2017
DOI: 10.1093/ejo/cjx085
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Long-term remineralizing effect of MI Paste Plus on regression of early caries after orthodontic fixed appliance treatment: a 12-month follow-up randomized controlled trial

Abstract: SummaryBackgroundCasein-phosphopeptide-amorphous-calcium-fluoride-phosphate (CPP-ACFP) can remineralize subsurface lesions. It is the active ingredient of MI-Paste-Plus® (MPP). The long-term remineralization efficacy is unknown.ObjectiveTo evaluate the long-term effect of MPP versus a placebo paste on remineralization of enamel after fixed orthodontic treatment over a 12-month period.DesignThis trial was designed as a prospective, double-blinded, placebo-controlled RCT.MethodsPatients with subsurface lesions s… Show more

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Cited by 26 publications
(20 citation statements)
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“…However, our result was inconsistent with Huang et al (36) who concluded that "MI Paste Plus" and PreviDent fluoride varnish" didn't appear to be more effective than normal home care for improving the appearance of white spot lesions over eight weeks. This was also supported by Moniek et al (37) who stated that the additional use of "MI Paste Plus" in patients with subsurface enamel lesions after orthodontic fixed appliance treatment did not improve these lesions during the year following debonding. Our justification for the different findings between our study and theirs is the different shifts in salivary pH in patients that depend on various individual variations, most importantly the dietary habits and amount of sucrose ingested that can lower the salivary pH to a great extent.…”
Section: Discussionsupporting
confidence: 52%
“…However, our result was inconsistent with Huang et al (36) who concluded that "MI Paste Plus" and PreviDent fluoride varnish" didn't appear to be more effective than normal home care for improving the appearance of white spot lesions over eight weeks. This was also supported by Moniek et al (37) who stated that the additional use of "MI Paste Plus" in patients with subsurface enamel lesions after orthodontic fixed appliance treatment did not improve these lesions during the year following debonding. Our justification for the different findings between our study and theirs is the different shifts in salivary pH in patients that depend on various individual variations, most importantly the dietary habits and amount of sucrose ingested that can lower the salivary pH to a great extent.…”
Section: Discussionsupporting
confidence: 52%
“…Fluoride delivery comes in different forms, such as fluoride varnishes, or toothpastes, mouth-rinses, and gels containing fluoride, as well as orthodontic bonding adhesives/cements incorporating a source of fluoride [ 7 , 8 ]. Other recent approaches to reduce white spot formation include the application of Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP), bioactive glass, or addition of nano-particles with anti-caries activities to the orthodontic appliance surfaces or orthodontic adhesives/cements [ 2 , 8 , 9 , 10 , 11 , 12 ].…”
Section: Introductionmentioning
confidence: 99%
“…In order to deal with the clearing effect of saliva, lozenges or chewing gum containing CPP-ACP(F) are an alternative for creams. In situ randomized research showed that sugar free gum containing CPP-ACP promoted greater remineralization levels 36 …”
Section: Discussionmentioning
confidence: 99%