In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion

Abstract Objective: To evaluate in situ the effect of toothpastes containing casein phosphopeptide - amorphous calcium phosphate (CPP-ACP) and casein phosphopeptide-amorphous calcium phosphate associated to fluoride (CPP-ACPF) on initial erosion prevention. Material and Methods: Bovine enamel blocks (n = 192) were randomly assigned into 4 phases according to the baseline surface hardness: GI: CPP-ACP Paste (MI Paste™), GII: CPP-ACPF Paste (MI Paste Plus™), GIII: Fluoridated paste and GIV: Placebo Paste. In each of the 4 crossover phases, twelve volunteers wore intraoral palatal appliances containing 4 enamel blocks for 2 hours, then the tested treatments were applied intraorally (3 min) and the appliance was maintained in the mouth for another 3 hours. After, the appliances were removed and immersed in hydrochloric acid (0.01 M, pH 2.3) for 30 seconds to promote erosive demineralization. The final surface hardness was evaluated and percentage of surface hardness loss was calculated. The data were analyzed by ANOVA and Tukey’s test (α = 5%). Results: The application of CPP-ACP paste, independent of fluoride content, resulted in significant lower enamel hardness loss (GI: 9.26% ±3.48 and GII: 9.14% ±1.73) compared to NaF (GIII: 15.5% ± 3.94) and placebo (GIV: 16.7% ± 4.07) pastes, which did not show difference between them. Conclusion: The CPP-ACP pastes were able to reduce initial erosive demineralization in relation to fluoride and placebo pastes. Nevertheless the formulation of CPP-ACP with fluoride did not provide an additional benefit.

Saved in:
Bibliographic Details
Main Authors: Fernandes,Liege Helena Freitas, Alencar,Catarina Ribeiro Barros de, Melo,João Baptista da Costa Agra de, Rios,Daniela, Honório,Heitor Marques, Cavalcanti,Alessandro Leite
Format: Digital revista
Language:English
Published: Associação de Apoio à Pesquisa em Saúde Bucal 2019
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-46322019000100368
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S1983-46322019000100368
record_format ojs
spelling oai:scielo:S1983-463220190001003682019-10-08In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel ErosionFernandes,Liege Helena FreitasAlencar,Catarina Ribeiro Barros deMelo,João Baptista da Costa Agra deRios,DanielaHonório,Heitor MarquesCavalcanti,Alessandro Leite Dental Enamel Tooth Erosion Caseins Sodium Fluoride Abstract Objective: To evaluate in situ the effect of toothpastes containing casein phosphopeptide - amorphous calcium phosphate (CPP-ACP) and casein phosphopeptide-amorphous calcium phosphate associated to fluoride (CPP-ACPF) on initial erosion prevention. Material and Methods: Bovine enamel blocks (n = 192) were randomly assigned into 4 phases according to the baseline surface hardness: GI: CPP-ACP Paste (MI Paste™), GII: CPP-ACPF Paste (MI Paste Plus™), GIII: Fluoridated paste and GIV: Placebo Paste. In each of the 4 crossover phases, twelve volunteers wore intraoral palatal appliances containing 4 enamel blocks for 2 hours, then the tested treatments were applied intraorally (3 min) and the appliance was maintained in the mouth for another 3 hours. After, the appliances were removed and immersed in hydrochloric acid (0.01 M, pH 2.3) for 30 seconds to promote erosive demineralization. The final surface hardness was evaluated and percentage of surface hardness loss was calculated. The data were analyzed by ANOVA and Tukey’s test (α = 5%). Results: The application of CPP-ACP paste, independent of fluoride content, resulted in significant lower enamel hardness loss (GI: 9.26% ±3.48 and GII: 9.14% ±1.73) compared to NaF (GIII: 15.5% ± 3.94) and placebo (GIV: 16.7% ± 4.07) pastes, which did not show difference between them. Conclusion: The CPP-ACP pastes were able to reduce initial erosive demineralization in relation to fluoride and placebo pastes. Nevertheless the formulation of CPP-ACP with fluoride did not provide an additional benefit.info:eu-repo/semantics/openAccessAssociação de Apoio à Pesquisa em Saúde BucalPesquisa Brasileira em Odontopediatria e Clínica Integrada v.19 20192019-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-46322019000100368en10.4034/pboci.2019.191.67
