Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth

Background: Laser therapy, along with the use of fluoridated compounds is a novel technique suggested for caries prevention. Casein phosphopeptide amorphous calcium phosphate (CPP-ACP) is another product suggested for this purpose. This study compared the effect of CPP-ACP and fluoride with/without...

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Main Authors: Arezoo Ghelejkhani, Sareh Nadalizadeh, Mansoureh Rajabi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Dental Research Journal
Subjects:
Online Access:http://www.drjjournal.net/article.asp?issn=1735-3327;year=2021;volume=18;issue=1;spage=20;epage=20;aulast=Ghelejkhani
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author Arezoo Ghelejkhani
Sareh Nadalizadeh
Mansoureh Rajabi
author_facet Arezoo Ghelejkhani
Sareh Nadalizadeh
Mansoureh Rajabi
author_sort Arezoo Ghelejkhani
collection DOAJ
description Background: Laser therapy, along with the use of fluoridated compounds is a novel technique suggested for caries prevention. Casein phosphopeptide amorphous calcium phosphate (CPP-ACP) is another product suggested for this purpose. This study compared the effect of CPP-ACP and fluoride with/without Erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth. Materials and Methods: This in vitro experimental study evaluated 35 extracted third molars. The teeth were decoronated, and the crowns were split into buccal and lingual halves. The samples were randomly divided into seven groups (n = 10) of GC Tooth Mousse, MI Paste Plus, laser, fluoride varnish, laser + GC Tooth Mousse, laser + MI Paste Plus, and laser + fluoride varnish. The baseline microhardness was measured before the intervention. After the intervention, the samples were kept in artificial saliva for 1 h and were then immersed in the demineralizing solution for 3 h followed by 21 h of immersion in the remineralizing solution for a total period of 12 days. Finally, the teeth were kept in the remineralizing solution for 2 more days. The secondary microhardness of the teeth was then measured. Data were analyzed using the Shapiro–Wilk test, two-way ANOVA, and Tukey's Honestly Significant Difference test. Results: The fluoride varnish (14.31%) and laser + fluoride varnish (18.79%) groups experienced minimum reduction in microhardness, while the GC Tooth Mousse group experienced maximum reduction in microhardness (91.64%) (P < 0.001). Laser irradiation before the application of remineralizing agents increased the microhardness only in laser + GC Tooth Mousse group (P < 0.001). Conclusion: Fluoride varnish increased the enamel microhardness, while GC Tooth Mousse had no such effect. Laser therapy before the application of remineralizing agents did not significantly enhance enamel resistance to demineralization.
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spelling doaj.art-480b009c1daf434f99ebaf4e826f949e2022-12-21T22:12:16ZengWolters Kluwer Medknow PublicationsDental Research Journal1735-33272008-02552021-01-01181202010.4103/1735-3327.311427Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teethArezoo GhelejkhaniSareh NadalizadehMansoureh RajabiBackground: Laser therapy, along with the use of fluoridated compounds is a novel technique suggested for caries prevention. Casein phosphopeptide amorphous calcium phosphate (CPP-ACP) is another product suggested for this purpose. This study compared the effect of CPP-ACP and fluoride with/without Erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth. Materials and Methods: This in vitro experimental study evaluated 35 extracted third molars. The teeth were decoronated, and the crowns were split into buccal and lingual halves. The samples were randomly divided into seven groups (n = 10) of GC Tooth Mousse, MI Paste Plus, laser, fluoride varnish, laser + GC Tooth Mousse, laser + MI Paste Plus, and laser + fluoride varnish. The baseline microhardness was measured before the intervention. After the intervention, the samples were kept in artificial saliva for 1 h and were then immersed in the demineralizing solution for 3 h followed by 21 h of immersion in the remineralizing solution for a total period of 12 days. Finally, the teeth were kept in the remineralizing solution for 2 more days. The secondary microhardness of the teeth was then measured. Data were analyzed using the Shapiro–Wilk test, two-way ANOVA, and Tukey's Honestly Significant Difference test. Results: The fluoride varnish (14.31%) and laser + fluoride varnish (18.79%) groups experienced minimum reduction in microhardness, while the GC Tooth Mousse group experienced maximum reduction in microhardness (91.64%) (P < 0.001). Laser irradiation before the application of remineralizing agents increased the microhardness only in laser + GC Tooth Mousse group (P < 0.001). Conclusion: Fluoride varnish increased the enamel microhardness, while GC Tooth Mousse had no such effect. Laser therapy before the application of remineralizing agents did not significantly enhance enamel resistance to demineralization.http://www.drjjournal.net/article.asp?issn=1735-3327;year=2021;volume=18;issue=1;spage=20;epage=20;aulast=Ghelejkhanicasein phosphopeptide-amorphous calcium phosphate nanocomplexfluorideslaserssolid-statetooth demineralizationtooth remineralization
spellingShingle Arezoo Ghelejkhani
Sareh Nadalizadeh
Mansoureh Rajabi
Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth
Dental Research Journal
casein phosphopeptide-amorphous calcium phosphate nanocomplex
fluorides
lasers
solid-state
tooth demineralization
tooth remineralization
title Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth
title_full Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth
title_fullStr Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth
title_full_unstemmed Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth
title_short Effect of casein-phosphopeptide amorphous calcium phosphate and fluoride with/without erbium, chromium-doped yttrium, scandium, gallium, and garnet laser irradiation on enamel microhardness of permanent teeth
title_sort effect of casein phosphopeptide amorphous calcium phosphate and fluoride with without erbium chromium doped yttrium scandium gallium and garnet laser irradiation on enamel microhardness of permanent teeth
topic casein phosphopeptide-amorphous calcium phosphate nanocomplex
fluorides
lasers
solid-state
tooth demineralization
tooth remineralization
url http://www.drjjournal.net/article.asp?issn=1735-3327;year=2021;volume=18;issue=1;spage=20;epage=20;aulast=Ghelejkhani
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AT sarehnadalizadeh effectofcaseinphosphopeptideamorphouscalciumphosphateandfluoridewithwithouterbiumchromiumdopedyttriumscandiumgalliumandgarnetlaserirradiationonenamelmicrohardnessofpermanentteeth
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