Remineralization of enamel subsurface lesions by sugar-free chewing gum containing casein phosphopeptide-amorphous calcium phosphate

J Dent Res. 2001 Dec;80(12):2066-70. doi: 10.1177/00220345010800120801.

Abstract

Casein phosphopeptide-amorphous calcium phosphate nanocomplexes (CPP-ACP) exhibit anticariogenic potential in laboratory, animal, and human in situ experiments. The aim of this study was to determine the ability of CPP-ACP in sugar-free chewing gum to remineralize enamel subsurface lesions in a human in situ model. Thirty subjects in randomized, cross-over, double-blind studies wore removable palatal appliances with six human-enamel half-slabs inset containing sub-surface demineralized lesions. The appliances were inserted immediately before gum-chewing for 20 min and then retained for another 20 min. This was performed four times per day for 14 days. At the completion of each treatment, the enamel half-slabs were paired with their respective demineralized control half-slabs, embedded, sectioned, and subjected to microradiography and densitometric image analysis, for measurement of the level of remineralization. The addition of CPP-ACP to either sorbitol- or xylitol-based gum resulted in a dose-related increase in enamel remineralization, with 0.19, 10.0, 18.8, and 56.4 mg of CPP-ACP producing an increase in enamel remineralization of 9, 63, 102, and 152%, respectively, relative to the control gum, independent of gum weight or type.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Analysis of Variance
  • Calcium Phosphates / therapeutic use*
  • Cariostatic Agents / therapeutic use*
  • Caseins / therapeutic use*
  • Chewing Gum*
  • Cross-Over Studies
  • Densitometry
  • Double-Blind Method
  • Drug Combinations
  • Humans
  • Peptide Fragments / therapeutic use*
  • Tooth Remineralization / methods*

Substances

  • Calcium Phosphates
  • Cariostatic Agents
  • Caseins
  • Chewing Gum
  • Drug Combinations
  • Peptide Fragments
  • alpha-tricalcium phosphate
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • caseinophosphopeptide 1-25
  • tetracalcium phosphate
  • calcium phosphate, monobasic, anhydrous
  • calcium phosphate
  • calcium phosphate, dibasic, anhydrous