Effects of Homemade Nano-Hydroxyapatite and Olive Oil Paste on Remineralization of Early Caries Lesions

Authors

  • Ayşe Dina Erdilek Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
  • Sevdiye Burke Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul,Turkey
  • Merve Şahin Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey
  • Ata Efes Department of Molecular Biology and Genetics, Faculty of Science, Koç University, Istanbul,Turkey
  • Begüm Güray Efes Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey

DOI:

https://doi.org/10.35916/thmr.v4i1.57

Keywords:

Demineralization, dentifrice, remineralization, nano-hydroxyapatite paste, artificial caries

Abstract

Nano-hydroxyapatite (nHAP) particles are a new generation of materials reported to remineralize enamel lesions. The purpose we aimed was to compare the in vitro effects of fluoride gel, sodium fluoride toothpaste, and homemade nHAP paste on remineralizing artificial early enamel caries. Methods:  Incipient caries were induced in 21 extracted, sound premolar teeth by storing each specimen in a demineralization solution for 72 hours, followed by pH cycling. The samples (n= 7, each) were then treated with 2% neutral fluoride gel, 0.25% sodium fluoride toothpaste, or homemade nHAP paste, comprising a mixture of nHAP powder and olive oil. After demineralization and remineralization, the results were compared using the DIAGNOdent pen (KaVo, Germany). The data were statistically analyzed using paired t-tests and a one-way ANOVA test. Outcomes: The degree of demineralization in each of the three groups (fluoride gel group, 15.71; sodium fluoride dentifrice group, 15.28; nHAP paste group, 16.71) was significantly elevated compared to baseline (3, 2.5, 2.28, respectively); however, no significant difference was observed between the remineralization readings in each of the three groups (6, 7, 5.5, respectively) (p > 0.05). In conclusion, we concluded that the homemade nHAP paste had a beneficial effect on the remineralization of initial enamel caries lesions.

References

Brostek AM, Walsh LJ. Minimal intervention dentistry in general practice. Oral Health Dent Manag. 2014;13(2):285-94. PMID: 24984635.

Peters MC, Bresciani E, Barata TJE .,et al. In vivo dentin remineralization by calcium-phosphate cement. J Dent Res, 2010; 89(3):286-291. doi: 10.1177/0022034509360155.

Reddy R, Manne R, Chandra Sekhar G et al. Evaluation of the efficacy of various topical fluorides on enamel demineralization adjacent to orthodontic brackets: an in vitro study. J Contemp Dent Pract, 2019; 20(19):89-93. doi: 10.5005/jp-journals-10024-2481.

De Sousa MLR, Wagner M, Sheiham A. Caries reductions related to the use of fluorides: A retrospective cohort study. Int Dent J, 2002; 52(5):315-320. doi: 10.1002/j.1875-595X.2002.tb00877.x.

Kanduti D, Sterbenk P, Artnik B. Fluoride: A Review of Use and Effects on Health. Mater Sociomed, 2016; 28(2):133-137. doi: 10.5455/msm.2016.28.133-137.

Zohoori FV, Maguire A. Are there good reasons for fluoride labelling of food and drink? Br Dent J, 2018; 224(4):215-217. doi: 10.1038/sj.bdj.2018.123.

Roveri N, Battistella E, Bianchi CL et al. Surface enamel remineralization: Biomimetic apatite nanocrystals and fluoride ions different effects. J Nanomater, 2009; (2009):9 pages, doi: 10.1155/2009/746383

Li L, Pan H, Tao J et al.Repair of enamel by using hydroxyapatite nanoparticles as the building blocks. J Mater Chem, 2008; 18:4079-4084. doi: 10.1039/b806090h.

Lippert F. An Introduction to Toothpaste - Its Purpose, History and Ingredients. Toothpastes, Monogr Oral Sci, 2013; 23(1):1-14. doi: 10.1159/000350456.

Akarsu SAktug KS. In Vitro Comparison of ICDAS And DIAGNOdent Pen in The Diagnosis and Treatment Decisions of Non-Cavitated Occlusal Caries. Odovtos, 2019; 21(1), 67-81. doi: 10.15517/ijds.v0i0.34896.

