Effect of Remineralizing Agents on the Prevention of Enamel Erosion: A Systematic Review.

Autor: Carvalho, Fabíola Galbiatti de, Carlo, Hugo Lemes, Castro, Ricardo Dias de, Oliveira, Bruno Firmino de, Lacerda dos Santos, Rogério, Tenório Guenês, Gymenna Maria
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Zdroj: Pesquisa Brasileira em Odontopediatria e Clinica Integrada; 2014, Vol. 14 Issue 1, p55-64, 10p
Abstrakt: Introduction: Due to the increasing prevalence of dental erosion in the last years, it is relevant to evaluate the potential of different remineralizing agents to prevent this dental alteration. Objective: To perform a systematic literature review to investigate whether products containing casein phosphopeptide – amorphous calcium phosphate (CPP-ACP) remineralizing agents are effective in preventing enamel erosion in order to provide information to health professionals who deal with patients at risk of erosion. Materials and Methods: A search was performed in the PUBMED database for scientific studies in journals published in English from January 01, 2003 to March 30, 2012. A total of 230 articles were found and 32 of these were selected. Results: All fluoride agents (dentifrices, fluoride gels, varnishes and solutions) were effective in preventing erosion and the higher the concentration and lower the Ph of agents, the greater their prevention. Although several fluoride compounds have been investigated, titanium tetrafluoride has shown the greatest protection against erosion, regardless of the agent. With respect to CPP-ACP agents, these were effective in preventing mineral loss after erosive challenge. Conclusions: The majority of studies were conducted in vitro. The composition, fluoride concentration and pH of remineralizing agents have influenced the effectiveness in preventing enamel erosion. It is important to conduct in vivo studies and clinical protocols for the application of products against erosion. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index