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Fernandes,Liege Helena Freitas
Alencar,Catarina Ribeiro Barros de
Melo,João Baptista da Costa Agra de
Rios,Daniela
Honório,Heitor Marques
Cavalcanti,Alessandro Leite
spellingShingle Fernandes,Liege Helena Freitas
Alencar,Catarina Ribeiro Barros de
Melo,João Baptista da Costa Agra de
Rios,Daniela
Honório,Heitor Marques
Cavalcanti,Alessandro Leite
In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion
author_facet Fernandes,Liege Helena Freitas
Alencar,Catarina Ribeiro Barros de
Melo,João Baptista da Costa Agra de
Rios,Daniela
Honório,Heitor Marques
Cavalcanti,Alessandro Leite
author_sort Fernandes,Liege Helena Freitas
title In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion
title_short In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion
title_full In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion
title_fullStr In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion
title_full_unstemmed In Situ Effect of Intra-Oral Application of Pastes Containing CPP-ACP or CPP-ACPF Against Initial Enamel Erosion
title_sort in situ effect of intra-oral application of pastes containing cpp-acp or cpp-acpf against initial enamel erosion
description Abstract Objective: To evaluate in situ the effect of toothpastes containing casein phosphopeptide - amorphous calcium phosphate (CPP-ACP) and casein phosphopeptide-amorphous calcium phosphate associated to fluoride (CPP-ACPF) on initial erosion prevention. Material and Methods: Bovine enamel blocks (n = 192) were randomly assigned into 4 phases according to the baseline surface hardness: GI: CPP-ACP Paste (MI Paste™), GII: CPP-ACPF Paste (MI Paste Plus™), GIII: Fluoridated paste and GIV: Placebo Paste. In each of the 4 crossover phases, twelve volunteers wore intraoral palatal appliances containing 4 enamel blocks for 2 hours, then the tested treatments were applied intraorally (3 min) and the appliance was maintained in the mouth for another 3 hours. After, the appliances were removed and immersed in hydrochloric acid (0.01 M, pH 2.3) for 30 seconds to promote erosive demineralization. The final surface hardness was evaluated and percentage of surface hardness loss was calculated. The data were analyzed by ANOVA and Tukey’s test (α = 5%). Results: The application of CPP-ACP paste, independent of fluoride content, resulted in significant lower enamel hardness loss (GI: 9.26% ±3.48 and GII: 9.14% ±1.73) compared to NaF (GIII: 15.5% ± 3.94) and placebo (GIV: 16.7% ± 4.07) pastes, which did not show difference between them. Conclusion: The CPP-ACP pastes were able to reduce initial erosive demineralization in relation to fluoride and placebo pastes. Nevertheless the formulation of CPP-ACP with fluoride did not provide an additional benefit.
publisher Associação de Apoio à Pesquisa em Saúde Bucal
publishDate 2019
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1983-46322019000100368
work_keys_str_mv AT fernandesliegehelenafreitas insitueffectofintraoralapplicationofpastescontainingcppacporcppacpfagainstinitialenamelerosion
AT alencarcatarinaribeirobarrosde insitueffectofintraoralapplicationofpastescontainingcppacporcppacpfagainstinitialenamelerosion
AT melojoaobaptistadacostaagrade insitueffectofintraoralapplicationofpastescontainingcppacporcppacpfagainstinitialenamelerosion
AT riosdaniela insitueffectofintraoralapplicationofpastescontainingcppacporcppacpfagainstinitialenamelerosion
AT honorioheitormarques insitueffectofintraoralapplicationofpastescontainingcppacporcppacpfagainstinitialenamelerosion
AT cavalcantialessandroleite insitueffectofintraoralapplicationofpastescontainingcppacporcppacpfagainstinitialenamelerosion
_version_ 1756436548519198720