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Preventing erosion with novel agents.

AbstractOBJECTIVES:
This in vitro study aimed to investigate the protective effect of four commercial novel agents against erosion.
METHODS:
Ninety human molars were distributed into 9 groups, and after incubation in human saliva for 2 h, a pellicle was formed. Subsequently, the specimens were submitted to demineralization (orange juice, pH 3.6, 3 min) and remineralization (paste slurry containing one of the tested novel agents, 3 min) cycles, two times per day, for 4 days. The tested agents were: (1) DenShield Tooth; active ingredient: 7.5% W/W NovaMin(®) (calcium sodium phosphosilicate); (2) Nanosensitive hca; active ingredient: 7.5% W/W NovaMin(®); (3) GC Tooth Mousse; active ingredient: 10% Recaldent™ (CPP-ACP); (4) GC MI Paste Plus; active ingredients: 10% Recaldent™, 900 ppm fluoride. Two experimental procedures were performed: in procedure 1, the tested agents were applied prior to the erosive attack, and in procedure 2 after the erosive attack. A control group receiving no prophylactic treatment was included. Surface nanohardness (SNH) of enamel specimens was measured after pellicle formation and after completion of daily cyclic treatment.
RESULTS:
SNH significantly decreased at the end of the experiment for all groups (p<0.05). In both procedures, there was no statistically significant difference between the control group and those treated with paste slurries (p>0.05). In addition, the changes in SNH (ΔSNH=SNHbaseline-SNHfinal) did not show statistically significant difference between both procedures (p>0.05).
CONCLUSION:
Tooth erosion cannot be prevented or repaired by these novel agents, regardless of fluoride content.
AuthorsX Wang, B Megert, E Hellwig, K W Neuhaus, A Lussi
JournalJournal of dentistry (J Dent) Vol. 39 Issue 2 Pg. 163-70 (Feb 2011) ISSN: 1879-176X [Electronic] England
PMID21126556 (Publication Type: Comparative Study, Journal Article)
CopyrightCopyright © 2010 Elsevier Ltd. All rights reserved.
Chemical References
  • Caseins
  • NovaMin
  • Pharmaceutical Preparations, Dental
  • Saliva, Artificial
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • Fluorides
Topics
  • Beverages (adverse effects)
  • Caseins (administration & dosage, therapeutic use)
  • Citrus
  • Dental Enamel (drug effects, ultrastructure)
  • Dental Pellicle (drug effects, ultrastructure)
  • Fluorides (administration & dosage, therapeutic use)
  • Fruit
  • Glass
  • Hardness
  • Humans
  • Hydrogen-Ion Concentration
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Pharmaceutical Preparations, Dental (administration & dosage, therapeutic use)
  • Saliva, Artificial
  • Temperature
  • Time Factors
  • Tooth Erosion (pathology, prevention & control)
  • Tooth Remineralization (methods)

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