•  
  •  
 

Abstract

Objective: This study aimed at a comparative analysis of the remineralization potential of grape seed extract (GSE) alone, together with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and/or acidulated phosphate fluoride (APF). Methods: The samples were randomly divided into seven groups according to the treatment used: 25% GSE, 1.23% APF (Gelato APF gel), and CPP-ACP (GC Tooth Mousse). The samples in group 7 received no treatment as a control group. All specimens were subjected to pH cycling for two weeks. Surface microhardness analyses were performed at baseline, after demineralization and remineralization. Data were analyzed using one-way analysis of variance (ANOVA), Post Hoc Bonferroni, and Repeated measures of ANOVA tests (0.05). Results: There was a statistically significant difference between the mean microhardness values of the groups after remineralization (p < 0.05). The difference was between groups 2 and 7. According to the surface microhardness values measured at baseline, after demineralization, and after remineralization within groups 3, 5, and 6, the difference was due to all measurement times. The mean microhardness values were highest at baseline and the lowest after demineralization. Conclusion: This study concluded that grape seed extract with other agents can increase the remineralization efficiency, however, it is essential to support the results with in vivo studies.

References

1. Çelik EU, Katırcı G. Başlangıç çürük lezyonlarının tedavisi. Atatürk Üni Diş Hek Fak Derg. 2011; 2011(1):48-56.

2. Ogaard B. Effects of fluoride on caries development and progression in vivo. J Dent Res. 1990; 69 Spec No:813-9.

3. Delimont NM, Carlson BN. Prevention of dental caries by grape seed extract supplementation: A systematic review. Nutr Health. 2019; 26(1):43-52.

4. Kumar VL, Itthagarun A, King NM. The effect of casein phosphopeptide amorphous calcium phosphate on remineralization of artificial carieslike lesions: An in vitro study. Aust Dent J. 2008; 53(1):34-40.

5. Madrid Troconis CC, Perez Puello S del C. Casein phosphopeptideamorphous calcium phosphate nanocomplex (CPP-ACP) in dentistry: State of the art. Rev Fac Odontol Univ Antioq. 2019; 30(2): 248-63.

6. Moore JP, Le NT, Brandt WF, Driouich A, Farrant JM. Towards a systems-based understanding of plant desiccation tolerance. Trends Plant Sci. 2009; 14(2):110-7.

7. Walter R, Miguez PA, Arnold RR, Pereira PN, Duarte WR, Yamauchi M. Effects of natural crosslinkers on the stability of dentin collagen and the inhibition of root caries in vitro. Caries Res. 2008; 42(4):263-8.

8. Green B, Yao X, Ganguly A, Xu C, Dusevich V, Walker MP, Wang Y. Grape seed proanthocyanidins increase collagen biodegradation resistance in the dentin/adhesive interface when included in an adhesive. J Dent. 2010; 38(11):908-15.

9. Epasinghe DJ, Yiu C, Burrow MF. Synergistic effect of proanthocyanidin and CPP-ACFP on remineralization of artificial root caries. Aust Dent J. 2015; 60(4):463-70.

10. Saragih DA, Herda E, Triaminingsih S. The influence of topical application of grape seed extract gel on enamel surface hardness after demineralization. J Phys Conf Ser. 2017; 884(3):12- 7.

11. Khamverdi Z, Kordestani M, Soltanian AR. Effect of proanthocyanidin, fluoride and casein phosphopeptide amorphous calcium phosphate remineralizing agents on microhardness of demineralized dentin. J Dent. 2017; 14(2):76-83.

12. ten Cate JM, Duijsters PP. Alternating demineralization and remineralization of artificial enamel lesions. Caries Res. 1982; 16(3):201-10.

13. Cai J, Burrow MF, Manton DJ, Tsuda Y, Sobh EG, Palamara J. Effects of silver diamine fluoride/ potassium iodide on artificial root caries lesions with adjunctive application of proanthocyanidin. Acta Biomater. 2019; 88:491-502.

14. Kim HJ, Mo SY, Kim DS. Effect of bioactive glass-containing light-curing varnish on enamel remineralization. Mater. 2021; 14(13):3745.

15. LeGeros RZ. Calcium phosphates in oral biology and medicine. Monogr Oral Sci. 1991; 15:1-201.

16. Sardana D, Manchanda S, Ekambaram M, Yang Y, McGrath CP, Yiu C. Prevention of demineralization during multi-bracketed fixed orthodontic treatment: An overview of systematic reviews. Int J Paediatr Dent. 2022; 32(4):473-502.

17. Rubel M, Prashant G, Naveen Kumar PG, Sushanth VH, Imranulla M, Potlİa I, Mallick S. Effect of grape seed extract on remineralization of artificial caries: An in-vitro study. Asian J Pharm Clin Res. 2016; 9(5):174-6.

