CC BY-NC-ND 4.0 · Eur J Dent 2019; 13(03): 391-398
DOI: 10.1055/s-0039-1693748
Original Article
Dental Investigation Society

Antibacterial and Remineralization Efficacy of Casein Phosphopeptide, Glycomacropeptide Nanocomplex, and Probiotics in Experimental Toothpastes: An In Vitro Comparative Study

Hanaa Elgamily
1   Oral and Dental Research Division, Restorative and Dental Materials Department, National Research Centre, Giza, Egypt
Engie Safwat
1   Oral and Dental Research Division, Restorative and Dental Materials Department, National Research Centre, Giza, Egypt
Zainab Soliman
2   Operative Dentistry Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
Heba Salama
3   Division of Food Industries and Nutrition, Food Industries and Nutrition Division, Dairy Science Department, National Research Centre, Giza, Egypt
Hoda El-Sayed
3   Division of Food Industries and Nutrition, Food Industries and Nutrition Division, Dairy Science Department, National Research Centre, Giza, Egypt
Mohamed Anwar
2   Operative Dentistry Department, Faculty of Dentistry, Ain Shams University, Cairo, Egypt
› Author Affiliations
Further Information

Publication History

received 08 May 2019

accepted 29 May 2019

Publication Date:
28 August 2019 (online)


Objective This article evaluates the antibacterial and remineralization potential of experimentally prepared toothpastes containing different mixtures of nano casein phosphopeptides (nCPP), nano amorphous calcium phosphate (nACP), probiotic ­ Lactobacillus rhamnosus B-445 (L. rhamnosus), and nano glycomacropeptide (nGMP).

Materials and Methods Five experimental toothpaste samples were prepared and grouped, such that group (A0) was the experimental toothpaste base formula. Groups (A1), (A2), (A3), and (A4) were the experimental toothpastes containing: nCPP; nCPP and nACP; nCPP, nACP, and L. rhamnosus, and nCPP, nACP, and nGMP, ­respectively. Group (A5) was the commercial group (GC MI Paste Plus). The five groups were screened against Streptococcus mutans (ATCC 25175) growth, and investigated for their remineralizing potentials on demineralized bovine enamel using Vickers ­microhardness test (Vickers hardness number [VHN]). Scanning electron microscope (SEM) images were obtained for the demineralized and remineralized enamel of the two most effective toothpastes against in vitro bacterial induced enamel demineralization. Statistical analysis was performed using one-way analysis of variance (ANOVA) as well as repeated measures ANOVA followed by Tukey’s post hoc test.

Results Both (A3) and (A4) were significantly higher in mean inhibition zone ­diameters than group (A1) and (A2). Group (A4) showed the highest statistical ­significance in the mean difference between VHN values of demineralization and 15 days remineralization period. SEM images showed the deposition of nano-sized particles fill the ­microrough surface pattern of the etched enamel.

Conclusion All these findings suggest the use of probiotic, nCPP–nACP, and nGMP as a dental anticariogenic and remineralizing active agents.

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