In situ effect of a CPP-ACP chewing gum on enamel erosion associated or not with abrasion

Objectives The purpose of this study is to analyze the in situ effect of a casein phosphopeptide-stabilized amorphous calcium phosphate (CPP-ACP) chewing gum on human enamel erosion lesion associated or not with abrasion. Material and methods A three-way crossover study of 7 days was conducted invol...

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Veröffentlicht in:Clinical oral investigations 2017, Vol.21 (1), p.339-346
Hauptverfasser: de Oliveira, Andressa Feitosa Bezerra, de Oliveira Diniz, Luciana Vilar, Forte, Franklin Delano Soares, Sampaio, Fabio Correia, Ccahuana-Vásquez, Renzo Alberto, Tochukwu Amaechi, Bennett
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container_end_page 346
container_issue 1
container_start_page 339
container_title Clinical oral investigations
container_volume 21
creator de Oliveira, Andressa Feitosa Bezerra
de Oliveira Diniz, Luciana Vilar
Forte, Franklin Delano Soares
Sampaio, Fabio Correia
Ccahuana-Vásquez, Renzo Alberto
Tochukwu Amaechi, Bennett
description Objectives The purpose of this study is to analyze the in situ effect of a casein phosphopeptide-stabilized amorphous calcium phosphate (CPP-ACP) chewing gum on human enamel erosion lesion associated or not with abrasion. Material and methods A three-way crossover study of 7 days was conducted involving 10 volunteers subjected to the same protocol: (G1) CPP-ACP sugar-free chewing gum, (G2) regular sugar-free chewing gum without CPP-ACP, and (G3) saliva—no chewing gum. An abrasion test was included in each phase. A 3D non-contact profilometry measurement of lesion depth and surface roughness was obtained of sound and eroded surfaces. A salivary calcium concentration was determined for all volunteers. ANOVA followed by Tukey’s test were used with a p   0.05). Conclusions It is demonstrated that the incorporation of the CPP-ACP into a sugar-free gum significantly increased the remineralization/protection of eroded enamel surface. Clinical relevance The CPP-ACP added to gum may be a suitable alternative vehicle, to deliver calcium ions to saliva and therefore protecting enamel.
doi_str_mv 10.1007/s00784-016-1796-1
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Material and methods A three-way crossover study of 7 days was conducted involving 10 volunteers subjected to the same protocol: (G1) CPP-ACP sugar-free chewing gum, (G2) regular sugar-free chewing gum without CPP-ACP, and (G3) saliva—no chewing gum. An abrasion test was included in each phase. A 3D non-contact profilometry measurement of lesion depth and surface roughness was obtained of sound and eroded surfaces. A salivary calcium concentration was determined for all volunteers. ANOVA followed by Tukey’s test were used with a p  &lt; 0.05. Results The enamel depth and the enamel surface roughness of the CPP-ACP gum group were significantly lower than the others (ANOVA, p  &lt; 0.05). No significant differences were observed between the treatments when associated with abrasion ( p  &gt; 0.05). A positive and significant correlation was seen between the lesion depth and enamel surface roughness for GI ( r  = 0.87, p  = 0.00) and GIII ( r  = 0.79, p  = 0.00) groups. The estimated total calcium presented in the saliva after the chewed CPP-ACP gum showed no statistical significance between the mean absorbance values at the different time collections ( p  &gt; 0.05). Conclusions It is demonstrated that the incorporation of the CPP-ACP into a sugar-free gum significantly increased the remineralization/protection of eroded enamel surface. Clinical relevance The CPP-ACP added to gum may be a suitable alternative vehicle, to deliver calcium ions to saliva and therefore protecting enamel.