Abstract

To assess- the release of calcium and phosphate ions from a fissure sealant containing amorphous calcium phosphate (ACP), and to determine the re-release capacity of these ions when charged with a solution containing casein phosphopeptide-amorphous calcium phosphate (CPP-ACP). Nine blocks of ACP resin-based sealant were prepared and immersed in three solutions at different pH (4.0, 5.5, 7.0), and calcium and phosphate ion release was measured with ion chromatography at 1, 3, 5, 7, 14, 21 and 28 days after immersion. Sixty days after immersion, each block was charged with CPP-ACP solution in three 7-day cycles to investigate the re-release of these ions, which was measured on days 1, 3, and 7. No difference was observed in initial calcium ion release at pH 4.0 and pH 5.5. At both values, ion release was significantly higher than at pH 7.0 (p<0.001). Initial phosphate release was significantly different among the three pH values (p<0.001). After re-charging the specimens, calcium ion re-release was greater than phosphate ion release. Initial ion release from ACP resin-based sealant was greatest at the lowest pH. Ion release decreased with time. As the number of recharge cycles increased, ion re-release also improved. Phosphate ion re-release required more recharge cycles than calcium ion re-release.

Highlights

  • The occlusal surface of newly erupted teeth is an area susceptible to dental caries [1]

  • Subgroup analysis was done with one-way analysis of variance (ANOVA) and the Duncan test

  • There was no significant difference between pH 4.0 and pH 5.5

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Summary

Introduction

The occlusal surface of newly erupted teeth is an area susceptible to dental caries [1]. One of the most effective methods to prevent tooth caries is using a pit and fissure sealant (FS), which acts as a physical barrier to the penetration of bacteria and fermentable sugars in the deepest parts of tooth pits and fissures [2]. Several factors may influence the long-term success of FS, such as oral biofilms containing S. mutans, which has esterase activity that hydrolyzes the ester bonds in materials containing methacrylate [3, 4], or enamel demineralization. Ion release and recharge from a Aegis sealant

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