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Aim: Demineralization can be arrested or reversed when remineralization agents are applied to incipient carious or noncavitated carious lesions. A large number of therapeutic agents, including nonfluoridated products, have been developed to promote enamel remineralization. This study aims to evaluate the efficacy of different remineralizing agents on artificially demineralized enamel lesions. Materials and Methods: The present in vitro study was conducted on 75 sound premolars divided into three groups of normal, demineralized (n = 15 each), and remineralized teeth (n = 45). The remineralized teeth were further subdivided into three groups (n = 15) as remineralized with 2% sodium fluoride (NaF), 2% NaF, and Psoralea corylifolia (bakuchi) and white mineral trioxide aggregate. Specimens of each group were treated with the above-mentioned remineralizing agents and then subjected to Vickers hardness number (VHN), scanning electron microscopy–energy dispersive X-ray (SEM-EDX), and magic-angle spinning nuclear magnetic resonance (MAS-NMR) for further evaluation. Results: The test results showed significantly the highest VHN and the emission peak of elements under the EDX test, such as calcium, phosphorous, oxygen, and fluorine with remineralized with NaF + bakuchi. MAS-NMR spectra showed fluorine and phosphorous peak in a group with NaF + bakuchi indicative of the increase in remineralization. NaF + bakuchi showed effective results in VHN, SEM-EDX, and MAS-NMR with no antagonist interaction. Conclusion: Thus, P. Corylifolia presents an advantage in enhancing remineralization and inhibiting demineralization for early carious lesions and can be used as a herbal extract for effective reduction in pathogenic bacteria.
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The aim is to evaluate the effect of McInnes bleaching agent on the microhardness of enamel before and after bleaching and to evaluate the effect of G C Tooth Mousse on the bleached enamel surface for its microhardness. The materials and methods used are McInnes bleaching solution, Casein phosphopeptide-amorphous calcium phosphate CCP-ACP (G C Tooth mousse) artificial saliva (Dept. of Oral Pathology, GDC Bellary), deionized water, Vickers’ Micro Hardness tester (Zwick/ZHV, Germany), freshly extracted teeth, cold cure acrylic, Diamond disc (Horico–PFINGST New Jersey, USA, KAVO-Germany), straight handpiece (kavopecareta) and plastic moulds (6.5 × 2 mm2). The purpose of this study was to evaluate and compare microhardness of the sound enamel surface by Vickers’ Hardness Number (VHN) before and after bleaching with McInnes solution, and to evaluate the effect of casein phosphopeptide amorphous calcium phosphate (G C Tooth Mousse) on the bleached enamel surface for its microhardness. The data obtained from the test were subjected for statistical analysis and are presented as range, mean and standard deviation. P value of 0.05 or less was considered for statistical significance. The changes in microhardness at different times of assessment were analyzed using the paired ‘t’ test. The results of all the samples showed decrease in the microhardness after two cycles of bleaching, though immediately after bleaching the decrease in the microhardness was not significant (P = 0.34). However, after the second cycles, it showed a significant decrease (P<0.01) in the microhardness. After application of remineralization solution (GC Tooth mousse), the samples showed a marginal increase in the microhardness (P<0.05) after seven days and a marked increase after fourteen days (P<0.001).McInnes bleaching agent does decrease the microhardness of enamel by causing enamel demineralization and GC Tooth mousse used in the study causes an increase in the microhardness of bleached enamel by maintaining a high gradient of calcium and phosphate ions at the enamel subsurface.
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Background. The authors evaluated the compressive strength, Vicker`s hardness and modulus of elasticity of two hybrid composites, comparing them to two packable resin composites in order to determine differences that occur with respect to specific restorative materials. Methods. The authors studied the following resin-based restorative materials: two hybrid composites (Z-100, CHARISMA) and two packable resin composites (SUREFIL, SOLITAIRE- 2) The objective of the present study was to test compressive strength, Vicker`s hardness and modulus of elasticity. Specific sized moulds were prepared for each restorative material, which were then photopolymerized. Following this, the moulds were stored in physiologic saline. Compressive strength was evaluated using universal testing machine and Vicker’s hardness was determined using Vicker`s indenter. The test for modulus of elasticity was conducted using a three point bending technique and universal testing machine.Results. Results calculated by one-way ANOVA and Tukey`s test indicated that the hybrid composite (Z-100) was superior in all the three physical properties evaluated, followed by SUREFIL, SOLITAIRE- 2, and CHARISMA.Conclusion. The hybrid composite Z-100 is the material of choice for restoration in high stress bearing areas, but further clinical research is still needed in order to substantiate these results. Clinical Implications. Packable composites may be easier for clinicians to handle than conventional resin-based composites; however, their physical properties were not superior to those of the conventional hybrid resin-based composite.