Download PDF
CC BY-NC-ND 4.0 · Eur J Dent 2009; 03(02): 127-134
DOI: 10.1055/s-0039-1697419
Original Article
Dental Investigation Society

Efficiency of Amorphous Calcium Phosphate–Containing Orthodontic Composite and Resin Modified Glass Ionomer on Demineralization Evaluated By a New Laser Fluorescence Device

Tancan Uysal
a   Erciyes University, Faculty of Dentistry, Department of Orthodontics, Kayseri, Turkey
,
Mihri Amasyali
b   Gulhane Military Medical Academy, Center of Dental Sciences, Department of Orthodontics, Ankara, Turkey
,
Alp Erdin Koyuturk
C   19 Mayis University, Faculty of Dentistry, Department of Pediatric Dentistry, Samsun, Turkey
,
Deniz Sagdic
b   Gulhane Military Medical Academy, Center of Dental Sciences, Department of Orthodontics, Ankara, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
27 September 2019 (online)

  PDF Download Permissions and Reprints

ABSTRACT

Objectives: The aim of this in vitro study was to compare the efficacy of Amorphous Calcium Phosphate (ACP)-containing orthodontic composite and resin-modified glass ionomer cement (RMGIC) on enamel demineralization adjacent to orthodontic brackets evaluated by a new laser fluorescence device.

Methods: Sixty extracted maxillary premolars were used in the present study. Twenty orthodontic brackets were bonded with ACP-containing orthodontic adhesive (Aegis-Ortho), 20 were bonded with RMGIC (Fuji Ortho LC) ad20 were bonded with Transbond XT composite as the control. All samples were then cycled for 21 days through a daily procedure of demineralization for 6 hours and remineralization for 17 hours. After this procedure, demineralization evaluations were undertaken by a pen-type laser fluorescence device (DIAGNO-dent Pen). Analysis ofvariance (ANOVA) and Tukey test was used for statistical evaluation, at P<.05 level.

Results: According to ANOVA, significant demineralization variations (ΔD) were determined among groups (F=6.650; P<.01). The ACP-containing composite showed the lowest (mean: 8.98±2.38) and the control composite showed the highest (mean:12.15±3.83) ΔD, during 21 days demineralization process (P<.01). Significant difference was also observed between the ΔD scores of the RMGIC (mean: 9.24±2.73) and control (P<.05).No significant differences was found in preventive effects of ACP-containing composite and RMGIC (P<.05) against demineralization.

Conclusions: The use of both ACP-containing orthodontic composite and RMGIC should be recommended for any at-risk orthodontic patient to provide preventive actions and potentially remineralize subclinical enamel demineralization. (Eur J Dent 2009;3:127-134)

Key words:

