Effect of an Experimental Paste with Hydroxyapatite Nanoparticles and Fluoride on Dental Demineralisation and Remineralisation in situ

This study evaluated the effect of an experimental paste containing hydroxyapatite in nanoparticles (nano-HA)/fluoride on dental de-remineralisation in situ. Thirteen subjects took part in this crossover/randomised/double-blind study performed in 4 phases (14 days each). Four sound and 4 pre-deminer...

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Veröffentlicht in:Caries research 2015-01, Vol.49 (5), p.499-507
Hauptverfasser: Souza, Beatriz M., Comar, Livia P., Vertuan, Mariele, Fernandes Neto, Constantino, Buzalaf, Marília Afonso Rabelo, Magalhães, Ana Carolina
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container_issue 5
container_start_page 499
container_title Caries research
container_volume 49
creator Souza, Beatriz M.
Comar, Livia P.
Vertuan, Mariele
Fernandes Neto, Constantino
Buzalaf, Marília Afonso Rabelo
Magalhães, Ana Carolina
description This study evaluated the effect of an experimental paste containing hydroxyapatite in nanoparticles (nano-HA)/fluoride on dental de-remineralisation in situ. Thirteen subjects took part in this crossover/randomised/double-blind study performed in 4 phases (14 days each). Four sound and 4 pre-demineralised specimens were worn intraorally at each phase corresponding to the following treatments: Nanop Plus (10% HA, 0.2% NaF, nano-HA/fluoride), MI Paste Plus (casein phosphopeptide-amorphous calcium phosphate, 0.2% NaF), F (0.2% NaF) and placebo. Two-hundred and forty enamel and 240 dentine specimens were selected by using surface microhardness; half of them were subjected to pre-demineralisation and the other half remained sound. Sound specimens were further exposed to severe cariogenic challenge (20% sucrose in biofilm) in situ, while pre-demineralised specimens were not. All specimens were exposed to fluoride dentifrice slurry 2 × 1 min/day. Thereafter, the treatments were done for 4 min. The de-remineralisation was quantified by transversal microradiography. The data were statistically analysed by repeated-measures ANOVA/Tukey's tests (p < 0.05). Generally, no huge differences were found among the treatments. However, Nanop Plus was the only treatment able to significantly reduce dentine demineralisation (ΔZ, integrated mineral loss) and to improve enamel remineralisation (ΔΔZ, integrated mineral uptake) compared to placebo. No treatments were able to reduce enamel demineralisation, while for dentine remineralisation all treatments were similarly effective in improving ΔΔZ compared to placebo. Nanop Plus seems to have a positive influence on dental de-remineralisation, which should be further confirmed.
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Thirteen subjects took part in this crossover/randomised/double-blind study performed in 4 phases (14 days each). Four sound and 4 pre-demineralised specimens were worn intraorally at each phase corresponding to the following treatments: Nanop Plus (10% HA, 0.2% NaF, nano-HA/fluoride), MI Paste Plus (casein phosphopeptide-amorphous calcium phosphate, 0.2% NaF), F (0.2% NaF) and placebo. Two-hundred and forty enamel and 240 dentine specimens were selected by using surface microhardness; half of them were subjected to pre-demineralisation and the other half remained sound. Sound specimens were further exposed to severe cariogenic challenge (20% sucrose in biofilm) in situ, while pre-demineralised specimens were not. All specimens were exposed to fluoride dentifrice slurry 2 × 1 min/day. Thereafter, the treatments were done for 4 min. The de-remineralisation was quantified by transversal microradiography. The data were statistically analysed by repeated-measures ANOVA/Tukey's tests (p &lt; 0.05). Generally, no huge differences were found among the treatments. However, Nanop Plus was the only treatment able to significantly reduce dentine demineralisation (ΔZ, integrated mineral loss) and to improve enamel remineralisation (ΔΔZ, integrated mineral uptake) compared to placebo. No treatments were able to reduce enamel demineralisation, while for dentine remineralisation all treatments were similarly effective in improving ΔΔZ compared to placebo. Nanop Plus seems to have a positive influence on dental de-remineralisation, which should be further confirmed.</abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>26278685</pmid><doi>10.1159/000438466</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5985-3951</orcidid></addata></record>
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language eng
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source MEDLINE; Karger Journals
subjects Adult
Calcium Phosphates - administration & dosage
Cariostatic Agents - therapeutic use
Caseins - administration & dosage
Cross-Over Studies
Dental Enamel - diagnostic imaging
Dental Enamel - drug effects
Dentifrices - chemistry
Dentin - diagnostic imaging
Dentin - drug effects
Dentistry
Double-Blind Method
Durapatite - administration & dosage
Durapatite - pharmacology
Female
Fluorides
Humans
Male
Microradiography
Nanoparticles - administration & dosage
Original Paper
Random Allocation
Sodium Fluoride - administration & dosage
Tooth Demineralization - prevention & control
Tooth Remineralization - methods
Toothpastes - chemistry
Toothpastes - pharmacology
Young Adult
title Effect of an Experimental Paste with Hydroxyapatite Nanoparticles and Fluoride on Dental Demineralisation and Remineralisation in situ
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