FACTORS ASSOCIATED WITH THE REMINERALIZATION EFFECTIVENESS OF CASEIN PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE ON MOLAR-INCISOR HYPOMINERALIZATION AFFECTED TEETH: A SYSTEMATIC REVIEW

Nguyen Thi Minh Hang1, Nguyen Thi Minh Hang1, Nguyen Thi Khanh Huyen2, Luong Minh Hang2, Tran Thi My Hanh2, Pham Nguyen Huong Ly2, Du Hoang Duong2, Nguyen Duc Hoang2, Dang Cong Son3
1 TRường Đại học Y Hà Nội
2 School of Dentistry, Ha Noi Medical University
3 FPT Long Chau Pharmacy

Main Article Content

Abstract

Objectives: This systematic review aimed to synthesize and analyse factors affecting the remineralizing effect of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on molar-incisor hypomineralization (MIH) affected teeth.


Methods: The study followed the PRISMA guidelines and had the PICO criteria. A comprehensive search was conducted across four databases: PubMed, Google Scholar, Cochrane, and Embase and complemented by manual search.


Results: A total of 18 articles were selected, including 10 randomized controlled trial, 6 in vitro studies, and 2 non-randomized clinical trials. Among the in vitro studies, 3/6 studies indicated that CPP-ACP and CPP-ACFP had superior remineralization efficacy on white lesions compared to yellow lesions during short-term follow-up. 2/6 studies showed that CPP-ACFP resulted in greater remineralization of yellow lesions over long-term follow-up. 1 study highlighted that CPP-ACFP achieved faster remineralization than CPP-ACP on yellow lesions during the initial phase. Additionally, 3 studies found that the inclusion of fluoride in CPP-ACP did not result in a significant difference in remineralization efficacy during long-term follow-up.


Conclusion: CPP-ACFP is more effective at remineralizing white spot lesions than yellow lesions in the early stages. While fluoride accelerates the initial rate of remineralization, no significant difference in long-term efficacy is observed.

Article Details

References

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