Differences in surface roughness of enamel after whey-extract application and CPP-ACP in post extracoronal-tooth bleaching

https://doi.org/10.22146/majkedgiind.26859

Afiatul Mukarromah(1*), Irfan Dwiandhono(2), Dian Noviyanti Agus Imam(3)

(1) Dentistry, Universitas Jenderal Sudirman, Purwokerto, Central Java
(2) Department of Dental Conservation, Dentistry, Universitas Jenderal Sudirman, Purwokerto, Central Java
(3) Department of Dental Materials, Dentistry, Universitas Jenderal Sudirman, Purwokerto, Central Java
(*) Corresponding Author

Abstract


Demineralization is a process of partial or full tooth mineral loss which caused by acidic environment, for example the side effect of extracoronal bleaching treatment. Demineralization increases enamel surface roughness which leads plaque accumulation. Whey extract and calcium phosphopeptide-amorphous calcium phophate (CPP-ACP) contain calcium and phosphate that can stop the demineralization through remineralization process. This study aimed to determine the differences of enamel surface roughness after whey extract and CPP-ACP application post- extracoronal bleaching. Experimental laboratory with pre- and post-test control group design was performed on 24 first maxillary premolars which devided into 3 groups. On group I, specimens were immersed in artificial saliva. Specimens in group II were immersed in whey extract meanwhile specimens were immersed in CPP-ACP on group III. Whey extract and CPP-ACP immersions were conducted 10 minutes every 12 hours for 15 days. The enamel surface roughness test was performed twice, after extracoronal bleaching treatment and after 15 days remineralization agent application. This study result indicated significant differences between group I and group II and between group I and group III (p<0.05), but there was no significant difference between group II and group III (p>0.05). This study showed whey extract decreased more enamel surface roughness than CPP-ACP but the difference was not significant statistically. So, whey extract and CPP-ACP showed similar remineralization potential.


Keywords


calcium phosphopeptide-amorphous calcium phosphate (CPP-ACP); demineralization; extracoronal bleaching; remineralization; whey ectract

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References

1. Hendari R. Pemutihan gigi (tooth-whitening) pada gigi yang mengalami pewarnaan. J Sultan Agung. 2009; XVIV(128): 65 – 78.

2. Gursoy UK, Eren DI, Bektas OO, Hurmuzlu F, Bostanci V, Ozdemir H. Effect of external tooth bleaching on dental plaque accumulation and tooth discoloration. J Med Oral Patol Oral Cir Buccal. 2008; 14(4): E266 – E269.

3. Torabinejad M, Walton RE. Endodontics principles and practice 4th edition. Malaysia: Saunders Elsevier; 2013. 391 – 402.

4. Yesilyurt C, Sezer U, Ayar MK, Alp CK, Tasdemir T. The effect of a new calcium-based agent, pro-argin, on the microhardness of bleached enamel surface. Aust Dent J. 2014; 58: 207 – 213.

5. Heshmat H, Ganjkar MH, Jaberi S, Fard MJK. The effect of remin Pro and MI paste plus on bleached enamel surface roughness. J Dent Tehr Univ Med Sci. 2014; 12(2): 141 – 146.

6. Cross SE, Kreth J, Wali RP, Sullivan R, Shi W, Gimzewski JK. Evaluation of bacteria-induced enamel demineralization using optical profilometry. J Dent Mat. 2009; 25(13): 1618 – 1626.

7. Divyapriya GK, Yavagal PC, Veeresh DJ. Review article casein phosphopeptide – amorphous calcium phosphate in dentistry: an update. Int J Oral Health Sci. 2016; 6: 18 – 25.

8. Rezvani MB, Karimi M, Rasoolzade RA, Haghgoo R. Comparing the effects of whey extract and case in phosphopeptide-amorphous calcium phosphate (CPP-ACP) on enamel microhardness. J Dent Shiraz Univ Med Sci. 2016; 17(1): 49 – 53.

9. Özkan P, Kansu G, Özak ŞT, Yilmaz SK, Kansu P. Effect of bleaching agents and whitening dentifrices on the surface roughness of human teeth enamel. Acta Odont Scand. 2013; 71: 488 – 497.

10. Dawes C. What is the critical ph and why does a tooth dissolve in acid. J Can Dent Assoc. 2003; 69(7): 22 – 24.

11. Ferrazzano GF, Cantile T, Quarto M, Ingenito A, Chianese L, Addeo F. Protective effect of yogurt extract on dental enamel demineralization in vitro. Aust Dent J. 2008; 53: 315 – 319.

12. Alaghemand H, Kamangar SSH, Zarenegad N, Tabari N, Abedi H, Khafri S. In-vitro effect of casein phosphopeptide-amorphous calcium phosphate on enamel susceptibility to staining by tea during bleaching treatment. J Dent Tehr Uni Med Sci. 2015; 13(8): 607 – 614.

13. Mettu S, Srinivas N, Sampath R, Srinivas N. Effect of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on caries-like lesion in terms of time and nano-hardness an in vitro study. J Ind Soc Pedo Prev Dent. 2016; 33(4): 269 – 273.

14. Amaral CM, Miranda MESNG, Correa DS, Silva EM. Sodium fluoride and casein phosphopeptide-amorphous calcium phosphate cream plus sodium fluoride efficacy in preventing enamel erosion in a simulated oral environment study model. Indian J Dent Res. 2015; 24(4): 464 – 469.

15. Ambarkova V, Goršeta K, Glavina D, Škrinjariƈ I. The effect of fluoridated dentifrice formulations on enamel remineralization an microhardness after in vitro demineralization. Acta Stomatol Croat. 2012; 45(3): 169 – 175.

16. Alencar CRB, Magalhães AC, Machado MAAM, Oliveira TM, Honório HM, Rios D. In situ effect of a commercial CPP-ACP chewing gum on the human enamel initial erosion. J Dent. 2015; 42: 1602 – 1607.



DOI: https://doi.org/10.22146/majkedgiind.26859

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