Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study

Introduction: Dental caries was considered to be an irreversible disease, but this concept of caries is changing because of the availability of many newer products for its treatment. One of such product is casein phosphopeptide-amorphous calcium phosphate (CPP-ACP). Aim: The present in vitro study w...

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Main Authors: Shreyas Pradeepkumar Shah, Praveen N Birur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Journal of Indian Academy of Oral Medicine and Radiology
Subjects:
Online Access:http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=4;spage=559;epage=564;aulast=Shah
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author Shreyas Pradeepkumar Shah
Praveen N Birur
author_facet Shreyas Pradeepkumar Shah
Praveen N Birur
author_sort Shreyas Pradeepkumar Shah
collection DOAJ
description Introduction: Dental caries was considered to be an irreversible disease, but this concept of caries is changing because of the availability of many newer products for its treatment. One of such product is casein phosphopeptide-amorphous calcium phosphate (CPP-ACP). Aim: The present in vitro study was aimed to evaluate remineralization of artificial caries-like lesion by topical application of CPP-ACP paste. Materials and Methods: In this study, 40 caries-free premolar and molar teeth requiring extraction for orthodontic reasons and impactions were used. Artificial caries-like lesion was produced on sound enamel surface by immersing the samples in demineralizing solution for 96 h. Longitudinal sections were made through the white spot lesion with hard tissue microtome and were subjected to polarized light microscopic evaluation. The sections were divided into CPP-ACP group (Group I), positive control (Group II), and negative control (Group II). The Group I and Group II samples were subjected to 10 days of pH cycling, and all the samples were evaluated by polarized light microscopy. The lesion depth was calculated, and all the data was subjected to statistical analysis. Results: CPP-ACP group showed 27.306% decrease in lesion depth after 10 days of pH cycling. Conclusion: Based on the findings of this study, it can be concluded that the CPP-ACP paste can cause remineralization of white spot lesion and can be prescribed as topical application paste for the treatment of initial caries lesions.
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spelling doaj.art-a8fdb9acb1c24ccbb1c2c654f13c11882022-12-21T17:57:36ZengWolters Kluwer Medknow PublicationsJournal of Indian Academy of Oral Medicine and Radiology0972-13630975-15722015-01-0127455956410.4103/0972-1363.188761Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro studyShreyas Pradeepkumar ShahPraveen N BirurIntroduction: Dental caries was considered to be an irreversible disease, but this concept of caries is changing because of the availability of many newer products for its treatment. One of such product is casein phosphopeptide-amorphous calcium phosphate (CPP-ACP). Aim: The present in vitro study was aimed to evaluate remineralization of artificial caries-like lesion by topical application of CPP-ACP paste. Materials and Methods: In this study, 40 caries-free premolar and molar teeth requiring extraction for orthodontic reasons and impactions were used. Artificial caries-like lesion was produced on sound enamel surface by immersing the samples in demineralizing solution for 96 h. Longitudinal sections were made through the white spot lesion with hard tissue microtome and were subjected to polarized light microscopic evaluation. The sections were divided into CPP-ACP group (Group I), positive control (Group II), and negative control (Group II). The Group I and Group II samples were subjected to 10 days of pH cycling, and all the samples were evaluated by polarized light microscopy. The lesion depth was calculated, and all the data was subjected to statistical analysis. Results: CPP-ACP group showed 27.306% decrease in lesion depth after 10 days of pH cycling. Conclusion: Based on the findings of this study, it can be concluded that the CPP-ACP paste can cause remineralization of white spot lesion and can be prescribed as topical application paste for the treatment of initial caries lesions.http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=4;spage=559;epage=564;aulast=ShahCasein phosphopeptide-amorphous calcium phosphatedemineralizationin vitropH cyclingpolarized light microscopy
spellingShingle Shreyas Pradeepkumar Shah
Praveen N Birur
Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study
Journal of Indian Academy of Oral Medicine and Radiology
Casein phosphopeptide-amorphous calcium phosphate
demineralization
in vitro
pH cycling
polarized light microscopy
title Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study
title_full Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study
title_fullStr Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study
title_full_unstemmed Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study
title_short Polarized light microscopic evaluation of remineralization by casein phosphopeptide-amorphous calcium phosphate paste of artificial caries-like lesion: An in vitro study
title_sort polarized light microscopic evaluation of remineralization by casein phosphopeptide amorphous calcium phosphate paste of artificial caries like lesion an in vitro study
topic Casein phosphopeptide-amorphous calcium phosphate
demineralization
in vitro
pH cycling
polarized light microscopy
url http://www.jiaomr.in/article.asp?issn=0972-1363;year=2015;volume=27;issue=4;spage=559;epage=564;aulast=Shah
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AT praveennbirur polarizedlightmicroscopicevaluationofremineralizationbycaseinphosphopeptideamorphouscalciumphosphatepasteofartificialcarieslikelesionaninvitrostudy