Citation Information :
Bejoy BM, Sruthi MS, George L, Mathew J, Vineet RP, Joy A. Comparative Evaluation of Casein Phosphopeptide–Amorphous Calcium Phosphate–Fluoride Paste and Sodium Fluoride Mouthwash in the Prevention of Dental Erosion: An In Vitro Study. J Contemp Dent Pract 2020; 21 (3):267-270.
Aim: To compare the efficacy of casein phosphopeptide–amorphous calcium phosphate–fluoride (CPP-ACP-F) paste and 0.2% sodium fluoride mouthwash in the prevention of dental erosion using profilometer. Materials and methods: The buccal surfaces of 36 premolar sound teeth were ground and polished to achieve a flat surface with silicone disks. Samples were allocated in three groups randomly. Group I was pretreated for 5 days four times a day with CPP-ACP-F paste. Group II was pretreated for 5 days with 0.2% sodium fluoride mouthwash four times a day. Group III remained as the control group without any pretreatment. In the next step, all the samples were exposed four times a day for 3 days to carbonated beverages. The samples were rinsed with saline after each erosive cycle and stored in artificial saliva. The profilometer was used to determine the surface loss. The data collected were evaluated using one-way analysis of variance (ANOVA) along with post hoc test. Results: The erosion of group I (CPP-ACP-F paste) and group II (0.2% sodium fluoride mouthwash) was significantly less than that of group III (control group). The erosion in group II was significantly lower than in group I. Conclusion: Both sodium fluoride mouthwash and CPP-ACP-F paste are effective in the prevention of dental erosion. Sodium fluoride mouthwash shows higher reduction in dental erosion when compared with CPP-ACP-F paste. Clinical significance: This study contributes to the understanding of the efficacy of CPP-ACP-F paste and 0.2% sodium fluoride mouthwash in the prevention of dental erosion.
Imfeld T. Dental erosion: definition, classification and links. Eur J Oral Sci 1996;104(2(Pt 2)):151–155. DOI: 10.1111/j.1600-0722.1996.tb00063.x.
Schlossman M, Montana M. Preventing damage to oral hard and soft tissues. In: Spolarich AE, Panagakos FS. Prevention Across the Lifespan: A Review of Evidence-Based Interventions for Common Oral Conditions. Charlotte: Professional Audience Communications, Inc.; 2017. pp. 97–120.
Featherstone JD. The science and practice of caries prevention. J Am Dent Assoc 2000;131(7):887–899. DOI: 10.14219/jada.archive.2000.0307.
Salas MM, Nascimento GG, Vargas-Ferreira F. Diet influenced tooth erosion prevalence in children and adolescents: Results of a meta-analysis and meta-regression. J Dent 2015;43(8):865–875. DOI: 10.1016/j.jdent.2015.05.012.
Wiegand A, Attin T. Influence of fluoride on the prevention of erosive lesions - a review. Oral Health Prev Dent 2003;1(4):245–253.
Bayrak S, Tuloglu N, Bicer H, et al. Effect of fluoride varnish containing CPP-ACP on preventing enamel erosion. Scanning 2017;2017. DOI: 10.1155/2017/1897825.
Thakkar PJ, Badakar CM, Hugar SM, et al. An in vitro comparison of casein phosphopeptide-amorphous calcium phosphate paste, casein phosphopeptide-amorphous calcium phosphate paste with fluoride and casein phosphopeptide-amorphous calcium phosphate varnish on the inhibition of demineralization and promotion of remineralization of enamel. J Indian Soc Pedod Prev Dent 2017;35(4):312. DOI: 10.4103/JISPPD.JISPPD_308_16.
Tantbirojn D, Huang A, Ericson MD, et al. Change in surface hardness of enamel by a cola drink and a CPP–ACP paste. J Dent 2008;36(1): 74–79. DOI: 10.1016/j.jdent.2007.10.008.
Jensdottir T, Bardow A, Holbrook P. Properties and modification of soft drinks in relation to their erosive potential in vitro. J Dent 2005;33(7):569–575. DOI: 10.1016/j.jdent.2004.12.002.
Rirattanapong P, Vongsavan K, Suratit R, et al. Effect of various forms of calcium in dental products on human enamel microhardness in vitro. Southeast Asian J Trop Med Public Health 2012;43(4): 1053–1058.
Jensdottir T, Holbrook P, Nauntofte B, et al. Immediate erosive potential of cola drinks and orange juices. J Dent Res 2006;85(3): 226–230. DOI: 10.1177/154405910608500304.
Torres CP, Chinelatti MA, Gomes-Silva JM, et al. Surface and subsurface erosion of primary enamel by acid beverages over time. Braz Dent J 2010;21(4):337–345. DOI: 10.1590/S0103-64402010000400009.
Ten Cate JM. Current concepts on the theories of the mechanism of action of fluoride. Acta Odontol Scand 1999;57(6):325–329. DOI: 10.1080/000163599428562.
Carounanidy U, Sathyanarayanan R. Dental caries: a complete changeover, PART III: changeover in the treatment decisions and treatments. J Conserv Dent 2010;13(4):209–217. DOI: 10.4103/0972-0707.73383.
Attin T. Methods for assessment of dental erosion. Monogr Oral Sci 2006;20:152–172.
Wiegand A, Meier W, Sutter E, et al. Protective effect of different tetrafluorides on erosion of pellicle-free and pellicle-covered enamel and dentine. Caries Res 2008;42(4):247–254. DOI: 10.1159/000135669.
Moezizadeh M, Alimi A. The effect of casein phosphopeptide-amorphous calcium phosphate paste and sodium fluoride mouthwash on the prevention of dentine erosion: an in vitro study. J Conserv Dent 2014;17(3):244–249. DOI: 10.4103/0972-0707.1 31787.
Wiegand A, Hiestand B, Sener B, et al. Effect of TiF4, ZrF4, HfF4 and AmF on erosion and erosion/abrasion of enamel and dentin in situ. Arch Oral Biol 2010;55(3):223–228. DOI: 10.1016/j.archoralbio.2009.11.007.
Wegehaupt FJ, Attin T. The role of fluoride and casein phosphopeptide/amorphous calcium phosphate in the prevention of erosive/abrasive wear in an in vitro model using hydrochloric acid. Caries Res 2010;44(4):358–363. DOI: 10.1159/000316542.
Jayarajan J, Janardhanam P, Jayakumar P. Efficacy of CPP-ACP and CPP-ACPF on enamel remineralization-an in vitro study using scanning electron microscope and diagnodent. Indian J Dent Res 2011;22(1):77–82. DOI: 10.4103/0970-9290.80001.
Wang X, Megert B, Hellwig E, et al. Preventing erosion with novel agents. J Dent 2011;39(2):163–170. DOI: 10.1016/j.jdent.2010.11.007.
Trairatvorakul C, Kangvansurakit N, Pathomburi J. In vitro comparison of self versus professionally applied remineralizing materials. J Clin Pediatr Dent 2010;34(4):323–328. DOI: 10.17796/jcpd.34.4.p35436j05010u562.