The effect of combined use of resin infiltration with different bioactive calcium phosphate-based approaches on enamel white spot lesions : An in vitro study

Copyright © 2024 Elsevier Ltd. All rights reserved..

OBJECTIVES: This in vitro study aimed to evaluate the effect of resin infiltration combined with casein phosphopeptide-amorphous calcium phosphate with fluoride (CPP-ACPF) or bioactive glass (BAG) on the stability of enamel white spot lesions (WSLs) treatment.

MATERIALS AND METHODS: Eighty-four enamel blocks were prepared from the buccal surfaces of sound human premolars. All enamel blocks were placed in a demineralisation solution for 3 days to establish the artificial enamel WSLs. Enamel blocks with WSLs were randomly divided into three groups (n = 28 each group): RI/B: one-off resin infiltration followed by twice daily BAG treatment; RI/C: one-off resin infiltration followed by twice daily CPP-ACPF treatment; RI: one-off resin infiltration treatment only (as control) and subjected to pH cycling for 7 days. Surface morphology, elemental analysis, crystal characteristics, surface roughness and microhardness of enamel surfaces were investigated by scanning electron microscopy and energy-dispersive spectrometry observation, X-ray diffraction (XRD), atomic force microscope and Vickers' hardness testing, respectively.

RESULTS: Mean values of the surface roughness (mean±standard deviation (nm)) were 24.52±5.07, 27.39±5.87 and 34.36±4.55 for groups RI/B, RI/C and RI respectively (p = 0.003). The calcium to phosphate ratios were 1.32±0.16, 1.22±0.26 and 0.69±0.24 for groups RI/B, RI/C and RI respectively (p < 0.001). XRD revealed apatite formation in all three groups. The mean enamel surface microhardness (kg/mm2) of the groups were 353.93±28.49, 339.00±27.32 and 330.38±22.55 for groups RI/B, RI/C and RI respectively (p = 0.216).

CONCLUSIONS: Resin infiltration combined with CPP-ACPF or BAG remineralisation appears to improve the surface properties of WSLs.

CLINICAL SIGNIFICANCE: The combination of resin infiltration and CPP-ACPF/BAG remineralisation may be a potential treatment for the management of the WSLs.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:143

Enthalten in:

Journal of dentistry - 143(2024) vom: 29. März, Seite 104909

Sprache:

Englisch

Beteiligte Personen:

Meng, Qingfei [VerfasserIn]
Wang, Yan [VerfasserIn]
He, Jingyu [VerfasserIn]
Chen, Lijuan [VerfasserIn]
Meng, Jian [VerfasserIn]
Lyons, Karl [VerfasserIn]
Mei, May Lei [VerfasserIn]

Links:

Volltext

Themen:

97Z1WI3NDX
Bioactive glass
CPP-ACPF
Calcium Phosphates
Calcium phosphate
Enamel white spot lesions
Fluorides
Journal Article
PH cycling
Q80VPU408O
Resin infiltration

Anmerkungen:

Date Completed 25.03.2024

Date Revised 25.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jdent.2024.104909

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369185943