Chitosan-bioglass complexes promote subsurface remineralisation of incipient human carious enamel lesions. 2019

Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
Centre for Oral Clinical & Translation Sciences, Faculty of Dentistry, Oral & Craniofacial Sciences, King's College London, UK.

To test the in vitro subsurface remineralisation efficacy of chitosan-bioglass complex on artificial white spot lesions. 64 artificial enamel white spot lesions were created by acidic gel and equally separated for static and 7d pH-cycling models. In each model, samples were assigned to 4 groups: (1) bioglass application on chitosan pre-treated lesions (CB); (2) chitosan-bioglass slurry (CBS); (3) "standard" remineralisation solution (RS - positive control); (4) deionised water (NC - negative control). Before each treatment using remineralising agents, 3-minute pellicle was formed on lesions' surfaces. Mineral content changes, surface and subsurface microhardness and ultrastructure were evaluated by Raman intensity mapping, Knoop microhardness and scanning electron microscopy, respectively. Data were statistically analysed using one-way ANOVA with Tukey's test (p < 0.05 is considered as significant). Chitosan-bioglass complexing was found to exhibit greater mineral regain and recovery of surface and subsurface microhardness compared to "standard" remineralisation solution and control groups, after static and dynamic pH-cycling remineralisation for 7 days (p < 0.05). Specifically, dense precipitations with Ca/P ratios similar to that in pure hydroxyapatite (HA) were observed on surfaces and subsurfaces which filled the porosities in the dynamic pH-cycling group, leaving no prismatic enamel structure exposed. Chitosan-bioglass complex is positive in promoting subsurface mineral deposition in spite of the presence of a short-term salivary pellicle. Clinical significance chitosan-bioglass complexing may provide an alternative clinical strategy in remineralising early enamel carious lesions as well as desensitizing exposed porous vital dental tissues clinically.

UI MeSH Term Description Entries
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014089 Tooth Remineralization Therapeutic technique for replacement of minerals in partially decalcified teeth. Remineralization, Tooth
D048271 Chitosan Deacetylated CHITIN, a linear polysaccharide of deacetylated beta-1,4-D-glucosamine. It is used in HYDROGEL and to treat WOUNDS. Poliglusam

Related Publications

Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
November 2017, Journal of dentistry,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
October 1966, Journal of the Canadian Dental Association,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
August 1974, British dental journal,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
April 2013, Archives of oral biology,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
January 1990, Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
January 1983, Caries research,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
March 1981, Shika gakuho. Dental science reports,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
August 2007, Archives of oral biology,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
January 1964, Advances in oral biology,
Jing Zhang, and Richard J M Lynch, and Timothy F Watson, and Avijit Banerjee
May 2024, Journal of the World federation of orthodontists,
Copied contents to your clipboard!