eur Arch Paediatr Dent 17, 231–237 (2016). https://doi.org/10.1007/s40368-016-0232-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-016-0232-1

Keywords

Navigation