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Calcium phosphate-based remineralization systems: scientific evidence?
1Centre for Oral Health Science, School of Dental Science, The University of Melbourne, Victoria. e.reynolds@unimelb.edu.au
Australian Dental Journal
|September 11, 2008
Summary
Calcium phosphate systems like CPP-ACP and Enamelon show promise for remineralizing early dental caries. These technologies may help slow caries progression and promote lesion regression as adjunctive fluoride therapy.
Area of Science:
- Dental Science
- Biomaterials
- Public Health
Background:
- Dental caries is a persistent public health issue despite fluoride's success.
- Current research focuses on early caries detection and non-invasive treatments.
- Remineralization, using calcium and phosphate ions to form fluorapatite, is key for non-invasive caries management.
Purpose of the Study:
- To review scientific evidence for calcium phosphate-based remineralization systems in treating early caries lesions non-invasively.
- To evaluate the efficacy of commercially available systems: CPP-ACP (Recaldent), ACP (Enamelon), and NovaMin.
Main Methods:
- Systematic review of scientific literature.
- Analysis of randomized, controlled clinical trials on remineralization technologies.
Main Results:
- Evidence supports Enamelon's efficacy for root caries.
- Recaldent technology demonstrated significant slowing of coronal caries progression and lesion regression in clinical trials.
- Calcium phosphate systems show potential as adjuncts to fluoride therapy.
Conclusions:
- Calcium phosphate-based remineralization systems show promise for non-invasive early caries management.
- CPP-ACP and Enamelon technologies have demonstrated anticariogenic effects.
- These systems may enhance the effectiveness of traditional fluoride therapy.
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