Importance of bioavailable calcium in fluoride dentifrices for enamel remineralization

To compare remineralization of enamel subsurface lesions by fluoride dentifrices with added calcium in a double-blind, randomized, cross-over, in situ study. Human enamel with subsurface lesions were prepared and inserted into intra-oral appliances worn by volunteers. A slurry (1 g toothpaste/4 ml H...

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Veröffentlicht in:Journal of dentistry 2018-11, Vol.78, p.59-64
Hauptverfasser: Shen, Peiyan, Walker, Glenn D., Yuan, Yi, Reynolds, Coralie, Stanton, David P., Fernando, James R., Reynolds, Eric C.
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container_end_page 64
container_issue
container_start_page 59
container_title Journal of dentistry
container_volume 78
creator Shen, Peiyan
Walker, Glenn D.
Yuan, Yi
Reynolds, Coralie
Stanton, David P.
Fernando, James R.
Reynolds, Eric C.
description To compare remineralization of enamel subsurface lesions by fluoride dentifrices with added calcium in a double-blind, randomized, cross-over, in situ study. Human enamel with subsurface lesions were prepared and inserted into intra-oral appliances worn by volunteers. A slurry (1 g toothpaste/4 ml H2O) was rinsed for 60 s, 4 times per day for 14 days. Seven toothpastes were tested: (i) 1450 ppm F (NaF), (ii) 5000 ppm F (NaF), (iii) 1450 ppm F (MFP) with calcium sodium phosphosilicate (CSP), (iv) 1450 ppm F (MFP) with CaCO3/Arg, (v) 1150 ppm F (SnF2) with amorphous calcium phosphate (ACP), (vi) 1100 ppm F (NaF) with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and (vii) 5000 ppm F (NaF) with functionalized tri-calcium phosphate (TCP). Total (acid soluble) and bioavailable (water soluble) calcium, inorganic phosphate and fluoride levels of the dentifrices were measured using ion chromatography (F/MFP) and spectrophotometry (Ca and inorganic phosphate). Enamel lesion mineral content was measured using transverse microradiography. Data were statistically analysed using a linear mixed model. All calcium and fluoride containing toothpastes released > 90% of bioavailable fluoride and were superior to the respective fluoride alone toothpastes in remineralization of enamel subsurface lesions. The level of remineralization followed the order: CPP-ACP/1l00 ppm F > ACP/1150 ppm F = TCP/5000 ppm F > 5000 ppm F = CaCO3/Arg/1450 ppm F = CSP/1450 ppm F > 1450 ppm F. Bioavailable calcium levels significantly correlated with enhanced remineralization of enamel subsurface lesions. Bioavailable calcium in fluoride dentifrices enhanced remineralization of enamel subsurface lesions.
doi_str_mv 10.1016/j.jdent.2018.08.005
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Human enamel with subsurface lesions were prepared and inserted into intra-oral appliances worn by volunteers. A slurry (1 g toothpaste/4 ml H2O) was rinsed for 60 s, 4 times per day for 14 days. Seven toothpastes were tested: (i) 1450 ppm F (NaF), (ii) 5000 ppm F (NaF), (iii) 1450 ppm F (MFP) with calcium sodium phosphosilicate (CSP), (iv) 1450 ppm F (MFP) with CaCO3/Arg, (v) 1150 ppm F (SnF2) with amorphous calcium phosphate (ACP), (vi) 1100 ppm F (NaF) with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and (vii) 5000 ppm F (NaF) with functionalized tri-calcium phosphate (TCP). Total (acid soluble) and bioavailable (water soluble) calcium, inorganic phosphate and fluoride levels of the dentifrices were measured using ion chromatography (F/MFP) and spectrophotometry (Ca and inorganic phosphate). Enamel lesion mineral content was measured using transverse microradiography. Data were statistically analysed using a linear mixed model. All calcium and fluoride containing toothpastes released &gt; 90% of bioavailable fluoride and were superior to the respective fluoride alone toothpastes in remineralization of enamel subsurface lesions. The level of remineralization followed the order: CPP-ACP/1l00 ppm F &gt; ACP/1150 ppm F = TCP/5000 ppm F &gt; 5000 ppm F = CaCO3/Arg/1450 ppm F = CSP/1450 ppm F &gt; 1450 ppm F. Bioavailable calcium levels significantly correlated with enhanced remineralization of enamel subsurface lesions. Bioavailable calcium in fluoride dentifrices enhanced remineralization of enamel subsurface lesions.