181031

Effect of Sodium Hypochlorite (NaOCl) for Pretreatment of Early Demineralized Enamel Lesions in Enhancing the Remineralization Capacity of Self-assembling Peptide (In-vitro Study)

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Last updated: 05 Jan 2025

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Abstract

Background: Deproteinizing enamel with sodium hypochlorite proved its positive effect when applied before one of the recent remineralizing agents (self-assembling peptide) which is considered an ideal enamel biomimetic approach. Objectives: To investigate the effect of sodium hypochlorite on the remineralizing capacity of the self-assembling peptide when applied before versus after acid etching of enamel; and the ability of the self-assembling peptide to sustain the remineralizing effect. Materials and Methods: Artificial enamel lesions were created on the proximal surfaces of 64 sample. Specimens were randomly put into two groups (N=32) according to NaOCl sequence of application (before/after acid etching). Group S1 (NaOCl applied before acid etching as recommended by the manufacturer); Group S2 (NaOCl applied after acid etching). After that, enamel samples were subjected to a pH-cycling for 1 month, followed by 3 months. Surface microhardness (SMH) was assessed at baseline, after demineralization, after remineralization, after pH-cycling for 1 month, and 3 months. SMH values were analyzed using ANOVA, the percentage of change of SMH was calculated based on the baseline SMH; the lower the value of the percentage of change the better the remineralizing capacity. Results: Upon comparing the values of percentage of change of microhardness at different timings we found that the lowest statistically significant percentage of change belonged to group S2. Conclusion: The sequence of NaOCl application had a statistically significant effect when applied after acid etching on the remineralization capacity of self-assembling peptide during different times of measuring leading to better re-hardening action and sustainable remineralizing action.

DOI

10.21608/jfcr.2021.181031

Keywords

remineralization, self-assembling, peptide, deproteinization, Microhardness

Authors

First Name

Amira

Last Name

Elwazir

MiddleName

Ahmed

Affiliation

Operative Department, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt

Email

amira.ahmed@miuegypt.edu.eg

City

Cairo

Orcid

0000-0001-5397-7489

First Name

Ola

Last Name

Fahmy

MiddleName

Mohamed

Affiliation

Professor of Operative Dentistry, Faculty of Oral and Dental Medicine, Misr International University, Cairo, Egypt

Email

ola.fahmy@miuegypt.edu.eg

City

Cairo

Orcid

0000-0002-2426-5578

First Name

Sameh

Last Name

Nabih

MiddleName

Mahmoud

Affiliation

Professor of Operative Dentistry Vice-Dean of Postgraduate Studies and Research Faculty of Dentistry, Al-Azhar University - Boys Section, Cairo, Egypt

Email

samehmnabih@gmail.com

City

Cairo

Orcid

-

Volume

1

Article Issue

1

Related Issue

26053

Issue Date

2021-06-01

Receive Date

2021-06-30

Publish Date

2021-06-01

Page Start

1

Page End

16

Online ISSN

2786-023X

Link

https://jfcr.journals.ekb.eg/article_181031.html

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https://jfcr.journals.ekb.eg/service?article_code=181031

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1

Type

Original research articles

Type Code

1,936

Publication Type

Journal

Publication Title

Journal of Fundamental and Clinical Research

Publication Link

https://jfcr.journals.ekb.eg/

MainTitle

Effect of Sodium Hypochlorite (NaOCl) for Pretreatment of Early Demineralized Enamel Lesions in Enhancing the Remineralization Capacity of Self-assembling Peptide (In-vitro Study)

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Article

Created At

23 Jan 2023