377572

Influence of Self-Assembly Peptides Usage in Combination with Fluorides and Calcium Phosphate Compounds upon Remineralization for Incipient Carious Lesions

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

Conservative dentistry

Abstract

Introduction: The natural healing process for non-cavitated lesions is remineralization (Remineralization is considered the main natural process for noncavitated lesions healing). Fluoride is the main constituent of numerous remineralizing agents and casein phosphopeptides amorphous calcium phosphate fluoride (CPP-ACPF) have already proved their remineralizing potential. Regenerative biomimetic approaches in remineralization have been introduced in the market based on the use of self-assembly peptides (SAP) and already showed an effective remineralizing effect. Aim : To clarify the effect of combining fluoride or CPP-ACPF with SAP compared to the remineralizing potential of SAP on its own. Materials and Methods: Artificial enamel lesions were created on the buccal surfaces of 60 samples. Samples were randomly distributed into two equal groups (30 ones /each). Group (B0): received no biomimetic material, group (B1): biomimetic material was applied. Each group was further subdivided randomly into 3 subgroups of 10 specimens each according to the remineralizing material used; either (R0) artificial saliva, (R1) fluoride, or (R2) CPP-ACPF. Specimens of enamel were put through a pH-cycling model for 8 days. A Vickers microhardness tester was used in assessing surface hardness (SMH) before demineralization of the specimens as a baseline, after demineralization, after remineralization, and after pH cycling. The resulting values were analyzed using ANOVA. Results: The percentages of microhardness change were compared after remineralization and pH-cycling, in which, we found that regardless of remineralizing agents; group B1 showed a statistically significantly higher value than group B0. Regardless of biomimetic material, group R2 showed a statistically significantly highest mean percentage change. And when combined, group B1R2 had the statistically significant highest value of all groups. Conclusion: SAP showed superior remineralization potential in comparison to fluoride and CPP-ACPF-based remineralizing agents. SAP showed a synergistic effect when combined with both fluoride and CPP-ACPF. However. Its synergistic effect was superior with CPP-ACPF-based varnish.

DOI

10.21608/dsu.2024.233692.1201

Keywords

CPP-ACPF, fluoride, pH-cycling, remineralization, Self-assembly Peptides, surface microhardness

Authors

First Name

Omar

Last Name

Sayed

MiddleName

Mohamed Nabil Momen

Affiliation

Operative Dentistry department, Faculty of Dentistry, Misr International University, Cairo, Egypt.

Email

omarnabilmomen@gmail.com

City

Cairo

Orcid

0009-0008-3910-0849

First Name

Ahmed

Last Name

Fawzy

MiddleName

-

Affiliation

Faculty of Dentistry, Suez Canal University

Email

ahmed.elezz@icloud.com

City

-

Orcid

0000-0002-6239-0003

First Name

Dina

Last Name

El-kassas

MiddleName

-

Affiliation

Faculty of Dentistry, Misr International University

Email

dinaelkassas2000@yahoo.com

City

-

Orcid

-

Volume

5

Article Issue

2

Related Issue

50136

Issue Date

2024-09-01

Receive Date

2023-09-02

Publish Date

2024-09-01

Page Start

307

Page End

314

Print ISSN

2636-3836

Online ISSN

2636-3844

Link

https://dsu.journals.ekb.eg/article_377572.html

Detail API

https://dsu.journals.ekb.eg/service?article_code=377572

Order

10

Type

Original Article

Type Code

772

Publication Type

Journal

Publication Title

Dental Science Updates

Publication Link

https://dsu.journals.ekb.eg/

MainTitle

Influence of Self-Assembly Peptides Usage in Combination with Fluorides and Calcium Phosphate Compounds upon Remineralization for Incipient Carious Lesions

Details

Type

Article

Created At

24 Dec 2024