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El Hagry, B., El-Baz, G., Abo El Soud, A. (2021). Comparative Evaluation of Remineralizing Effect of Casein Phosphopeptide – Amorphous Calcium Phosphate Fluoride and Silver Diamine Fluoride on Demineralized Enamel Surfaces ( An In Vitro Study). Dental Science Updates, 2(2), 135-143. doi: 10.21608/dsu.2021.50737.1057
Bothaina Hosny El Hagry; Ghada Abd El Hamid El-Baz; Asmaa Ali Abo El Soud. "Comparative Evaluation of Remineralizing Effect of Casein Phosphopeptide – Amorphous Calcium Phosphate Fluoride and Silver Diamine Fluoride on Demineralized Enamel Surfaces ( An In Vitro Study)". Dental Science Updates, 2, 2, 2021, 135-143. doi: 10.21608/dsu.2021.50737.1057
El Hagry, B., El-Baz, G., Abo El Soud, A. (2021). 'Comparative Evaluation of Remineralizing Effect of Casein Phosphopeptide – Amorphous Calcium Phosphate Fluoride and Silver Diamine Fluoride on Demineralized Enamel Surfaces ( An In Vitro Study)', Dental Science Updates, 2(2), pp. 135-143. doi: 10.21608/dsu.2021.50737.1057
El Hagry, B., El-Baz, G., Abo El Soud, A. Comparative Evaluation of Remineralizing Effect of Casein Phosphopeptide – Amorphous Calcium Phosphate Fluoride and Silver Diamine Fluoride on Demineralized Enamel Surfaces ( An In Vitro Study). Dental Science Updates, 2021; 2(2): 135-143. doi: 10.21608/dsu.2021.50737.1057

Comparative Evaluation of Remineralizing Effect of Casein Phosphopeptide – Amorphous Calcium Phosphate Fluoride and Silver Diamine Fluoride on Demineralized Enamel Surfaces ( An In Vitro Study)

Article 4, Volume 2, Issue 2, September 2021, Page 135-143  XML PDF (1.37 MB)
Document Type: Original Article
DOI: 10.21608/dsu.2021.50737.1057
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Authors
Bothaina Hosny El Hagry email 1; Ghada Abd El Hamid El-Baz2; Asmaa Ali Abo El Soud2
1Pediatric Dentistry, Faculty of Dentistry suez canal university, Cairo, Egypt
2pediatric dentistry, faculty of dentistry, suez canal university, cairo, Egypt
Abstract
ABSTRACT
Introduction Caries initiation is associated with demineralization of the tooth
enamel surface. Calcium and phosphorous are lost from the subsurface enamel, resulting
in the formation of a subsurface lesion. Aim: this study aimed to investigate and compare
the enamel surface ultramorphology and minerals content by Environmental Scanning
Electron Microscope (ESEM) and Energy dispersive x-ray spectroscopy (EDX) and to
assess micro-hardness (Vickers test) of demineralized enamel surface treated with CPPACP
casein Phosphopeptide-Amorphous Calcium Phosphate Flouride(MI Paste Plus)
or SDF ( FAgamine). Materials and methods: This study was conducted on twenty
eight human premolars ,were collected from the outpatient clinic of Maxillofacial
Department, Faculty of Dentistry, Suez Canal University. The selected premolars
distributed into three groups: Group I: consisted of 7 intact sound premolars,(control
group) Group II : consisted of 7 demineralized premolars,(demineralized group) while,
Group III consisted of 14 premolars ( each one divided into 28 halves mesiodistally)
then all 28 specimens of group III were demineralized and half of them were treated
by MI Paste plus ( subgroup IIIa) and other were treated by SDF( subgroup IIIb). All
Groups I,II&III were placed in artificial saliva for 7days at 37ᵒc. Results: There was a
statistically significant difference between calcium and phosphorus values of the three
groups; subgroup IIIa showed the highest value followed by subgroup IIIb & group I
and finally the least value was related to group II .The highest value of fluoride content
related to subgroup IIIb. There was not statistically significant difference between
microhardness values of group I and group III while group II revealed the lowest
microhardness value. Conclusion: Both CPP-ACPF and SDF show areas of mineralized
deposits and improvement of enamel ultrastructure. Also both CPP-ACPF and SDF are
efficient remineralizing agent, but CPP-ACPF is more efficient as remineralizing agent
than SDF. CPP-ACPF shows better microhardness results than SDF.
Keywords
KEYWORDS Casein Phosphopeptide; Amorphous Calcium Phosphate (CPP; ACP). Silver diamine fluoride (SDF). Energy dispersive x; ray spectroscopy (EDX)
Main Subjects
Pediatric dentistry
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