EFFECT OF POLYMER-INDUCED LIQUID PRECURSOR PROCESS CONTAINING POLYASPARTIC ACID ON INTRAFIBRILLAR DENTIN REMINERALIZATION (MICRO-COMPUTED TOMOGRAPHY ANALYSIS)

Norma Avanti,Cut Thysa,Anggraini Margono,Ratna Meidyawati,Nilakesuma Djauharie

doi:10.22159/ijap.2020.v12s2.op-45

Norma Avanti, Cut Thysa + Show 3 more

Open Access

https://doi.org/10.22159/ijap.2020.v12s2.op-45

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Abstract

Objective: Caries treatment can be performed by minimal intervention, i.e., by removing the infected dentin and leaving the affected dentin and theninducing remineralization in the affected dentin. The affected dentin still consists of collagen cross bonds. Polymer-induced liquid precursor processis a guided tissue remineralization method that aims to remineralize intrafibrillar and extrafibrillar dentin by adding polymers that are similar tonon-collagen protein. One of the non-collagen protein analog materials is polyaspartic acid. The aim of this study was to evaluate the remineralizationof dentin on the demineralized dentin surface after immersed in remineralization solutions containing polyaspartic acid as a non-collagen proteinanalog.Methods: Human premolar teeth extracted for orthodontic purposes were divided into four groups, namely, one control and three treatment groups.Teeth in the control group were immersed only in the demineralization solution containing acetate buffer (pH 5.0, 66 h). Teeth in the three treatmentgroups were immersed in acetate buffer (pH 5.0, 66 h) and then continue to immersed in the remineralization solution containing polyaspartic acidfor 3, 7, and 14 days. Remineralization was evaluated by micro-CT.Results: Remineralization appeared on the demineralized dentin surface, characterized by an increase in the grayscale index, after immersion inthe remineralization solution containing polyaspartic acid. Significant differences were observed in the mean grayscale index values among the fourgroups.Conclusion: Polyaspartic acid has the potential to induce dentin remineralization.

Highlights

The conventional treatment for carious lesions consists of extracting all the carious tissue to obtain healthy tissue before restoration [1]
Remineralization appeared on the demineralized dentin surface, characterized by an increase in the grayscale index, after immersion in the remineralization solution containing polyaspartic acid
The affected dentin has collagen cross bonds that are important in remineralization, because apatite crystals can bind to these cross bonds [3,4]

Summary

Introduction

The conventional treatment for carious lesions consists of extracting all the carious tissue to obtain healthy tissue before restoration [1]. The remaining thickness of the dentin is very less, with only 25% of the thickness of normal dentin [1]. Removing all the infected dentin could risk causing pulp exposure [1]. There has been a change in the concept of caries treatment with minimum intervention, i.e., by removing the infected dentin and leaving the affected dentin. A new understanding of the principle involved in the removal of caries is to eliminate the infected dentin and leave the affected dentin and induce remineralization so that the growth of carious lesions can be stopped [2]. The affected dentin has collagen cross bonds that are important in remineralization, because apatite crystals can bind to these cross bonds [3,4]

Methods

Results

Conclusion