The effect of casein and calcium containing paste on plaque pH following a subsequent carbohydrate challenge

Previous research has shown that regular use of CPP–ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP–ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Plaque pH...

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Vydané v:	Journal of dentistry Ročník 37; číslo 7; s. 522 - 526
Hlavní autori:	Caruana, Paul Chetcuti, Mulaify, Sami Al, Moazzez, Rebecca, Bartlett, David
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	England Elsevier Ltd 01.07.2009 Elsevier Limited
Predmet:	Adult Buffers Cariogenic Agents - adverse effects Cariostatic Agents - therapeutic use Caseins - therapeutic use CPP–ACP Cross-Over Studies Dental Plaque - physiopathology Dentistry Double-Blind Method Female Humans Hydrogen-Ion Concentration Ion-Selective Electrodes Male Measurement Plaque pH Sorbitol - adverse effects Sucrose Sucrose - adverse effects Sweetening Agents - adverse effects Time Factors Toothpastes - therapeutic use Measurement pH Sucrose Plaque pH CPP–ACP
ISSN:	0300-5712, 1879-176X
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Abstract	Previous research has shown that regular use of CPP–ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP–ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Plaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP–ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2 min in randomized order. The results showed the median lowest pH without paste was 4.8 (IQR: 4.7–5.0) and with mousse 5.6 (IQR: 5.5–5.6 and p < 0.001). The median lowest pH was 5.0 (IQR: 4.9–5.3) without CPP–ACP and with CPP–ACP was 5.8 (5.6–6.1 and p < 0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects ( p < 0.01). The results indicate that prior application of a CPP–ACP-containing paste reduced the fall in plaque pH following a sucrose challenge.
AbstractList	Previous research has shown that regular use of CPP–ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP–ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Plaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP–ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2 min in randomized order. The results showed the median lowest pH without paste was 4.8 (IQR: 4.7–5.0) and with mousse 5.6 (IQR: 5.5–5.6 and p < 0.001). The median lowest pH was 5.0 (IQR: 4.9–5.3) without CPP–ACP and with CPP–ACP was 5.8 (5.6–6.1 and p < 0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects ( p < 0.01). The results indicate that prior application of a CPP–ACP-containing paste reduced the fall in plaque pH following a sucrose challenge. Previous research has shown that regular use of CPP-ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP-ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Method - Plaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP-ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2 min in randomized order. Results - The results showed the median lowest pH without paste was 4.8 (IQR: 4.7-5.0) and with mousse 5.6 (IQR: 5.5-5.6 and p < 0.001). The median lowest pH was 5.0 (IQR: 4.9-5.3) without CPP-ACP and with CPP-ACP was 5.8 (5.6-6.1 and p < 0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects (p < 0.01). Conclusion - The results indicate that prior application of a CPP-ACP-containing paste reduced the fall in plaque pH following a sucrose challenge. Abstract Objectives Previous research has shown that regular use of CPP–ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP–ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Method Plaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP–ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2 min in randomized order. Results The results showed the median lowest pH without paste was 4.8 (IQR: 4.7–5.0) and with mousse 5.6 (IQR: 5.5–5.6 and p < 0.001). The median lowest pH was 5.0 (IQR: 4.9–5.3) without CPP–ACP and with CPP–ACP was 5.8 (5.6–6.1 and p < 0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects ( p < 0.01). Conclusion The results indicate that prior application of a CPP–ACP-containing paste reduced the fall in plaque pH following a sucrose challenge. Previous research has shown that regular use of CPP-ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP-ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Plaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP-ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2 min in randomized order. The results showed the median lowest pH without paste was 4.8 (IQR: 4.7-5.0) and with mousse 5.6 (IQR: 5.5-5.6 and p<0.001). The median lowest pH was 5.0 (IQR: 4.9-5.3) without CPP-ACP and with CPP-ACP was 5.8 (5.6-6.1 and p<0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects (p<0.01). The results indicate that prior application of a CPP-ACP-containing paste reduced the fall in plaque pH following a sucrose challenge. Previous research has shown that regular use of CPP-ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP-ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse. Plaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP-ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2min in randomized order. The results showed the median lowest pH without paste was 4.8 (IQR: 4.7-5.0) and with mousse 5.6 (IQR: 5.5-5.6 and p <0.001). The median lowest pH was 5.0 (IQR: 4.9-5.3) without CPP-ACP and with CPP-ACP was 5.8 (5.6-6.1 and p <0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects (p <0.01). The results indicate that prior application of a CPP-ACP-containing paste reduced the fall in plaque pH following a sucrose challenge. OBJECTIVESPrevious research has shown that regular use of CPP-ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this study was to investigate if a CPP-ACP-containing paste would neutralize acidic challenges in dental plaque following sucrose rinse.METHODPlaque pH was measured on 15 subjects in a cross-over study with and without prior application of the paste and with and without CPP-ACP. On each occasion, subjects rinsed with 10% sucrose and sorbitol solutions for 2 min in randomized order.RESULTSThe results showed the median lowest pH without paste was 4.8 (IQR: 4.7-5.0) and with mousse 5.6 (IQR: 5.5-5.6 and p<0.001). The median lowest pH was 5.0 (IQR: 4.9-5.3) without CPP-ACP and with CPP-ACP was 5.8 (5.6-6.1 and p<0.001). The time that pH remained below 5.7 and the time to return to resting pH showed similar differences in all subjects (p<0.01).CONCLUSIONThe results indicate that prior application of a CPP-ACP-containing paste reduced the fall in plaque pH following a sucrose challenge.
Author	Mulaify, Sami Al Caruana, Paul Chetcuti Moazzez, Rebecca Bartlett, David
Author_xml	– sequence: 1 givenname: Paul Chetcuti surname: Caruana fullname: Caruana, Paul Chetcuti – sequence: 2 givenname: Sami Al surname: Mulaify fullname: Mulaify, Sami Al – sequence: 3 givenname: Rebecca surname: Moazzez fullname: Moazzez, Rebecca – sequence: 4 givenname: David surname: Bartlett fullname: Bartlett, David email: david.bartlett@kcl.ac.uk
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Snippet	Previous research has shown that regular use of CPP–ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this... Abstract Objectives Previous research has shown that regular use of CPP–ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral... Previous research has shown that regular use of CPP-ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim of this... OBJECTIVESPrevious research has shown that regular use of CPP-ACP increases calcium and inorganic phosphates in plaque and reduces enamel mineral loss. The aim...
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SubjectTerms	Adult Buffers Cariogenic Agents - adverse effects Cariostatic Agents - therapeutic use Caseins - therapeutic use CPP–ACP Cross-Over Studies Dental Plaque - physiopathology Dentistry Double-Blind Method Female Humans Hydrogen-Ion Concentration Ion-Selective Electrodes Male Measurement Plaque pH Sorbitol - adverse effects Sucrose Sucrose - adverse effects Sweetening Agents - adverse effects Time Factors Toothpastes - therapeutic use
Title	The effect of casein and calcium containing paste on plaque pH following a subsequent carbohydrate challenge
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