The effect of casein phosphopeptide-amorphous calcium phosphate on remineralization of artificial caries-like lesions: an in vitro study

Aust Dent J. 2008 Mar;53(1):34-40. doi: 10.1111/j.1834-7819.2007.00006.x.

Abstract

Background: The aims of this study were to investigate the efficacy of CPP-ACP containing Tooth Mousse on the remineralization of enamel lesions and to compare its efficacy to that of a fluoride-containing toothpaste.

Methods: Permanent teeth were placed in demineralizing solution for 96 hours to produce artificial caries-like lesions 120-200 microm in depth. They were sectioned into 100-150 microm thick samples and randomly assigned to five groups: for Group A, a fluoridated toothpaste (1100 ppm) was used as a positive control and in Group B, a non-fluoridated toothpaste was used as a negative control. Tooth Mousse containing CPP-ACP was tested by three different means: as a toothpaste (Group C); as a topical coating (Group D); and (Group E) as a topical coating after treating the sections with the same fluoridated toothpaste as in Group A.

Results: The lesion depth decreased significantly by 7 per cent in Group A, 10.1 per cent in Groups C and D, and 13.1 per cent in Group E (Paired t- test, p < 0.05), while in Group B the lesion depth increased significantly by 23 per cent.

Conclusions: Based on the data obtained, CPP-ACP containing Tooth Mousse remineralized initial enamel lesions and it showed a higher remineralizing potential when applied as a topical coating after the use of a fluoridated toothpaste.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Administration, Topical
  • Cariostatic Agents / administration & dosage
  • Cariostatic Agents / therapeutic use*
  • Caseins / administration & dosage
  • Caseins / therapeutic use*
  • Dental Caries / pathology
  • Dental Caries / therapy*
  • Dental Enamel / drug effects
  • Dental Enamel / pathology
  • Fluorides / therapeutic use
  • Humans
  • Hydrogen-Ion Concentration
  • Materials Testing
  • Microradiography
  • Microscopy, Polarization
  • Time Factors
  • Tooth Remineralization / methods*
  • Toothpastes / therapeutic use

Substances

  • Cariostatic Agents
  • Caseins
  • Toothpastes
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • Fluorides