Effect of Three Different Remineralizing Agents on In Vitro Enamel Demineralization: Using Vickers Hardness Test and SEM-EDX
Shakuntala B Siddaiah, Divya V Mehta
Keywords :
Psoralea corylifolia L. (Bakuchi), Remineralization, Scanning electron microscopy–energy dispersive X-ray analyzer, Sodium fluoride, Vickers hardness number
Citation Information :
Siddaiah SB, Mehta DV. Effect of Three Different Remineralizing Agents on In Vitro Enamel Demineralization: Using Vickers Hardness Test and SEM-EDX. World J Dent 2023; 14 (5):402-408.
Aim: The present in vitro study aimed to evaluate and compare the remineralization potential of—2% sodium fluoride (NaF), 2% NaF along with Psoralea corylifolia L. (Leguminosae) (Bakuchi), and white mineral trioxide aggregate (MTA) using Vickers hardness number (VHN) and scanning electron microscopy–energy dispersive X-ray analyzer (SEM-EDX).
Materials and methods: The present in vitro study was conducted on 45 sound premolars, sectioned into two parts, further embedded in acrylic resins, polished, and divided into three groups of normal, demineralized, and remineralized teeth (n = 15). The remineralized teeth were further subdivided into three groups (n = 15) as remineralized with 2% NaF, 2% NaF, and Psoralea corylifolia L. (Bakuchi) and white MTA. Specimens of each group were treated with the above-mentioned remineralizing agents and then subjected to VHN and SEM-EDX for further evaluation.
Results: The test results showed significantly the highest VHN and the emission peak of elements under the EDX test, such as calcium (Ca), phosphorous (P), oxygen, and fluorine (F) with the group remineralized with NaF + Bakuchi (group III-B).
Conclusion: Sodium fluoride (NaF) + Bakuchi showed effective results in VHN and SEM-EDX with no antagonist interaction. Thus, Psoralea corylifolia L. has a remineralizing effect on the tooth and can be used as a herbal extract for effective reduction in pathogenic bacteria.
Clinical significance:Psoralea corylifolia L. (Bakuchi), when mixed with NaF, has great potential for use in dentifrices and mouthwash and has revealed appreciable results on remineralization of artificially demineralized enamel lesions when compared to the MTA and NaF alone.
Kapoor A, Indushekar KR, Saraf BG, et al. Comparative evaluation of remineralizing potential of three pediatric dentifrices. Int J Clin Pediatr Dent 2016;9(3):186–191. DOI: 10.5005/jp-journals-10005-1361
Cao CY, Mei ML, Li QL, et al. Methods for biomimetic remineralization of human dentine: a systematic review. Int J Mol Sci 2015;16(3):4615–4627. DOI: 10.3390/ijms16034615
Amaechi BT, Higham SM. In vitro remineralisation of eroded enamel lesions by saliva. J Dent 2001;29(5):371–376. DOI: 10.1016/s0300-5712(01)00026-4
Wang Y, Mei L, Gong L, et al. Remineralization of early enamel caries lesions using different bioactive elements containing toothpastes: an in vitro study. Technol Health Care 2016;24(5):701–711. DOI: 10.3233/THC-161221
Pratiwi AR, Meidyawati R, Djauharie N. The effect of MTA application on the affected dentine remineralization after partial caries excavation (in vivo). In J Phys 2017;884(1):012119. DOI: 10.1088/1742-6596/884/1/012119
Khan I, Khan A. Medicinal plants as alternative treatments for oral health problems. Asian J Pharm Clin Res 2018;11(9):58–64. DOI: 10.22159/ajpcr.2018.v11i9.24918
Alam F, Khan GN, Asad MHHB. Psoralea corylifolia L: ethnobotanical, biological, and chemical aspects: a review. Phytother Res 2018;32(4):597–615. DOI: 10.1002/ptr.6006
Chopra B, Dhingra AK, Dhar KL. Psoralea corylifolia L. (Buguchi) - folklore to modern evidence: review. Fitoterapia 2013;90:44–56. DOI: 10.1016/j.fitote.2013.06.016
Featherstone JD. Dental caries: a dynamic disease process. Aust Dent J 2008;53(3):286–291. DOI: 10.1111/j.1834-7819.2008.00064.x
Walsh LJ. Contemporary technologies for remineralization therapies: a review. Int Dent SA 2009;11(6):6–16.
Vinod D, Gopalakrishnan A, Subramani SM, et al. A comparative evaluation of remineralizing potential of three commercially available remineralizing agents: an in vitro study. Int J Clin Pediatr Dent 2020;13(1):61–65. DOI: 10.5005/jp-journals-10005-1715
Ebrahimi M, Mehrabkhani M, Ahrari F, et al. The effects of three remineralizing agents on regression of white spot lesions in children: A two-week, single-blind, randomized clinical trial. J Clin Exp Dent 2017;9(5):e641–e648. DOI: 10.4317/jced.53582
Okiji T, Yoshiba K. Reparative dentinogenesis induced by mineral trioxide aggregate: a review from the biological and physicochemical points of view. Int J Dent 2009;2009:464280. DOI: 10.1155/2009/464280
Nagi SM, Hassan SN, Abd El-Alim SH, et al. Remineralization potential of grape seed extract hydrogels on bleached enamel compared to fluoride gel: An in vitro study. J Clin Exp Dent 2019;11(5):e401–e407. DOI: 10.4317/jced.55556
Hong SJ, Kim BI, Kwon HK, et al. Remineralization effects of herbal extracts with fluoride on artificial caries enamel. Eng Mater 2007;(342):937–940. DOI: 10.4028/0-87849-436-7.937
Borges AB, Samezima LY, Fonseca LP, et al. Influence of potentially remineralizing agents on bleached enamel microhardness. Oper Dent 2009;34(5):593–597. DOI: 10.2341/08-081-L
Katsura H, Tsukiyama RI, Suzuki A, et al. In vitro antimicrobial activities of bakuchiol against oral microorganisms. Antimicrob Agents Chemother 2001;45(11):3009–3013. DOI: 10.1128/AAC.45.11.3009-3013.2001