Demineralization - Amorphous calcium phosphate - Glass ionomer cements
 

  • REFERENCES

  • 1 Zabokova-Bilbilova E, Stafilov T, Sotirovska-Ivkovska A, Sokolovska F. Prevention of enamel demineralization during orthodontic treatment: An in vitro study using GC Tooth Mousse. Balk J Stom 2008; 12: 133-137
    Google Scholar
  • 2 Basdra EK, Huber H. Komposch. Fluoride released from orthodontic bonding agents alters the enamel surface and inhibits enamel demineralization in vitro. Am J Orthod Dentofac Orthop 1996; 109: 466-472
    CrossrefPubMedGoogle Scholar
  • 3 Bloom RH, Brown LR. A study of the effects of orthodontic appliances on the oral microbial flora. Oral Surg 1964; 17: 658-667
    CrossrefPubMedGoogle Scholar
  • 4 Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod 1982; 82: 62-67
    CrossrefPubMedGoogle Scholar
  • 5 Artun J, Brobakken BO. Prevalence of carious white spots after orthodontic treatment with multibonded appliances. Eur J Orthod 1986; 8: 229-234
    CrossrefPubMedGoogle Scholar
  • 6 Kukleva MP, Shetkova DG, Beev VH. Comparative age study of the risk of demineralization during orthodontic treatment with brackets. Folia Med 2002; 44: 56-59
    PubMedGoogle Scholar
  • 7 Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982; 81: 93-98
    CrossrefPubMedGoogle Scholar
  • 8 Mitchell L. Decalcification during orthodontic treatment with fixed appliances-an overview. Br J Orthod 1992; 19: 199-205
    CrossrefPubMedGoogle Scholar
  • 9 Millet DT, Nunn JH, Welbury RR, Gordon PH. Decalcification in relation to brackets bonded with glass ionomer cement or a resin adhesive. Angle Orthod 1999; 69: 65-70
    PubMedGoogle Scholar
  • 10 Schmit JL, Staley RN, Wefel JS, Kanellis M, Jakobsen JR, Keenan PJ. Effect of fluoride varnish on demineralization adjacent to brackets bonded with RMGI cement. Am J Orthod Dentofacial Orthop 2002; 122: 125-134
    CrossrefPubMedGoogle Scholar
  • 11 de Bruyn H, Arends J. Fluoride varnishes: a review. J Biol Buccale 1987; 15: 71-82
    PubMedGoogle Scholar
  • 12 Helfenstein U, Steiner M. Fluoride varnishes (Duraphat): a meta-analysis. Community Dent Oral Epidemiol 1994; 22: 1-5
    CrossrefPubMedGoogle Scholar
  • 13 Seppa L, Leppanen T, Hausen H. Fluoride varnish versus acidulated phosphate fluoride gel: a 3-year clinical trial. Caries Res 1995; 29: 327-330
    CrossrefPubMedGoogle Scholar
  • 14 Arends J, Lodding A, Petersson LG. Fluoride uptake in enamel In vitro comparison of topical agents. Caries Res 1980; 14: 403-413
    CrossrefPubMedGoogle Scholar
  • 15 Ogaard B, Larsson E, Henriksson T, Birkhed D, Bishara SE. Effects of combined application of antimicrobial and fluoride varnishes in orthodontic patients. Am J Orthod Dentofacial Orthop 2001; 120: 28-35
    CrossrefPubMedGoogle Scholar
  • 16 Sudjalim TR, Woods MG, Manton DJ. Prevention of white spot lesions in orthodontic practice: a contemporary review. Aust Dent J 2006; 51: 284-289
    CrossrefPubMedGoogle Scholar
  • 17 Vorhies AB, Donly KJ, Staley RN, Wefel JS. Enamel demineralization adjacent to orthodontic brackets bonded with hybrid glass ionomer cements: an in vitro study. Am J Orthod Dentofacial Orthop 1998; 114: 668-674
    CrossrefPubMedGoogle Scholar
  • 18 Lippitz SJ, Staley RN, Jakobsen JR. An in vitro comparative study of 24 hour and 30 day shear bond strengths of three resin-glass ionomer cements used to bond orthodontic brackets. Am J Orthod Dentofacial Orthop 1998; 113: 620-624
    CrossrefPubMedGoogle Scholar
  • 19 Farrow ML, Newman SM, Oesterle LJ, Shellhart WC. Filled and unfilled restorative materials to reduce enamel decalcification during fixed-appliance orthodontic treatment. Am J Orthod Dentofacial Orthop 2007; 132 (578) e1-6
    CrossrefPubMedGoogle Scholar
  • 20 Hughes D, Hembree JH, Weber FN. Preparations to prevent enamel decalcification during orthodontic treatment compared. Am J Orthod 1979; 76: 416-420
    Google Scholar
  • 21 Schumacher GE, Antonucci JM, O’Donnell JNR, Skrtic D. The use of amorphous calcium phosphate composites as bioactive basing materials Their effect on the strength of the composite/adhesive/dentin bond. J Am Dent Assoc 2007; 138: 1476-1484
    CrossrefPubMedGoogle Scholar
  • 22 Skrtic D, Antonucci JM, Eanes ED. Amorphous calcium phosphate-based bioactive polymeric composites for mineralized tissue regeneration. J Res Natl Inst Stands Technol 2003; 108: 167-182
    Google Scholar
  • 23 Skrtic D, Antonucci JM, Eanes ED, Eidelman N. Dental composites based on hybrid and surface-modified amorphous calcium phosphates. Biomaterials 2004; 25: 1141-1150
    CrossrefPubMedGoogle Scholar
  • 24 Antonucci JM, Skrtic D. Matrix resin effects on selected physicochemical properties of amorphous calcium phosphate composites. J Bioact Comput Polym 2005; 20: 29-49