Lata S, Varghese NO, Varughese JM. Remineralization potential of fluoride and amorphous calcium phosphate-casein phospho peptide on enamel lesions: an in vitro comparative evaluation. J Conserv Dent, 2010; 13(1):42-46. doi: 10.4103/0972-0707.62634.

Rudney JD, Chen R, Lenton P, Li J, Li Y, Jones RS, Reilly C, Fok AS, Aparicio C. A reproducible oral microcosm biofilm model for testing dental materials. J. Appl. Microbiol, 2012; 113, 1540–1553. doi: 10.1111/j.1365-2672.2012.05439.x.

Yu OY, Zhao IS, Mei ML et al. A review of the common models used in mechanistic studies on demineralization-remineralization for cariology research. Dent J, 2017; 5(2):20. doi: 10.3390/dj5020020

White DJ. Use of synthetic polymer gels for artificial carious lesion preparation. Caries Res, 1987; 21(3):228-42. doi: 10.1159/000261026.

Casals E, Boukpessi T, McQueen CM, Eversole SL, Faller RV. Anticaries potential of commercial dentifrices as determined by fluoridation and remineralization efficiency. J Contemp Dent Pract, 2007; 8(7):1-10. PMID: 17994149.

Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res, 2004; 83(1_suppl), 80–83. doi: 10.1177/154405910408301S16.

Moriyama CM, Rodrigues JA, Lussi A, Diniz MB. Effectiveness of fluorescence-based methods to detect in situ demineralization and remineralization on smooth surfaces. Caries Res, 2014; 48(6):507-514. doi: 10.1159/000363074.

Aljehani A, Yousif MA, Angmar-Månsson B, Shi XQ. Longitudinal quantification of incipient carious lesions in postorthodontic patients using a fluorescence method. Eur J Oral Sci, 2006; 114(5):430-434. doi: 10.1111/j.1600-0722.2006.00395.x.

Gonçalves FMC, Delbem ACB, Gomes LF et al. Combined effect of casein phosphopeptide-amorphous calcium phosphate and sodium trimetaphosphate on the prevention of enamel demineralization and dental caries: an in vitro study. Clin Oral Investig, 2020; 25(5):2811–2820. doi: 10.1007/s00784-020-03597-7.

Tomaz PLS, Sousa LA, Aguiar KF et al. Effects of 1450-ppm Fluoride-containing Toothpastes Associated with Boosters on the Enamel Remineralization and Surface Roughness after Cariogenic Challenge. Eur J Dent, 2020; 14(01):161-170. doi: 10.1055/s-0040-1705072.

Ali S, Farooq I, Al-Thobity AM et al. An in-vitro evaluation of fluoride content and enamel remineralization potential of two toothpastes containing different bioactive glasses. Biomed Mater Eng, 2020; 30(5-6):487-496. doi: 10.3233/BME-191069.

Fiorillo L, Cervino G, Herford AS et al.Stannous fluoride effects on enamel: A systematic review. Biomimetics, 2020; 5(3):41. doi: 10.3390/biomimetics5030041.

Clark-Perry D, Levin L. Comparison of new formulas of stannous fluoride toothpastes with other commercially available fluoridated toothpastes: A systematic review and meta-analysis of randomised controlled trials. Int Dent J, 2020; 70(6):418-426. doi: 10.1111/idj.12588.

Benson PE, Parkin N, Dyer F et al. Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment. Cochrane Database Syst Rev, 2019; Issue 11. Art. No.: CD003809. doi: 10.1002/14651858.CD003809.pub4.

Manchery N, John J, Nagappan N et al. Remineralization potential of dentifrice containing nanohydroxyapatite on artificial carious lesions of enamel: A comparative in vitro study. Dent Res J (Isfahan), 2019; 16(5):310-317. doi: 10.4103/1735-3327.266096.

Huang S, Gao S, Cheng L, Yu H. Remineralization potential of nano-hydroxyapatite on initial enamel lesions: an in vitro study. Caries Res, 2011; 45(5):460-468. doi: 10.1159/000331207.

