Impact of Dentistry Materials on Chemical Remineralisation/Infiltration versus Salivary Remineralisation of Enamel—In Vitro Study

The aim of this study is to evaluate salivary remineralisation versus chemical remineralisation/infiltration of enamel, using different dentistry materials. The enamel changes were studied using confocal laser scanning microscopy (CLSM), and the depth of lesions and demineralisation/remineralisation...

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Published in:Materials 2022-10, Vol.15 (20), p.7258
Main Authors: Damian, Lia-Raluca, Dumitrescu, Ramona, Alexa, Vlad Tiberiu, Focht, David, Schwartz, Cristoph, Balean, Octavia, Jumanca, Daniela, Obistioiu, Diana, Lalescu, Dacian, Stefaniga, Sebastian-Aurelian, Berbecea, Adina, Fratila, Aurora Doris, Scurtu, Alexandra Denisa, Galuscan, Atena
Format: Article
Language:English
Subjects:
Absorption spectroscopy
Anabolic steroids
Carbohydrates
Chemical composition
Citric acid
Clinical medicine
Demineralizing
Dental enamel
Dental plaque
Dentists
Fluorides
Infiltration
Lasers
Lesions
Microorganisms
Microscopy
Nutrition research
Protectors
Resins
Saliva
Scanning microscopy
Teeth
Viscosity
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Summary:The aim of this study is to evaluate salivary remineralisation versus chemical remineralisation/infiltration of enamel, using different dentistry materials. The enamel changes were studied using confocal laser scanning microscopy (CLSM), and the depth of lesions and demineralisation/remineralisation/infiltration percentage were calculated. Additionally, the macro elemental composition of the teeth was performed using atomic absorption spectroscopy (AAS). Two studies were performed: (i) demineralisation of enamel in 3% citric acid and infiltration treatment with infiltration resin (Icon, DMG), remineralisation with Fluor Protector (Ivoclar Vivadent) and artificial saliva pH 8; and (ii) enamel demineralisation in saliva at pH 3 and remineralisation at salivary pH 8. The results showed that, firstly, for the remineralisation of demineralised enamel samples, Fluor Protector (Ivoclar Vivadent) was very effective for medium demineralised lesions followed by saliva remineralisation. In cases of deep demineralisation lesions where fluoride could not penetrate, low viscosity resin (Icon, DMG, Hamburg) effectively infiltrated to stop the demineralisation process. Secondly, remineralisation in salivary conditions needed supplementary study over a longer period, to analyse the habits, diet and nutrition of patients in detail. Finally, demineralisation/remineralisation processes were found to influence the macro elemental composition of enamel demineralisation, with natural saliva proving to be less aggressive in terms of decreasing Ca and Mg content.
ISSN:1996-1944
1996-1944
DOI:10.3390/ma15207258