Targeted enamel remineralization with mineral-loaded starch particles
2024

Targeted Enamel Remineralization with Mineral-Loaded Starch Particles

Sample size: 60 publication Evidence: moderate

Author Information

Author(s): Jones Nathan A. PhD, Pan Li-Chi MEng, Flannagan Susan E. MS, Jones Kai A. MD, Lukashova Lyudmila MS, Wightman Lucas BEng, Chang Sywe-Ren MS, Jones Glenn MD, Tenuta Livia M. A. DDS, PhD, González-Cabezas Carlos DDS, PhD, Clarkson Brian H. DDS, PhD, Bloembergen Wendy MD, Bloembergen Steven PhD

Primary Institution: GreenMark Biomedical Inc, School of Dentistry, University of Michigan, Department of Radiology, Montefiore Medical Center, Center for Craniofacial Regeneration, School of Dentistry, University of Pittsburgh, School of Medicine, Saba University

Hypothesis

An alternative approach using mineral-loaded particles designed to target the subsurface of noncavitated caries lesions could be advantageous.

Conclusion

The study shows that mineral-loaded starch particles can effectively remineralize enamel and improve treatment efficacy for early caries.

Supporting Evidence

  • MLCS-FP and MLCS-FF treatments restored 42.9% and 38.6% mineral density, respectively.
  • Visual assessments showed significant improvement in lesion appearance with MLCS treatments compared to fluoride and negative controls.
  • Statistical analysis confirmed that MLCS treatments were superior to controls for subsurface remineralization.

Takeaway

This study found that tiny particles can help fix early tooth decay by delivering minerals right where they're needed in the tooth.

Methodology

Mineral-loaded cationic starch particles were tested on natural caries lesions in extracted human teeth, comparing their effectiveness to fluoride and deionized water controls.

Potential Biases

Potential bias in treatment assignment as treatments had different physical appearances.

Limitations

The study was conducted in vitro, which may not fully represent clinical outcomes, and only smooth-surface lesions were evaluated.

Participant Demographics

Deidentified human teeth from a pool of anonymous donors.

Statistical Information

P-Value

P < .05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1016/j.jfscie.2024.100041

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