Evaluation of the Efficacy of Three Remineralizing Agents on Demineralized Enamel after Orthodontic Brackets Debonding: A Comparative Study.

Q3 Dentistry
Nitin R Khargekar, Kailash C Dash, George Sam, Tony Michael, Anil P Melitt, Deepesh Sreekantan
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引用次数: 0

Abstract

Aim: The aim of the current study was to assess the effectiveness of three remineralizing agents on demineralized enamel following the debonding of orthodontic brackets.

Materials and methods: Sixty healthy human premolar teeth that were extracted during orthodontic treatment were bonded with brackets and kept in deionized water for a week. Later, they were debonded, and the residual composite was removed with finishing discs and were subjected to pH cycling for 14 days at 37°C to replicate the oral cavity environment. Samples were submerged in a demineralizing solution for 14 days. All 60 teeth were randomly divided into three groups (n = 20)-group I: Application of Toothmin agent, group II: Application of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and group III: Application of Amflor toothpaste. A scanning electron microscope was used to investigate for the enamel surface demineralization. All data were recorded and statistically analyzed.

Results: At baseline, the mean enamel demineralized area was 118.26 ± 0.16 in the Toothmin agent group, 119.08 ± 0.09 in the CPP-ACP agent group, and 117.80 ± 0.10 in the Amflor toothpaste group. The maximum reduction of the demineralized area was found in the CPP-ACP agent group with a mean value of 101.20 ± 0.12 followed by the Toothmin agent group with a mean value of 104.46 ± 0.06 and the Amflor toothpaste group with a mean value of 110.80 ± 0.10. A significant difference was found between the groups.

Conclusion: The present study concluded that the CPP-ACP agent group had the greatest reduction in demineralized area when compared to the Toothmin agent group and the Amflor toothpaste group.

Clinical significance: After orthodontic treatment, demineralized areas frequently appear on the labial surfaces of teeth. As a result, these lesions present esthetic difficulties, which impact the patient's perception of treatment satisfaction. Because esthetics and appearance are of the highest importance following orthodontic treatment, elimination techniques for remineralization of demineralized regions must be implemented economically. How to cite this article: Khargekar NR, Dash KC, Sam G, et al. Evaluation of the Efficacy of Three Remineralizing Agents on Demineralized Enamel after Orthodontic Brackets Debonding: A Comparative Study. J Contemp Dent Pract 2026;27(1):33-36.

三种再矿化剂对正畸托槽脱粘后脱矿牙釉质疗效的比较研究。
目的:本研究的目的是评估三种再矿化剂对正畸托槽脱粘后脱矿牙釉质的有效性。材料与方法:将正畸治疗中拔除的健康人前磨牙60颗与托槽粘接,在去离子水中保存一周。随后将其脱粘,用整理盘去除残留的复合材料,并在37℃下进行pH循环14天,以复制口腔环境。样品在脱盐溶液中浸泡14天。将60颗牙齿随机分为3组(n = 20): I组:使用Toothmin牙膏,II组:使用酪蛋白磷酸肽-无定形磷酸钙(CPP-ACP), III组:使用Amflor牙膏。用扫描电镜观察牙釉质表面脱矿情况。记录所有数据并进行统计分析。结果:牙敏组牙釉质平均脱矿面积为118.26±0.16,CPP-ACP组牙釉质平均脱矿面积为119.08±0.09,Amflor组牙釉质平均脱矿面积为117.80±0.10。CPP-ACP组的脱矿面积减少幅度最大,平均值为101.20±0.12,其次是Toothmin组,平均值为104.46±0.06,Amflor牙膏组,平均值为110.80±0.10。两组之间存在显著差异。结论:CPP-ACP制剂组与牙牙敏制剂组和Amflor牙膏组相比,脱矿面积减少幅度最大。临床意义:正畸治疗后,牙齿唇面多出现脱矿区。因此,这些病变呈现审美困难,影响患者对治疗满意度的感知。因为在正畸治疗后,美观和外观是最重要的,所以在脱矿区域进行再矿化的消除技术必须经济地实施。如何引用本文:Khargekar NR, Dash KC, Sam G等。三种再矿化剂对正畸托槽脱粘后脱矿牙釉质疗效的比较研究。当代司法实践[J]; 2016;27(1):33-36。
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来源期刊
Journal of Contemporary Dental Practice
Journal of Contemporary Dental Practice Dentistry-Dentistry (all)
CiteScore
1.80
自引率
0.00%
发文量
174
期刊介绍: The Journal of Contemporary Dental Practice (JCDP), is a peer-reviewed, open access MEDLINE indexed journal. The journal’s full text is available online at http://www.thejcdp.com. The journal allows free access (open access) to its contents. Articles with clinical relevance will be given preference for publication. The Journal publishes original research papers, review articles, rare and novel case reports, and clinical techniques. Manuscripts are invited from all specialties of dentistry i.e., conservative dentistry and endodontics, dentofacial orthopedics and orthodontics, oral medicine and radiology, oral pathology, oral surgery, orodental diseases, pediatric dentistry, implantology, periodontics, clinical aspects of public health dentistry, and prosthodontics.
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