• Title/Summary/Keyword: remineralization

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THE INFLUENCE OF FLUORIDE ON REMINERALIZATION OF ARTIFICIAL DENTAL CARIES (인공치아우식의 재광화에 미치는 불소의 영향)

  • Han, Won-Seop;Kum, Kee-Yeon;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.21 no.1
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    • pp.161-173
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    • 1996
  • The cariostatic effect of fluoride had been established by many epidemiologic and experimental studies. But, there are still different views on the mechnism of cariostasis and remineralization, especially about the proper fluoride concentration. The purpose of this study is to ascertain the remineralization of caries lesion and influence of fluoride concentration which affect remineralization by a study based on dynamic mechanism. The subjects, sound permanent teeth without demineralization or crack, were immersed in lactic acid buffered demineralization solution for 4 days. Dental caries with surface zone and subsurface lesion were artificially produced. All specimens were immersed in lactic acid buffered remineralization solution which had fluoride concentrations of 1 ppm, 2 ppm, 3 ppm for 10days. Final conclusions were obtained by observing the specimens for every 10 days under polarized microscopy. 1. Remineralization of caries lesion as well as demineralization of enamel were produced by changing the degree of saturation of lactic acid buffer solution. 2. Remineralization of caries lesion was facillitated by fluoride ion in lactic acid buffer solution. but, remineralization of the entire caries lesion was not increased as fluoride ion concentration increased.

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THE INFLUENCE OF pH ON REMINERALIZATION OF ARTIFICIAL DENTAL CARIES (법랑질 인공우식의 재광화에 미치는 pH의 영향에 관한 연구)

  • Kim, Min-Kyung;Kum, Kee-Yeon;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.22 no.1
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    • pp.193-208
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    • 1997
  • Much evidence now exists from both in vivo and in vitro studies to support the claim that small caries lesions can 'heal'. But, there are still different views on the mechanism of remineralization. So in order to find the best condition for the remineralization of incipient dental caries in maximum efficient way, the author conducted the experiment which reveals the effect of pH on remineralization. 40 specimens of sound permanent teeth without demineralization or crack, $100{\mu}m$ in thickness, were immersed in lactic acid buffered demineralization solution for 4 days. Dental caries with surface zone and subsurface lesion were artificially produced. All specimens were immersed in lactic acid buffered remineralization solution of pH 4.0, 4.5, 5.0, 5.5 containg fluoride ion for 10 days. The results were obtaind by observing the specimens for every 10 days under polarized microscopy at x25. 1. Remineralization did not occur in entire depth of body of lesion at given degree of saturation and concentration of fluoride ion. 2. The pattern of remineralization has increased according to increase of pH. So it can be concluded that supersaturated solution with fluoride ion can be affected by pH in remineralization of enamel, and pH 5.5 seems to be very effective in remineralization of deep and surface zone of dental caries. However, more complex factors exist in achieving complete remineralization and further continuous researches are needed to clarify the factors.

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IN VIVO QUANTITATIVE ANALYSIS OF REMINERALIZATlON EFFECT OF REMINERALIZATlON SOLUTION (구강내에서 재광화용액 )

