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Evaluation of the whitening and remineralization effects of a mixture of amorphous calcium phosphate,hydroxyapatite and tetrasodium pyrophosphate on bovine enamel

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ÀÌ¿µÀº ( Lee Young-Eun ) - ´ë±¸º¸°Ç´ëÇб³ Ä¡À§»ý°ú
¹Úµ¿¿Á ( Park Dong-Ok ) - ´ë±¸º¸°Ç´ëÇб³ Ä¡À§»ý°ú
Á¤À±¼÷ ( Jung Yun-Sook ) - °æºÏ´ëÇб³ °úÇбâ¼ú´ëÇÐ Ä¡À§»ýÇаú
¼Û±Ù¹è ( Song Keun-Bae ) - °æºÏ´ëÇб³ Ä¡ÀÇÇÐÀü¹®´ëÇпø ¿¹¹æÄ¡°úÇб³½Ç

Abstract


Objectives: The purpose of the present study was to evaluate the whitening effect, morphological and structural changes, and remineralization of the enamel induced by 3 combined agents: amorphous cal-cium phosphate (ACP), hydroxyapatite (HA), and tetrasodium pyrophosphate (TSP).

Methods: The study was performed on 90 bovine enamel slabs, which were divided into the 6 groups: negative control-distilled water (Group 1); positive control-opalescence F (Group 2); 10% mixed agent (Group 3); 25% mixed agent (Group 4); 50% mixed agent (Group 5); and 100% mixed agent (Group 6). Changes in the shade of the enamel slabs were evaluated using Shade Eye-NCC. Morphological changes were assessed by scanning electron microscopy (SEM) and confocal laser scanning micros-copy (CLSM) was used to determine the remineralizing effect of the three agents on enamel slabs.

Results: The change in shade of the enamel (ad*) was noted to increase significantly with increase in whitening frequency in all groups. The value of ¥Än* was significantly greater in all groups except for the negative control group (P<0.001). SEM revealed that the control group, Group 5, and Group 6 had similar morphologies. The fluorescence lesion areas in the 4 mixture-treated group were significantly smaller than those in the positive control group (P<0.001).

Conclusions: These results showed that the mixture of ACP, HA, and TSP was highly effective for bo-vine enamel whitening and acted by inducing the remineralization of enamel.Clinical significance: We evaluated the applicability of a new mixture containing ACP, HA, and TSP. This mixture would be highly useful in aesthetic dentistry because of its whitening efficiency, which does not compromise the enamel¡¯s integrity.

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Amorphous calcium phosphate; Hydroxyapatite; Remineralization; Tetrasodium pyrophos-phate; Whitening

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