18. Joshi C, Gohil U, Parekh V, Joshi S. Comparative evaluation of the remineralizing potential of commercially available agents on artificially demineralized human enamel: An in vitro study. Contemp Clin Dent. 2019; 10(4):605-13.

19. Shen P, Manton DJ, Cochrane NJ, Walker GD, Yuan Y, Reynolds C, Reynolds EC. Effect of added calcium phosphate on enamel remineralization by fluoride in a randomized controlled in situ trial. J Dent. 2011; 39(7):518-25.

20. Altenburger MJ, Schirrmeister JF, Lussi A, Klasser M, Hellwig E. In situ fluoride retention and remineralization of incipient carious lesions after the application of different concentrations of fluoride. Eur J Oral Sci. 2009; 117(1):58-63.

21. Zhang Q, Zou J, Yang R, Zhou X. Remineralization effects of casein phosphopeptide-amorphous calcium phosphate crème on artificial early enamel lesions of primary teeth. Int J Paediatr Dent. 2011; 21(5):374-81.

22. Zhou C, Zhang D, Bai Y, Li S. Casein phosphopeptide-amorphous calcium phosphate remineralization of primary teeth early enamel lesions. J Dent. 2014; 42(1):21-9.

23. Mendes AC, Restrepo M, Bussaneli D, Zuanon AC. Use of casein amorphous calcium phosphate (CPPACP) on white-spot lesions: Randomised clinical trial. Oral Health Prev Dent. 2018; 16(1):27-31.

24. Lata S , Varghese NO , Varughese J M . Remineralization potential of fluoride and amorphous calcium phosphate-casein phospho peptide on enamel lesions: An in vitro comparative evaluation. J Conserv Dent. 2010; 13(1):42-6.

25. Ahmadi Zenouz G, Ezoji F, Enderami SA, Khafri S. Effect of fluoride, casein phosphopeptideamorphous calcium phosphate and casein phosphopeptideamorphous calcium phosphate fluoride on enamel surface microhardness after microabrasion: An in vitro study. J Dent. 2015; 12(10):705-11.

26. Garcia-Godoy F, Hicks MJ, Flaitz CM, Berg JH. Acidulated phosphate fluoride treatment and formation of caries-like lesions in enamel: effect of application time. J Clin Pediatr Dent. 1994; 19(2):105-10.

27. Delbem AC, Cury JA. Effect of application time of APF and NaF gels on microhardness and fluoride uptake of in vitro enamel caries. Am J Dent. 2002; 15(3):169-72.

28. Nagi SM, Hassan SN, Abd El-Alim SH, Elmissiry MM. Remineralization potential of grape seed extract hydrogels on bleached enamel compared to fluoride gel: An in vitro study. J Clin Exp Dent. 2019; 11(5):e401-7.

29. Silva AP, Gonçalves RS, Borges AF, Bedran-Russo AK, Shinohara MS. Effectiveness of plant-derived proanthocyanidins on demineralization on enamel and dentin under artificial cariogenic challenge. J Appl Oral Sci. 2015; 23(3):302-9.

30. Zhao W, Xie Q, Bedran-Russo AK, Pan S, Ling J, Wu CD. The preventive effect of grape seed extract on artificial enamel caries progression in a microbial biofilm-induced caries model. J Dent. 2014; 42(8):1010-8.

31. Benjamin S, Sharma R, Thomas SS, Nainan MT. Grape seed extract as a potential remineralizing agent: A comparative in vitro study. J Contemp Dent Pract. 2012; 13(4):425-30.

32. Shi JH, Li H, Wang YN. In vitro remineralization effect of grape seed extract on artificial dentin caries. Shanghai J. 2015; 24(1):18-22.

33. Yassen AA, Safy RK. Grape seed extract and dentin remineralization. Egypt Dent J. 2018; 64(2):1719- 26.

34. Açil Y, Mobasseri AE, Warnke PH, Terheyden H, Wiltfang J, Springer I. Detection of mature collagen in human dental enamel. Calcif Tissue Int. 2005; 76(2):121-6.

35. Kara E . Minedeki deneysel yüzeyel demineralizasyon üzerine Er:Yag lazer ve bazı koruyucu uygulamaların etkileri. Selçuk Üniversitesi Sağlik Bilimleri Enstitüsü. 2011; 125-30.

36. Jabin Z, Nasim I, Vishnu Priya V, Agarwal N. Quantitative analysis and effect of SDF, APF, NAF on demineralized human primary enamel using SEM, XRD, and FTIR. Int J Clin Pediatr Dent. 2021; 14(4):537-41.

37. Ölmez YB, Yüksel B, Çelik H. Scanning electron microscope study of human enamel surfaces treated with topical fluoride agents. J Islam Acad Sci. 1993; 6(2):133-9.

38. Huang S, Gao S, Cheng L, Yu H. Combined effects of nano-hydroxyapatite and Galla chinensis on remineralisation of initial enamel lesion in vitro. J Dent. 2010; 38(10):811-9.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.