396 Remineralizing Effects of a Bioactive Toothpaste
N.K. SARKAR1, J. CHEUK1, R. SCHAFER1, K. LUONG1, and A. FALSTER2, 1Louisiana State University School of Dentistry, New Orleans, LA, 2Earth and Environmental Sciences, University of New Orleans, New Orleans, LA
Aim: The aim was to study in vitro the efficacy of a bioactive toothpaste, Oravive (Oravive, Fl), in remineralizing decalcified dentin and enamel.
Methods: Transverse sections from the coronal portions of extracted human molars (n=3) were final ground with 1200 grit SiC paper. For surface decalcification, the sections were etched with a 32% phosphoric acid gel and rinsed with water. Two etched sections were brushed for 1 min twice a day using Oravive toothpaste and a manual soft bristle toothbrush and rinsed with water. In between brushing, the sections were stored in a phosphate buffer saline (PBS) solution (pH = 7.2) at 37oC. The solution was replaced every day. After brushing for 10 d, the sections were cleaned ultrasonically in water, dried at 37oC, and examined by SEM and EDXA. The unbrushed etch section served as control.
Results: Toothbrushed samples displayed 1) build up of a reaction layer covering the porous enamel prisms. Degree of coverage varied from place to place; 2) closure of open tubules, partially or completely, with reaction products growing from the peritubular dentinal area; and 3) infiltration of the intertubular matrix with numerous tiny (< 1µ) globules. All reaction products were similar chemically and contained mainly Ca, P, and O with small amounts (<2 wt%) of Na, Mg and Si. Presumably they are an HA-type mineral. Their formation is attributed to a dissolution-precipitation reaction involving Novamin, the bioactive calcium sodium silicophosphate component, of the paste.
Conclusion: Oravive is highly effective in rebuilding demineralized dentin and enamel structures.