</description><identifier>ISSN: 0300-5712</identifier><identifier>EISSN: 1879-176X</identifier><identifier>DOI: 10.1016/j.jdent.2018.08.005</identifier><identifier>PMID: 30099066</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Bioavailability ; Biological availability ; Calcium carbonate ; Calcium fluoride ; Calcium phosphates ; Casein ; Crossovers ; Data processing ; Dental caries ; Dental enamel ; Dentifrices ; Dentistry ; Enamel ; Fluoride treatments ; Fluorides ; Lesions ; Microradiography ; Phosphate ; Remineralization ; Slurries ; Sodium ; Sodium fluoride ; Spectrophotometry ; Toothpaste ; Toothpastes</subject><ispartof>Journal of dentistry, 2018-11, Vol.78, p.59-64</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. 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All calcium and fluoride containing toothpastes released &gt; 90% of bioavailable fluoride and were superior to the respective fluoride alone toothpastes in remineralization of enamel subsurface lesions. The level of remineralization followed the order: CPP-ACP/1l00 ppm F &gt; ACP/1150 ppm F = TCP/5000 ppm F &gt; 5000 ppm F = CaCO3/Arg/1450 ppm F = CSP/1450 ppm F &gt; 1450 ppm F. Bioavailable calcium levels significantly correlated with enhanced remineralization of enamel subsurface lesions. 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Human enamel with subsurface lesions were prepared and inserted into intra-oral appliances worn by volunteers. A slurry (1 g toothpaste/4 ml H2O) was rinsed for 60 s, 4 times per day for 14 days. Seven toothpastes were tested: (i) 1450 ppm F (NaF), (ii) 5000 ppm F (NaF), (iii) 1450 ppm F (MFP) with calcium sodium phosphosilicate (CSP), (iv) 1450 ppm F (MFP) with CaCO3/Arg, (v) 1150 ppm F (SnF2) with amorphous calcium phosphate (ACP), (vi) 1100 ppm F (NaF) with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and (vii) 5000 ppm F (NaF) with functionalized tri-calcium phosphate (TCP). Total (acid soluble) and bioavailable (water soluble) calcium, inorganic phosphate and fluoride levels of the dentifrices were measured using ion chromatography (F/MFP) and spectrophotometry (Ca and inorganic phosphate). Enamel lesion mineral content was measured using transverse microradiography. Data were statistically analysed using a linear mixed model. All calcium and fluoride containing toothpastes released &gt; 90% of bioavailable fluoride and were superior to the respective fluoride alone toothpastes in remineralization of enamel subsurface lesions. The level of remineralization followed the order: CPP-ACP/1l00 ppm F &gt; ACP/1150 ppm F = TCP/5000 ppm F &gt; 5000 ppm F = CaCO3/Arg/1450 ppm F = CSP/1450 ppm F &gt; 1450 ppm F. Bioavailable calcium levels significantly correlated with enhanced remineralization of enamel subsurface lesions. Bioavailable calcium in fluoride dentifrices enhanced remineralization of enamel subsurface lesions.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>30099066</pmid><doi>10.1016/j.jdent.2018.08.005</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-5788-1676</orcidid><orcidid>https://orcid.org/0000-0002-6618-4856</orcidid></addata></record>
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subjects Bioavailability
Biological availability
Calcium carbonate
Calcium fluoride
Calcium phosphates
Casein
Crossovers
Data processing
Dental caries
Dental enamel
Dentifrices
Dentistry
Enamel
Fluoride treatments
Fluorides
Lesions
Microradiography
Phosphate
Remineralization
Slurries
Sodium
Sodium fluoride
Spectrophotometry
Toothpaste
Toothpastes
title Importance of bioavailable calcium in fluoride dentifrices for enamel remineralization
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