medigraphic.com
ISSN 0001-0944 (Print)
Órgano Oficial de la Asociación Dental Mexicana

2012, Number 4

<< Back

Rev ADM 2012; 69 (4)

The use of casein products in the remineralization procedures.

Cedillo VJJ

Language: Spanish
References: 37
Page: 191-199
PDF size: 245.07 Kb.


ABSTRACT

The concept of Minimal Intervention (MI) is well described in the literature and summarizes the clinical logic of prevention strategies related to the management of dental caries. The MI Consultative Boards of GC Europe, the European group of academics and general dental physicians, seek to develop evidence-based patient-centered MI treatments that can be used in everyday dental practice. Dental caries is a degenerative process that affects the hard tissues of the teeth, enamel and dentin. Caries is caused by imbalances in the oral biofilm, which can be caused by variations in the minerals, proteins or microorganisms that form part of it. Dental caries can be reversible in its early stages, when it appears clinically as a white spot; or irreversible, when cavitation is already present. It is in the reversible white spot stage when remineralizing agents are of great importance.
It is precisely in the search to find components that intercept the evolution of dental caries that products such as fluorine and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) have been discovered. Fluorides serve to stabilize the cyclical process of demineralization and remineralization. Fluoride acts when the pH of saliva is below 5; the fluorine atoms replace the OH ion of apatite creating fluorapatite, a component that is much more resistant to low pH and therefore to demineralization.
In the case of casein, recent studies have shown that the nanocomponents of casein phosphopeptide-amorphous calcium phosphate (CCP-ACP) help to prevent demineralization and promote remineralization of the enamel. This serves to stabilize the calcium ions and make these soluble so that the teeth can be remineralized. Furthermore, the CCP-ACP complex may also have a synergic effect with the fluoride ions.


REFERENCES

  1. Mount GJ, Ngo H. Minimal Intervention: a new concept for operative dentistry. Quintessence Int 2000;31:527-33.

  2. Anusavice KJ. Criteria for placement and replacement of dental restorations. Fla Dent J 1988;59:30-1.

  3. Featherstone JD. The science and practice of caries prevention. J Am Dent Assoc 2000;131:887-99.

  4. Mount GJ, Ngo H. Minimal intervention: early lesions. Quintessence Int 2000;31:535-46.

  5. Mount GJ, Ngo H. Minimal intervention: advanced lesions. Quintessence Int 2000;31:621-9.

  6. Tyas MJ, Anusavice KJ, Frencken JE, Mount GJ. Minimal intervention dentistry a review. FDI Commision Project 1-97. Int Dent J 2000;50:1-12.

  7. Ericson D, Kidd E, Mc Comb D, Mjor I, Noack MJ. Minimally Invasive Dentistry concepts and techniques in cariology. Oral Health Prev Dent 2003;1:59-72.

  8. Mount GJ. A new paradigm for operative dentistry. Aust Dent J 2007;52:264-70.

  9. Moncada G, Fernandez E, Martin J, Arancibia C, Mjor IA, Gordan VV. Increasing the longevity of restorations by minimal intervention: a two-year clinical trial. Oper Dent 2008;33:258-64.

  10. Aguirre MP, Ayala GG, Barreda TO, Berrocal MC, Chacaltana HE, Cueto AK, Flores DB, Inga PM, Lozano DG, Pastor YS, Torres EM. Uso de los fluoruros y derivados de la caseína en los procedimientos de remineralización. Trabajo de investigación. Lima Perú. Universidad Nacional Mayor de San Marcos. Facultad de Odontología. 2010.

  11. Henostroza Haro, G: Diagnóstico de caries dental. Editorial Universidad Cayetano Heredia, Lima Perú, 2005

  12. Salete NM. Odontopediatria en la primera infancia. 1ª Ed. Sao Paulo Brasil Editora Ltda. Vol 1. 2009. pp 603.

  13. Raynolds EC, Calcium phosphate-based remineralization systems: evidence? Aust Dent J. 2008; 53(3):268-73.

  14. Alvarez PM. Uso de agentes quimioterapéuticos para el control y regresión de manchas blancas de pacientes preadolescentes. Tesis de maestría. Lima Perú. Universidad Nacional Mayor de San marcos. Facultad de Odontología. 2007.

  15. Reynolds EC, Casein phosphopeptide-amorphous calcium phosphate: the scientific evidence. Adv Dent Res. 2009;21(1):25-9.