Souza BM, Comar LP, Vertuan M, Fernandes Neto C, Buzalaf MA, Magalhães AC. Effect of an Experimental Paste with Hydroxyapatite Nanoparticles and Fluoride on Dental Demineralisation and Remineralisation in situ. Caries Res, 2015; 49(5):499-507. doi: 10.1159/000438466.

Itthagarun A, King NM, Cheung Y.The effect of nano-hydroxyapatite toothpaste on artificial enamel carious lesion progression: an in-vitro pH-cycling study. Hong Kong Dent J, 2010; 7(2):61-66. Available from: https://www.researchgate.net/publication/4838092.

Najibfard K, Ramalingam K, Chedjieu I, Amaechi BT.Remineralization of early caries by a nano-hydroxyapatite dentifrice. J Clin Dent, 2011; 22(5):139-143. PMID: 22403978.

Yamagishi K, Onuma K, Suzuki T et al.Materials chemistry: a synthetic enamel for rapid tooth repair. Nature, 2005; 433(7028):819. doi: 10.1038/433819a.

Delbem ACB, Brighenti FL, Vieira AE, Cury JA. In vitro comparison of the cariostatic effect between topical application of fluoride gels and fluoride toothpaste. J Appl Oral Sci, 2004; 12(2):121-126. doi: 10.1590/s1678-77572004000200008.

Amaechi BT, AbdulAzees PA, Alshareif DO et al. Comparative efficacy of a hydroxyapatite and a fluoride toothpaste for prevention and remineralization of dental caries in children. BDJ Open, 2019; 5:18. doi: 10.1038/s41405-019-0026-8.

Huang SB, Gao SS, Yu HY. Effect of nano-hydroxyapatite concentration on remineralization of initial enamel lesion in vitro. Biomed Mater, 2009; 4(3):034104. doi: 10.1088/1748-6041/4/3/034104.

Körner P, Schleich JA, Wiedemeier DB et al.Effects of additional use of bioactive glasses or a hydroxyapatite toothpaste on remineralization of artificial lesions in vitro. Caries Res, 2020; 54(4):336-342. doi: 10.1159/000510180.

Alhamed M, Almalki F, Alselami A et al.Effect of different remineralizing agents on the initial carious lesions – A comparative study. Saudi Dent J, 2020; 32(8):390-395. doi: 10.1016/j.sdentj.2019.11.001.

Badiee M, Jafari N, Fatemi S et al. Comparison of the effects of toothpastes containing nanohydroxyapatite and fluoride on white spot lesions in orthodontic patients: A randomized clinical trial. Dent Res J (Isfahan), 2020; 17(5):354-359. doi: 10.4103/1735-3327.294328.

Kakiage M, Yoshida M, Kobayashi H. Fabrication of porous hydroxyapatite having nanometer/micrometer-size pores. J Ceram Soc Jpn, 2019; 127(5):327-330. doi: 10.2109/jcersj2.19027.

Balakrishnan S, Kulandaivelu R.Olive oil assisted synthesis of nano hydroxyapatite by hydrothermal method. Int J Res Anal Rev, 2018; 5(4):476-478. doi: 10.1729/Journal.18636.

Zakrzewski W, Dobrzynski M, Nowicka J et al. The influence of ozonated olive oil-loaded and copper-doped nanohydroxyapatites on planktonic forms of microorganisms. Nanomaterials, 2020; 10(10):1997. doi: 10.3390/nano10101997.

Geistlich Pharma. Quality and safety. 2021/10/25. Available from: https://www.geistlich-pharma.com/en/dental/further-sites/quality-safety/bone-substitute-devices/.

Downloads

Published

10-01-2022

How to Cite

Erdilek, A. D., Burke, S. ., Şahin, M. ., Efes, A., & Güray Efes, B. (2022). Effects of Homemade Nano-Hydroxyapatite and Olive Oil Paste on Remineralization of Early Caries Lesions. Tropical Health and Medical Research, 4(1), 1–9. https://doi.org/10.35916/thmr.v4i1.57