    Google Scholar
  • 25 Skrtic D, Hailer AW, Takagi S, Antonucci JM, Eanes ED. Quantitative assessment of the efficacy of amorphous calcium phosphate/methacrylate composites in remineralizing caries-like lesions artificially produced in bovine enamel. J Dent Res 1996; 75: 1679-1686
    Google Scholar
  • 26 Skrtic D, Antonucci JM, McDonough WG, Lui DW. Effect of chemical structure and composition of the resin phase on mechanical strength and vinyl conversion of amorphous calcium phosphate-based composites. J Biomed Mater Res 2004; 68A: 763-772
    CrossrefPubMedGoogle Scholar
  • 27 Foster JA, Berzins DW, Bradley TG. Bond strength of a calcium phosphate-containing orthodontic adhesive. Angle Orthod 2008; 78: 339-344
    CrossrefPubMedGoogle Scholar
  • 28 Antonucci JM, Skrtic D, Eanes ED. Remineralizing dental composites based on amorphous calcium phosphate. Polymer Prepr 1995; 36: 779-780
    Google Scholar
  • 29 Dunn WJ. Shear bond strength of an amorphous calciumphosphate-containing orthodontic resin cement. Am J Orthod Dentofacial Orthop 2007; 131: 243-247
    CrossrefPubMedGoogle Scholar
  • 30 Uysal T, Ulker M, Akdogan G, Ramoglu SI, Yilmaz E. Bond strength of amorphous calcium phosphate-containing orthodontic composite used as a lingual retainer adhesive. Angle Orthod 2009; 79: 117-121
    CrossrefPubMedGoogle Scholar
  • 31 Hu W, Featherstone JD. Prevention of enamel demineralization: an in-vitro study using light-cured filled sealant. Am J Orthod Dentofacial Orthop 2005; 128: 592-600
    CrossrefPubMedGoogle Scholar
  • 32 Reich E, Lussi A, Newbrun E. Caries-risk assessment. Int Dent J 1999; 49: 15-26
    CrossrefPubMedGoogle Scholar
  • 33 Sudjalim TR, Woods MG, Manton DJ, Reynolds EC. Prevention of demineralization around orthodontic brackets in vitro. Am J Orthod Dentofacial Orthop 2007; 131: 705e1-e9
    Google Scholar
  • 34 Benson PE, Shah AA, Millett DT, Dyer F, Parkin N, Vine RS. Fluorides, orthodontics and demineralization: a systematic review. J Orthod 2005; 32: 102-114
    CrossrefPubMedGoogle Scholar
  • 35 Evans R, Oliver R. Orthodontic bonding using glass ionomer cement: an in vitro study. Eur J Orthod 1991; 13: 493-500
    CrossrefPubMedGoogle Scholar
  • 36 Lussi A, Hellwig E. Performance of a new laser fluorescence device for the detection of occlusal caries in vitro. J Dent 2006; 34: 467-471
    CrossrefPubMedGoogle Scholar
  • 37 Gurbuz T, Yilmaz Y, Sengul F. Performance of laser fluorescence for residual caries detection in primary teeth. Eur J Dent 2008; 2: 176-184
    Article in Thieme ConnectPubMedGoogle Scholar
  • 38 Bader JD, Shugars DA. A systematic review of the performance of a laser fluorescence device for detecting caries. J Am Dent Assoc 2004; 135: 1413-1426
    CrossrefPubMedGoogle Scholar
  • 39 Francescut P, Zimmerli B, Lussi A. Influence of different storage methods on laser fluorescence values: a two-year study. Caries Res 2006; 40: 181-185
    CrossrefPubMedGoogle Scholar
  • 40 Novaes TF, Matos R, Braga MM, Imparato JC, Raggio DP, Mendes FM. Performance of a Pen-Type Laser Fluorescence Device and Conventional Methods in Detecting Approximal Caries Lesions in Primary Teeth -in vivo Study. Caries Res 2009; 43: 36-42
    CrossrefPubMedGoogle Scholar
  • 41 Rose RK. Binding characteristics of streptococcus mutans for calcium and casein phosphopeptide. Caries Res 2000; 34: 427-431
    CrossrefPubMedGoogle Scholar
  • 42 Cai F, Shen P, Morgan MV, Reynolds EC. Remineralization of enamel subsurface lesions in situ by sugar-free lozenges containing casein phosphopeptide-amorphous calcium phosphate. Aust Dent J 2003; 48: 240-243
    CrossrefPubMedGoogle Scholar
  • 43 Ramalingam L, Messer LB, Reynolds EC. Adding casein phosphopeptide-amorphous calcium phosphate to sports drinks to eliminate in vitro erosion. Pediatr Dent 2005; 27: 61-67
    PubMedGoogle Scholar
  • 44 Kumar VL, Itthagarun A, King NM. The effect of casein phosphopeptide-amorphous calcium phosphate on remineralization of artificial caries-like lesions: an in vitro study. Aust Dent J 2008; 53: 34-40
    CrossrefPubMedGoogle Scholar
  • 45 Giulio AB, Matteo Z, Serena IP, Silvia M, Luigi C. In vitro evaluation of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) effect on stripped enamel surfaces A SEM investigation. J Dent 2009; 37: 228-232
    CrossrefPubMedGoogle Scholar
  • 46 Gorton J, Featherstone JD. In vivo inhibition of demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 2003; 123: 10-14
    CrossrefPubMedGoogle Scholar
  • 47 Choo SC, Ireland AJ, Sherriff M. An in vitro investigation into the use of resin-modified glass poly(alkenoate) cements as orthodontic bonding agents. Eur J Orthod 2001; 23: 243-252
    CrossrefPubMedGoogle Scholar