  • Kim, Myung-Eun;Jung, Il-Young;Kum, Kee-Yeon;Lee, Chang-Young;Roh, Byoung-Duck
    • Restorative Dentistry and Endodontics
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    • v.27 no.2
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    • pp.175-182
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    • 2002
  • Dental caries is a chronic disease that causes the destruction of tooth structure by the interaction of plaque bacteria, food debris, and saliva. There has been attempts to induce remineralization by supersaturating the Intra-oral environment around the surface enamel, where there is incipient caries. In this study, supersaturated remineralized solution "R" was applied to specimens with incipient enamel caries, and the quantitative analysis of remineralization was evaluated using microradiography. Thirty subjects volunteered to participate in this study. Removable appliances were constructed for the subjects, and the enamel specimen with incipient caries were embedded in the appliances. The subjects wore the intra-oral appliance for 15 days except while eating and sleeping. The removable appliance were soaked in supersaturated solution "R", saline, or Senstime$^{\circledR}$ to expose the specimen to those solutions three times a day, 5 minutes each time. After 15 days, microradiography was retaken to compare and evaluate remineralization The results were as the following: 1. The ratio of remineralized area to demineralized area was significantly higher in the supersaturated solution "R" and Senstime$^{\circledR}$ than in the saline (p<0.05) 2. Remineralization in the supersaturated buffer solution "R" occurred in the significantly deeper parts of the tooth. compared to the Senstime$^{\circledR}$ group containing high concentration or fluoride. (p<0.05) As in the above results, the remineralization effect of remineralized buffer solution "R" on incipient enamel caries has been proven. For clinical utilization, further studies on soft tissue reaction and the effect on dentin and cementum are necessary In conclusion compared to commercially available fluoride solution. remineralization solution“R”showed better remineralization effect on early enamel caries lesion, so it is considered as effecient solution for clinical application.

THE REMINERALIZING EFFECTS OF EARLY ENAMEL CAR10US LESION BY SUPERSATURATED BUFFER SOLUTION UNDER PH CYCLING MODEL (pH 순환 모델에서 과포화 용액의 초기 우식 법랑질에 대한 재광화 효과)

  • 김소라;홍석진;노병덕;이찬영;금기연
    • Restorative Dentistry and Endodontics
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    • v.26 no.4
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    • pp.341-349
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    • 2001
  • Dental caries is the most common oral disease. There are many factors contributing to its development, but complete understanding and prevention are not fully known. However, it is possible to remineralize the early enamel curious lesion by fluoride containing remineralization solution. Recently the pH-cycling model has been used to examine the effect of fluoride solution on remineralization of artificial caries in vitro as it can closely simulate the conditions encountered in vivo within a carefully controlled environment. The aim of this study was to evaluate the remineralizing effects of supersaturated buffer solutions under pH-cycling model. The specimen with 3mm-diameter was made using mature bovine incisors which has no caries and has sound enamel surface. Early curious lesions were produced by suspending each specimens into demineralization solution at pH 5.0 for 33 hours and the specimen whose surface hardness value ranged from 25 to 45 VHN were used. The pH cycling treatment regimen consisted of 5 min soaks of three treatment solutions four times per days for 15 days and the continuous cycling of demineralization and remineralization were carried out for 15 days. Following the pH-cycling treatment regimen, the specimens' surface microhardness were measured by the Vickers hardness test (VHN) and analyzed by ANOVA and Duncan's multiple-range test. 1. The surface microhardness value of supersaturated solution, Senstime, and Gagline groups were increased after pH cycling, and that of supersaturated solution was significantly Increased compared to saline group(P<0.05). 2. The surface remineralization effect of fluoride containing solutions was accelerated by saliva under pH-cycling mode 3. The pH cycling model was considered appropriate to mimic the intra-oral pH changes when evaluating demineralization and remineralization in vitro. Under the results of above study, salivary remineralization effect can be improved by fluoride containing remineralization solution. The pH-cycling model was considered appropriate to mimic the intra-oral pH changes when evaluating demineralization and remineralization in vitro.

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CPP-ACP of artificially demineralized enamel surface and remineralization of material containing nano-sized carbonated apatite (인공 탈회된 법랑질 표면의 CPP-ACP와 nano-sized carbonated apatite 함유물질의 재광화효과)

  • Kim, Young-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.1
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    • pp.13-22
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    • 2008
  • This study compared tooth's remineralization using enamel surface artificially demineralized with 0.1M lactate and HCL solution using Vicker's Hardness Number(VHN) to compare CPP-ACP and remineralization of nano-sized Carbonate Apatite's initial caries. Using pH circulation models divided into 0% nano-CA, 5% nano-CA, 10% nano-CA, 10% CPP-ACP and D.W. they were treated for 5 minutes, three times a day for 14 days to get the following results. 1. There were no significant differences among the initial surface hardness of samples demineralized surface of front tooth in 5 groups. and all 5 groups' surface hardness reduced significantly after demineralization of enamel. 2. When inquiring into hardness changes through pH circulation model, the highest hardness change was in 5% nano-CA group. Also. 10% nano-CA and 10% CPP-ACP groups increased significantly. but there was no significant difference statistically. In generalizing the above experiment results, nano-sized Carbonate Apatite showed remineralization, and compared to 10% CPP-ACP group, 5% nano-CA had remineralization to artificial caries. thus implies that when we develop method to contact with tooth of nano-CA in the future, it is expected to gain synergy effect on function of saliva, a natural remineralization material.

