Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules

Demineralization of dental hard tissues is a well-known health issue and the primary mechanism responsible for caries and dentinal hypersensitivity. Remineralizing toothpastes are nowadays available to improve conventional oral care formulations regarding the prevention and repair of demineralizatio...

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Main Authors: Lorenzo Degli Esposti, Andrei C. Ionescu, Eugenio Brambilla, Anna Tampieri, Michele Iafisco
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Materials
Subjects:
Online Access:https://www.mdpi.com/1996-1944/13/13/2928
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author Lorenzo Degli Esposti
Andrei C. Ionescu
Eugenio Brambilla
Anna Tampieri
Michele Iafisco
author_facet Lorenzo Degli Esposti
Andrei C. Ionescu
Eugenio Brambilla
Anna Tampieri
Michele Iafisco
author_sort Lorenzo Degli Esposti
collection DOAJ
description Demineralization of dental hard tissues is a well-known health issue and the primary mechanism responsible for caries and dentinal hypersensitivity. Remineralizing toothpastes are nowadays available to improve conventional oral care formulations regarding the prevention and repair of demineralization. In this paper, we analyzed the chemical-physical features of a commercial toothpaste (Biosmalto Caries Abrasion and Erosion, Curasept S.p.A., Saronno, Italy), with particular attention paid to the water-insoluble fraction which contains the remineralizing bioactive ingredients. Moreover, the efficacy of the toothpaste to induce enamel remineralization and to occlude dentinal tubules has been qualitatively and semiquantitatively tested in vitro on human dental tissues using scanning electron microscopy and X-ray microanalysis. Our results demonstrated that the water-insoluble fraction contained silica as well as chitosan and poorly crystalline biomimetic hydroxyapatite doped with carbonate, magnesium, strontium, and fluoride ions. The formulation showed excellent ability to restore demineralized enamel into its native structure by epitaxial deposition of a new crystalline phase in continuity with the native one. It was also able to occlude the dentinal tubules exposed completely by acid-etching. Overall, this study demonstrated that the tested toothpaste contained a biomimetic ionic-substituted hydroxyapatite-based active principle and that, within the in vitro conditions analyzed in this study, it was effective in dental hard tissue remineralization.
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spelling doaj.art-d4c8963f2bbf42459907b0c1f75b503c2023-11-20T05:24:06ZengMDPI AGMaterials1996-19442020-06-011313292810.3390/ma13132928Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal TubulesLorenzo Degli Esposti0Andrei C. Ionescu1Eugenio Brambilla2Anna Tampieri3Michele Iafisco4Institute of Science and Technology for Ceramics (ISTEC), National Research Council (CNR), Via Granarolo 64, 48018 Faenza, ItalyOral Microbiology and Biomaterials Laboratory, Department of Biomedical, Surgical, and Dental Sciences, University of Milan, Via Pascal, 36, 20133 Milan, ItalyOral Microbiology and Biomaterials Laboratory, Department of Biomedical, Surgical, and Dental Sciences, University of Milan, Via Pascal, 36, 20133 Milan, ItalyInstitute of Science and Technology for Ceramics (ISTEC), National Research Council (CNR), Via Granarolo 64, 48018 Faenza, ItalyInstitute of Science and Technology for Ceramics (ISTEC), National Research Council (CNR), Via Granarolo 64, 48018 Faenza, ItalyDemineralization of dental hard tissues is a well-known health issue and the primary mechanism responsible for caries and dentinal hypersensitivity. Remineralizing toothpastes are nowadays available to improve conventional oral care formulations regarding the prevention and repair of demineralization. In this paper, we analyzed the chemical-physical features of a commercial toothpaste (Biosmalto Caries Abrasion and Erosion, Curasept S.p.A., Saronno, Italy), with particular attention paid to the water-insoluble fraction which contains the remineralizing bioactive ingredients. Moreover, the efficacy of the toothpaste to induce enamel remineralization and to occlude dentinal tubules has been qualitatively and semiquantitatively tested in vitro on human dental tissues using scanning electron microscopy and X-ray microanalysis. Our results demonstrated that the water-insoluble fraction contained silica as well as chitosan and poorly crystalline biomimetic hydroxyapatite doped with carbonate, magnesium, strontium, and fluoride ions. The formulation showed excellent ability to restore demineralized enamel into its native structure by epitaxial deposition of a new crystalline phase in continuity with the native one. It was also able to occlude the dentinal tubules exposed completely by acid-etching. Overall, this study demonstrated that the tested toothpaste contained a biomimetic ionic-substituted hydroxyapatite-based active principle and that, within the in vitro conditions analyzed in this study, it was effective in dental hard tissue remineralization.https://www.mdpi.com/1996-1944/13/13/2928toothpasteremineralizationenameldentincarieshydroxyapatite
spellingShingle Lorenzo Degli Esposti
Andrei C. Ionescu
Eugenio Brambilla
Anna Tampieri
Michele Iafisco
Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules
Materials
toothpaste
remineralization
enamel
dentin
caries
hydroxyapatite
title Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules
title_full Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules
title_fullStr Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules
title_full_unstemmed Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules
title_short Characterization of a Toothpaste Containing Bioactive Hydroxyapatites and In Vitro Evaluation of Its Efficacy to Remineralize Enamel and to Occlude Dentinal Tubules
title_sort characterization of a toothpaste containing bioactive hydroxyapatites and in vitro evaluation of its efficacy to remineralize enamel and to occlude dentinal tubules
topic toothpaste
remineralization
enamel
dentin
caries
hydroxyapatite
url https://www.mdpi.com/1996-1944/13/13/2928
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