  16. Zarpazhooh A, Limeback H. Clinical efficacy of casein derivatives: a systematic review of the literature. J Am Dent Assoc. 2008;139(7):915-24; quiz 994-5.

  17. Lata S, N O Varghese, Varughese J. Remineralization potential of fluoride and amorphous calcium phosphate peptide on enamel lesions: An in vitro comparative evaluation. J Conserv Dent. 2010;13:42-6..

  18. Díaz S. AM. Estudio comparativo del efecto de las aplicaciones del barniz flúor y/o clorhexidina sobre algunos factores clínicos-microbiológicos de riesgo a caries dental. (Tesis de Maestría). Univ. Mayor de San Marcos 2006.

  19. Ero DT. Recaldent-evidence for clinical activity. Adv Dent Res. 2009;21(1):30-4.

  20. Walker GD, Cai F, Shen P, Bailey DL, Yuan Y, Cochrane NJ, Reynolds C, Reynolds EC. Consumption of milk with added casein phosphopeptide-amorphous calcium phosphate remineralizes enamel subsurface lesions in situ. Aust Dent J. 2009;54(3):245-9.

  21. Reynolds EC. Remineralization of enamel subsurface lesions by caseinphosphopeptide-stabilized calcium phosphate solutions. J Dent Res. 1997;76(9):1587-95.

  22. Bayley DL, Adams GG, Tsao CE, Hyslop A, Escobar K, Manton DJ, Reynolds EC, Morgan MV. Regression of post-orthodontic lesions by a remineralizing cream. J Dent Res. 2009;88(12):1148-53.

  23. Cai F, Shen P, Walker GD, Reynolds C, Yuan Y, Reynolds EC. Remineralization of enamel subsurface lesions by chewing gum with added calcium. J Dent. 2009; 37(10):763-8.

  24. y KA, Milgrom P, Rothen M. The potential of dental-protective chewing gum in oral health interventions. J Am Dent Assoc. 2008;139(5):553-63.

  25. Featherstone JD. et. al. Caries Management by Risk Assessment: Consensus Statement, April 2002: J Cal. Dent Assoc. 2003;31(3):257.

  26. Featherstone JD. The caries balance: the basis for caries management by risk assessment. Oral Health Prev Dent. 2004;2 Suppl 1:259-64.

  27. Cedillo J. Lugo J. Ionómero de vidrio recargable como restauración definitiva. Rev ADM. 2010:67(4)185-191.

  28. Reynolds EC, Walsh L.J. Additional aids to the remineralization of tooth structure. Int Mount GJ and Hume WR. Preservation and restoration of teeth, 2nd ed. Brisbane, Knowledge Books and Software 2005. pp. 111–118.

  29. Pinheiro IVA, Medeiros MC, Ferreira MA, Lima KC. Uso de fluorescencia láser (Diagnodent) para diagnóstico in vivo de caries oclusales: un análisis sistemático. J Minim Interv Dent 2088;1(1):47- 53.

  30. Espinosa R, Valencia R, Uribe M, Ceja I, Saadia M. Enamel deproteinization and its effect on acid etching: an in vitro study. J Clin Pediatr Dent. 2008;33(1):13-9.

  31. Ruan JD, Gomes JC, Uribe J. Influencia de la desproteinización dentinaria sobre la resistencia adhesiva. Madrid España. RODYB 2006;Volumen 1/ Numero 1.

  32. Silverstone LM, Saxton CA, Dogon IL, Fejerskov O. Variation in the pattern of acid etching of human dental enamel examined by scanning electron microscopy. Caries Res. 1975;9:373-87.

  33. Oshawa T. Studies on Solubility and adhesion of the enamel in pretreatment for caries preventive sealing. Tokyo Dent. 1972;1:65- 82.

  34. Cabello R, ICNARA: Conferencia internacional sobre nuevos agentes anticaries y remineralizantes. Rev Soc Child Odontopediatría 2008;23(1):17-20.

  35. Paris S, Meyer Lueckel. Masking of labial enamel White spot lesions by resin infiltration-a clinical report. Quintessence Int. 2008;40(9): 713-718.

  36. Zero D. Dentifrices, mouthwashes, and remineralization/caries arrestment strategies. BMC Oral Health 2006:6:S9.

  37. El-Sayad II, Sakr AK, Badr YA. Combing CPP-ACP with fluoride: a sinergistic remineralization potential of artificially demineralized enamael or not? Reflection, Scattering, and Diffraction from surfaces. Zu-han Gu, Leonard M Hanssen Proc of SPIE 2008;7065.




2020     |     www.medigraphic.com