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THE EFFECTS OF THE DEGREE OF SATURATION OF ACIDULATED BUFFER SOLUTIONS IN ENAMEL AND DENTIN REMINERALIZATION AND AFM OBSERVATION OF HYDROXYAPATITE CRYSTALS (유기산 완충용액의 포화도가 법랑질 및 상아질의 재광화에 미치는 영향과 수산화인회석의 AFM 관찰)

  • Park, Jeong-Won;Hur, Buck;Lee, Chan-Young
    • Restorative Dentistry and Endodontics
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    • v.25 no.3
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    • pp.459-473
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    • 2000
  • Dental caries is the most common disease in the maxillofacial area. There are many factors contributing to its development, but complete understanding and prevention is not fully known. Since the structure of the coronal and root portion of the tooth is different, the remineralization and demineralization process is also known to be different. In this study, by using a partially saturated buffer solution, we created artificial enamel and dentin caries and evaluated mineral loss. A remineralization solution with four different degrees of saturation (degree of saturation ; group 1, 0.268, group 2, 0.309, group 3, 0.339, group 4, 0.390, PH 4.3, F-2ppm) was used on a demineralized specimen. The mineral precipitating quantity and depth was evaluated by using microradiography. Using an atomic force microscope (AFM), hydroxyapatite crystals of normal, demineralized, and remineralized enamel and dentin were evaluated. The results were as follows: 1. As the degree of saturation of the remineralizing solution increased, the mineral precipitation in the enamel was increased. In group 4, mineral precipitation was limited near the surface. 2. As the degree of saturation of the remineralizing solution increased, the mineral precipitation in the dentin was decreased and it occurred in a deeper portion. In group 4, however, mineral precipitation occurred on the surface and its quantity increased. 3. There was a statistically significant interaction between enamel and dentin mineral content changes on specimens treated with remineralization and demineralization solution (demineralization r=0.44, remineralization r=0.44, p<0.05). 4. Demineralized hydroxyapatite crystals showed central and peripheral dissolving and widening of intercrystal spaces under the AFM. 5. In dentin remineralization small crystal precipitation occurred between the large crystals. We conclude that by adjusting acidulated buffer solution's degree of saturation, we can control enamel and dentin remineralization. In addition, the AFM is highly useful in evaluating changes in remineralized and demineralized hydroxyapatite crystals.

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Remineralization effect of sodium caseinate on artificially demineralized enamel (인공탈회된 법랑질에 대한 카제인나트륨의 재광화 효과)

  • Lim, Hee-Jung;Jung, Im-Hee;Lim, Do-Seon
    • Journal of Korean Dental Hygiene Science
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    • v.5 no.1
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    • pp.29-38
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    • 2022
  • Background: This study aimed to compare the remineralization effects of sodium caseinate and other substances on artificially demineralized enamel. Methods: We selected 25 healthy human premolars and molars and produced a total of 75 specimens by dividing them into five groups: control group, with distilled water; experimental group 1 (EG1), with 3% sodium caseinate; EG2, with 10% sodium caseinate; EG3, with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP); and EG4, with 0.05% NaF. Subsequently, the specimens were immersed in an artificial demineralization solution for 60 min. The demineralized specimens were then immersed in a remineralization solution for 7 days. Surface microhardness was measured using a microhardness tester, and remineralized lesions were observed under a scanning electron microscope (SEM). Regarding statistical analysis, the paired t-test and analysis of variance were performed using the SPSS program. Results: Although the surface hardness of the remineralized lesions increased significantly in all groups (p<0.05), the average increment did not differ significantly between the groups. The surface microhardness of CPP-ACP was the highest, followed by that of 0.05% NaF and 10% sodium caseinate. The remineralization effect of sodium caseinate was similar to that of 0.05% NaF. SEM confirmed that all groups treated with the remineralization solution were remineralized. Conclusions: Although the remineralization effect of sodium caseinate was slightly lower than that of CPP-ACP, it was similar to that of 0.05% NaF. Therefore, to enhance the remineralization effect of sodium caseinate, the appropriate concentration and application time should be determined.

