Clinical Evaluation of Enamel Demineralization during Orthodontic Treatment: An in vivo Study using GC Tooth Mousse Plus

Abstract

Aims and objectives: Fixed orthodontic treatment makes oral hygiene procedures difficult and may result in enamel demine ralization. Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) with fluorides (GC Tooth Mousse Plus) reduces the incidence of enamel demineralization. The objective of this study was to evaluate the effects of GC Tooth Mousse Plus application, on enamel demineralization in patients undergoing orthodontic treatment. Methodology:Thirty subjects seeking orthodontic treatment were selected from patients visiting Department of Orthodontics in AB Shetty Memorial Institute of Dental Sciences, Mangalore. The subjects were divided into test and control group, and scanning electron microscopic (SEM) evaluation was done to compare level of surface roughness on samples of both the groups. Results:No white spot lesion was clinically appreciable in either test or control group. After extracting the teeth, SEM ima ges of surface of the teeth was graded and statistically eva luated with Pearson's Chi-square and likelihood ratio test. The results were significant with p-value below 0.001 which indicated increased surface roughness in controls compared to the test group patients. Conclusion:Use of CCP-ACP with fluorides (GCTM+) as an adjunctive to thorough oral hygiene measures has proven to be effective in reducing enamel demineralization significantly.

Comparison of Various White Spot Lesion Preventing Medicaments: An In Vitro Study

“…The effectiveness of GC Tooth Mousse Plus in enamel demineralization prevention is mainly due to its Recaldent (ACP-CCP) technology which stands for milk protein CPP-ACP which is also supported by Robertson et al [15] (2011) and Joshi et al [16] (2014). As the Tooth Mousse Plus contains bioavailable calcium ions, phosphate ions, and fluoride ions, its mechanism of remineralization is by increasing the intake of fluoride into the subsurface enamel along with a plaque to form fluorapatite.…”

Evaluation of Remineralizing Efficacy of Calcium Sucrose Phosphate: A Systematic Review of In Vitro Studies

“…6 Remineralization of enamel, that is, diffusion of calcium and phosphate ions back into crystal voids (created by demineralization) helps in the prevention of dental caries. 8 Saliva has the ability to remineralize enamel by neutralizing acids produced by dental plaque and maintaining an environment rich with calcium and phosphate ions. However, the remineralization by saliva is a slow process and is insufficient to produce net mineral gain.…”