Evaluation of The Effects of Different Remineralization agents on
Initial Enamel Lesions by Scanning Electron Microscope and
Energy-Distributed X-ray Analysis
Abstract
Aim: The present study compares the effectiveness of four different
remineralization agents on the demineralized enamel of permanent human
incisors. The purpose of this study is to evaluate the effectiveness of
remineralization agents on the initial enamel lesion. Material- Methods:
Crowns affected by demineralization were divided into two equal parts.
The right halves of the teeth were subjected to no other processes after
demineralization for control purposes and were kept in artificial saliva
for the duration of the experiment. The left halves of the crowns were
remineralized using a 5% NaF-containing fluoride varnish (GC MI Varnish
GC Corp, Tokyo, Japan), a casein phosphopeptide and amorphous calcium
toothpaste (GC Tooth Mousse, GC Corp, Tokyo, Japan), fluoride,
hydroxyapatite, and xylitol, containing a water-soluble remineralization
paste (Remin Pro™, Voco, Germany) and calcium, magnesium and
phosphate-containing gel (Medical Remineralizing gel (R.O.C.S. Trading
GmbH, Munich, Germany). After a 21-day remineralization process, and
SEM/EDX analysis was performed, and a One Way Anova was used for
statistical analysis. Results: According to EDX analysis, the R.O.C.S.
medical remineralizing gel was found to have a lower Ca/P ratio than the
other material groups (p =0.04). Remin Pro™, Voco, and the R.O.C.S. were
higher than the control group in evaluating the Ca / P ratio (p=0.014),
(p=0.025). Conclusions: The R.O.C.S group, treated with fluoride-free
xylitol-containing, a remineralization agent, showed the lowest Ca/P
ratio. Compared to demineralized halves of the teeth (control groups),
Remin Pro™, Voco, and R.O.C.S. medical remineralizing gel may be
considered as affecting on initial enamel lesions. Key Words:
Remineralizing Agents, EDX, SEM, Enamel,