The aim of this study was to find the optimal remineralizing solution under various remineralizing conditions. To evaluate the combined effect of elements in remineralizing solution, a factorial experiment (3 factors, 3 levels) was performed. The optimal remineralizing solution was determined as that which produced the highest fluoride incorporation in the remineralized enamel.
Demineralized lesions were produced on human enamel (N=54; Area=15mm
2) by a 2-day immersion in 0.1mol/
l lactic acid solution (pH 4.0, 37°C). The remineralizing solutions (pH 7.0, 37°C) containing various concentrations of carboxymethylcellulose (CMC), Ca/P and fluoride were changed every 2 days during the 10-day remineralizing period. The concentrations of CMC, Ca/P, and fluoride consisted of the following three levels, respectively: 0.5, 1.0 and 1.5% for CMC; 1.0/0.6, 2.0/1.2 and 3.0/1.8 mmol for Ca/P and 1.0, 2.0 and 3.0ppm for fluoride.
The lowest concentration of CMC (0.5%) showed the highest fluoride incorporation in remineralized enamel. The highest concentration of fluoride (3ppm) showed the highest fluoride incorporation throughout the entire remineralized enamel. The highest concentration of Ca/P (3.0/1.8mmol) showed the highest fluoride incorporation but was limited to the first layer. The middle concentration of Ca/P (2.0/1.2mmol) showed rather higher fluoride incorporation in inner part of the remineralized enamel than the highest concentration of Ca/P (3.0/1.8mmol). Interaction between CMC and Ca/P was found from the second to the forth layers. Interaction between CMC and fluoride was found at the third layer only.
Judging from the highest fluoride incorporation at the first layer, the remineralizing solution containing 1.0% CMC, 3.0/1.8mmol Ca/P and 2.0ppm fluoride seemed to be an optimal remineralizing solution. On the other hand, considering the high fluoride incorporation in the inner layers, the remineralizing solution containing 0.5% CMC, 2.0/1.2mmol Ca/P and 3.0ppm fluoride also seemed to be an optimal remineralizing solution. Remineralized enamel derived from the optimal remineralizing solutions showed acid resistance against acid challenge.
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