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-016-1796-1</identifier><identifier>PMID: 27020912</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Caseins - pharmacology ; Chewing Gum ; Cross-Over Studies ; Dentistry ; Double-Blind Method ; Female ; Humans ; Male ; Medicine ; Original Article ; Surface Properties ; Tooth Abrasion - complications ; Tooth Erosion - etiology ; Tooth Erosion - prevention &amp; control ; Treatment Outcome</subject><ispartof>Clinical oral investigations, 2017, Vol.21 (1), p.339-346</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><rights>Clinical Oral Investigations is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-8584e0eebff678d6f9f68f4191bf8baf1a53af25232b92f33d79269d13f8abc53</citedby><cites>FETCH-LOGICAL-c372t-8584e0eebff678d6f9f68f4191bf8baf1a53af25232b92f33d79269d13f8abc53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-016-1796-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-016-1796-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27020912$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Oliveira, Andressa Feitosa Bezerra</creatorcontrib><creatorcontrib>de Oliveira Diniz, Luciana Vilar</creatorcontrib><creatorcontrib>Forte, Franklin Delano Soares</creatorcontrib><creatorcontrib>Sampaio, Fabio Correia</creatorcontrib><creatorcontrib>Ccahuana-Vásquez, Renzo Alberto</creatorcontrib><creatorcontrib>Tochukwu Amaechi, Bennett</creatorcontrib><title>In situ effect of a CPP-ACP chewing gum on enamel erosion associated or not with abrasion</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives The purpose of this study is to analyze the in situ effect of a casein phosphopeptide-stabilized amorphous calcium phosphate (CPP-ACP) chewing gum on human enamel erosion lesion associated or not with abrasion. Material and methods A three-way crossover study of 7 days was conducted involving 10 volunteers subjected to the same protocol: (G1) CPP-ACP sugar-free chewing gum, (G2) regular sugar-free chewing gum without CPP-ACP, and (G3) saliva—no chewing gum. An abrasion test was included in each phase. A 3D non-contact profilometry measurement of lesion depth and surface roughness was obtained of sound and eroded surfaces. A salivary calcium concentration was determined for all volunteers. ANOVA followed by Tukey’s test were used with a p  &lt; 0.05. Results The enamel depth and the enamel surface roughness of the CPP-ACP gum group were significantly lower than the others (ANOVA, p  &lt; 0.05). No significant differences were observed between the treatments when associated with abrasion ( p  &gt; 0.05). A positive and significant correlation was seen between the lesion depth and enamel surface roughness for GI ( r  = 0.87, p  = 0.00) and GIII ( r  = 0.79, p  = 0.00) groups. 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Material and methods A three-way crossover study of 7 days was conducted involving 10 volunteers subjected to the same protocol: (G1) CPP-ACP sugar-free chewing gum, (G2) regular sugar-free chewing gum without CPP-ACP, and (G3) saliva—no chewing gum. An abrasion test was included in each phase. A 3D non-contact profilometry measurement of lesion depth and surface roughness was obtained of sound and eroded surfaces. A salivary calcium concentration was determined for all volunteers. ANOVA followed by Tukey’s test were used with a p  &lt; 0.05. Results The enamel depth and the enamel surface roughness of the CPP-ACP gum group were significantly lower than the others (ANOVA, p  &lt; 0.05). No significant differences were observed between the treatments when associated with abrasion ( p  &gt; 0.05). A positive and significant correlation was seen between the lesion depth and enamel surface roughness for GI ( r  = 0.87, p  = 0.00) and GIII ( r  = 0.79, p  = 0.00) groups. The estimated total calcium presented in the saliva after the chewed CPP-ACP gum showed no statistical significance between the mean absorbance values at the different time collections ( p  &gt; 0.05). Conclusions It is demonstrated that the incorporation of the CPP-ACP into a sugar-free gum significantly increased the remineralization/protection of eroded enamel surface. Clinical relevance The CPP-ACP added to gum may be a suitable alternative vehicle, to deliver calcium ions to saliva and therefore protecting enamel.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27020912</pmid><doi>10.1007/s00784-016-1796-1</doi><tpages>8</tpages></addata></record>
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subjects Adult
Caseins - pharmacology
Chewing Gum
Cross-Over Studies
Dentistry
Double-Blind Method
Female
Humans
Male
Medicine
Original Article
Surface Properties
Tooth Abrasion - complications
Tooth Erosion - etiology
Tooth Erosion - prevention & control
Treatment Outcome
title In situ effect of a CPP-ACP chewing gum on enamel erosion associated or not with abrasion
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