Fluoride and casein phosphopeptide-amorphous calcium phosphate

J Dent Res. 2008 Apr;87(4):344-8. doi: 10.1177/154405910808700420.

Abstract

Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) slows the progression of caries and remineralizes enamel subsurface lesions. The aim of this study was to determine the ability of CPP-ACP to increase the incorporation of fluoride into plaque and to promote enamel remineralization in situ. Randomized, double-blind, cross-over studies involved mouthrinses and dentifrices containing CPP-ACP and fluoride. The mouthrinses were used for 60 sec, three times/day for 5 days, and supragingival plaque was collected and analyzed for F. The dentifrices were rinsed as a water slurry for 60 sec four times/day for 14 days in an in situ model. The addition of 2% CPP-ACP to the 450-ppm-F mouthrinse significantly increased the incorporation of fluoride into plaque. The dentifrice containing 2% CPP-ACP produced a level of remineralization similar to that achieved with a dentifrice containing 2800 ppm F. The dentifrice containing 2% CPP-ACP plus 1100 ppm F was superior to all other formulations.

Publication types

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

MeSH terms

  • Adult
  • Apatites / analysis
  • Cariostatic Agents / administration & dosage
  • Cariostatic Agents / pharmacokinetics
  • Cariostatic Agents / therapeutic use*
  • Caseins / administration & dosage
  • Caseins / therapeutic use*
  • Chemistry, Pharmaceutical
  • Cross-Over Studies
  • Dental Enamel / metabolism
  • Dental Plaque / metabolism
  • Dentifrices / therapeutic use
  • Double-Blind Method
  • Drug Combinations
  • Electron Probe Microanalysis
  • Female
  • Fluorides / administration & dosage
  • Fluorides / pharmacokinetics
  • Fluorides / therapeutic use*
  • Humans
  • Male
  • Middle Aged
  • Mouthwashes / therapeutic use
  • Placebos
  • Sodium Fluoride / administration & dosage
  • Sodium Fluoride / therapeutic use
  • Tooth Remineralization / methods*

Substances

  • Apatites
  • Cariostatic Agents
  • Caseins
  • Dentifrices
  • Drug Combinations
  • Mouthwashes
  • Placebos
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • Sodium Fluoride
  • fluorapatite
  • Fluorides