Remineralising effects of fluoride varnishes containing calcium phosphate on artificial root caries lesions with adjunctive application of proanthocyanidin. 2021

Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
Melbourne Dental School, The University of Melbourne, 720 Swanston Street, Carlton, VIC 3053, Australia.

To evaluate the remineralising effects of fluoride (F) varnishes containing bioavailable calcium-phosphate compound (Ca-P) based remineralisation systems and 5000 ppm F toothpaste (FTP) on root caries lesions (RCLs) and the potential effects of proanthocyanidin (PA) for the treatments of RCLs when used as an adjunct to F regimens. Demineralised root dentine and a pH-cycling model were used to mimic RCLs and the oral environment. Remineralising effects of MI VarnishTM (MIV) containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and Clinpro™ White Varnish (CPWV) containing tri-calcium phosphate (TCP) along with FTP and PA were evaluated regarding the birefringence, elemental composition, mechanical properties and mineral density of remineralised dentine with DuraphatTM as a comparison. MIV, CPWV and DuraphatTM promoted the incorporation of F into RCLs and increased mineral density but did not change microhardness of root dentine significantly. Surface microhardness increased significantly when MIV or CPWV was used with 5000 ppm FTP. Application of PA with F regimens significantly increased subsurface mineral density. When PA was applied with MIV or CPWV along with FTP, the highest ion uptake and relative mineral gain (%ΔZ) was achieved, and significant increase of microhardness was up to 30 μm depth. Generally, MIV was associated with a higher mineral content gain than CPWV. Treatment of carious root surfaces remains challenging due to the complex pathological processes and difficulty in restoring the highly organised structure of root dentine. Treatment strategies targeting both remineralisation and preservation of the dentinal organic matrix have the potential to improve the fluoride-mediated remineralisation approaches.

UI MeSH Term Description Entries
D002130 Calcium Phosphates Calcium salts of phosphoric acid. These compounds are frequently used as calcium supplements. Phosphates, Calcium
D002327 Cariostatic Agents Substances that inhibit or arrest DENTAL CARIES formation. (Boucher's Clinical Dental Terminology, 4th ed) Cariostatic Effect,Cariostatic Effects,Agent, Cariostatic,Agents, Cariostatic,Cariostatic Agent,Effect, Cariostatic,Effects, Cariostatic
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
D005459 Fluorides Inorganic salts of hydrofluoric acid, HF, in which the fluorine atom is in the -1 oxidation state. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Sodium and stannous salts are commonly used in dentifrices. Fluoride
D005460 Fluorides, Topical Fluorides, usually in pastes or gels, used for topical application to reduce the incidence of DENTAL CARIES. Fluoride Varnishes,Topical Fluorides,Varnishes, Fluoride
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
D017213 Root Caries Dental caries involving the tooth root, cementum, or cervical area of the tooth. Caries, Cervical,Caries, Root,Cervical Caries,Cary, Cervical,Cervical Cary
D044945 Proanthocyanidins Dimers and oligomers of flavan-3-ol units (CATECHIN analogs) linked mainly through C4 to C8 bonds to leucoanthocyanidins. They are structurally similar to ANTHOCYANINS but are the result of a different fork in biosynthetic pathways. Anthocyanidin Polymers,Tannin, Condensed,Condensed Tannin,Condensed Tannins,Procyanidins,Polymers, Anthocyanidin,Tannins, Condensed

Related Publications

Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
April 2017, Materials science & engineering. C, Materials for biological applications,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
March 2014, The Southeast Asian journal of tropical medicine and public health,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
November 2014, The Southeast Asian journal of tropical medicine and public health,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
January 2019, Oral health & preventive dentistry,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
September 2003, American journal of dentistry,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
April 2021, Microorganisms,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
September 2016, Australian dental journal,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
January 2002, Journal of dentistry,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
May 2019, Brazilian oral research,
Jing Cai, and Michael F Burrow, and David J Manton, and Rita Hardiman, and Joseph E A Palamara
January 2011, The Journal of clinical dentistry,
Copied contents to your clipboard!