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  • Title: Effect of carboxymethylcellulose-based saliva substitutes on predemineralised dentin evaluated by microradiography.
    Author: Tschoppe P, Meyer-Lueckel H, Kielbassa AM.
    Journal: Arch Oral Biol; 2008 Mar; 53(3):250-6. PubMed ID: 18070615.
    Abstract:
    OBJECTIVE: This study investigated the effect of six lab-produced saliva substitutes based on carboxymethylcellulose (CMC) differing in octacalciumphosphate saturations (OCP-s) on mineralisation of bovine dentin in vitro. DESIGN: Dentin specimens were prepared (n=234); prior to and after demineralisation (37 degrees C; pH 5.0; 7 d), one-third of each specimen surface was covered with nail varnish (control of sound dentin). Subsequently, specimens (n=13) were exposed to either one of the six CMC-based solutions (OCP-s: 0, 0.5, 1, 2, 4, and 8) at pH 6.5 or to Glandosane for 5 and 10 weeks (37 degrees C). Two aqueous solutions (OCP-s: 0 and 1) served as controls. After storage, thin sections were prepared and mineral loss was calculated by transversal microradiography. RESULTS: After both storage periods specimens immersed in Glandosane revealed a significantly increased mineral loss compared to all other solutions (p<0.05; Bonferroni post hoc test). Control solution with OCP-s=1 induced a significant remineralisation (p<0.05; adjusted paired t-test). Only after 5 weeks exposure to the CMC-based solution with an OCP-s=2 a significant remineralisation compared to baseline (p<0.05) as well as a significantly increased mineral gain of the surface area compared to higher saturated solutions (p<0.05; Bonferroni post hoc test) could be observed. CONCLUSIONS: CMC seems to hamper dentin remineralisation, although after 5 weeks a mineral gain could be induced with slightly supersaturated CMC-solutions with respect to OCP.
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