Preventive Effect of Sugar-free Chewing Gum Containing Maltitol on Dental Caries in situ

  • Lee, Eun-Jung;Jin, Bo-Hyoung;Paik, Dai-Il;Hwang, In-Kyeong
    • Food Science and Biotechnology
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    • v.18 no.2
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    • pp.432-435
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    • 2009
  • The preventive effect of chewing gum containing maltitol, xylitol, gum base, and sugar on remineralization were investigated. The clinical study consisted of 8 weeks' randomized, double blind, controlled, cross-over clinical trials including 24 healthy adults had chew gum. After each test week, remineralization effect was evaluated by measuring microhardness and scanning electron microscopy (SEM). Microhardness of experimental chewing gum containing maltitol or xylitol was significantly higher than that of sugar gum (p<0.005). Images of SEM showed the remineralization effect of gum containing gum base, maltitol, or xylitol compared with sugar gum. Maltitol and xylitol gums were more effective in remineralization than sugar gum. It was concluded that maltitol and xylitol can be used as sugar substitute to prevent dental caries.

REMINERALIZATION OF ARTIFICIAL ENAMEL CARIOUS LESIONS (법랑질 인공 우식 병소의 재석회화)

  • Hur, Bock;Kim, Shin
    • Restorative Dentistry and Endodontics
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    • v.18 no.2
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    • pp.387-394
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    • 1993
  • In order to investigate the effects of continuous and pH cyclic remineralization, artificial enamel carious lesions were produced on sections of about 2mm thickness of bovine incisor. 0.1M lactic acid solution adjusted to a pH of 4.3 and saturity of $2.98{\times}10^{-8}$ was used as demineralizing solution. The lesions were remineralized with the solution of pH 7.0 containing 1.5mM $CaCl_2$, 0.9 mM $KH_2PO_4$ and 20mM Hepes. In continuous remineralization procedure, the specimens were immersed in remineralizing solution continuously for 72 hours. In pH cyclic remineralization procedure, the sections were immersed in remineralizing solution for 6 hours and in dermineralizing solution for 20 minutes alternately during 72 hours. The effect of remineralization was determined by polarizing microscopy and electron microprobe analysis. The obtained results were as follows. 1. In case of continuous remineralization, the lesion depth was reduced partially or unchanged. 2. In pH cyclic condition, the thichness of surface layer and the lesion depth were increased simultaneously. 3. The mineral content of lesion was recovered to the level of sound enamel by remineraiization.

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Remineralization effect of casein phosphopeptide-amorphous calcium fluoride phosphate on the tooth enamel according to the etching time and frequency of application (산부식 시간과 도포 횟수에 따른 불화 카제인포스포펩타이드-아모르포우스칼슘포스페이트의 치아 법랑질 재광화 효과)

  • Jung, Su-Jin;Lee, Mi-Ra
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5602-5609
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    • 2014
  • This study examined the remineralization effect of CPP-ACFP according to the etching time and the frequency of application. A CPP-ACFP paste was formed from a combination of CPP-ACP paste and fluorine. The remineralization effect of CPP-ACFP was measured according to the etching time and the frequency of applications of CPP-ACFP. The microhardness of 64 teeth was measured as the sound sample and observed by scanning electron microscopy. As a result, the effect on remineralization of the enamel increased with increasing etching time and frequency of application. Therefore, a CPP-ACP paste combination to fluorine in the tooth mineral CPP-ACFP paste fluoride application can be supplied with the material-advisable enamel remineralization.