In vitro reduction of enamel erosion by sugarcane-derived cystatin associated with sodium trimetaphosphate

Braz Oral Res. 2024 Dec 9:38:e124. doi: 10.1590/1807-3107bor-2024.vol38.0124. eCollection 2024.

Abstract

The objective of this in vitro study was to assess the efficacy of CaneCPI-5, either alone or in combination with various concentrations of sodium trimetaphosphate (TMP) in protecting against initial enamel erosion. A total of 135 bovine enamel specimens were prepared and categorized into nine groups (n/group=15) according to the following treatments: Deionized water; Commercial solution (Elmex Erosion ProtectionTM); 0.1 mg/mL CaneCPI-5; 0.5% TMP; 1.0% TMP; 3.0% TMP; 0.1 mg/mL CaneCPI-5+0.5% TMP; 0.1 mg/mL CaneCPI-5+1.0%TMP; and 0.1 mg/mL CaneCPI-5+3.0%TMP. The specimens were treated with the respective solutions for 2 h, followed by acquired enamel pellicle formation for 2 h and exposure to 0.65% citric acid (CA) for 1 min. These procedures were repeated once a day for three consecutive days. Demineralization was assessed by the percentage change in surface hardness (%CSH) and calcium release into CA, analyzed by the Arsenazo III method. The data were evaluated using Kruskal-Wallis/Dunn's tests. Regarding %CSH, CaneCPI-5+3.0%TMP was the most effective treatment when compared to the CaneCPI-5 group alone. As for calcium release into CA, the CaneCPI-5+0.5% TMP and CaneCPI-5 groups (both with lower calcium release) did not significantly differ from the commercial solution. In conclusion, combination of CaneCPI-5 with TMP enhances the protective potential against initial enamel erosion in vitro.

Publication types

  • Evaluation Study

MeSH terms

  • Animals
  • Calcium / analysis
  • Cattle
  • Citric Acid / pharmacology
  • Dental Enamel* / chemistry
  • Dental Enamel* / drug effects
  • Hardness Tests
  • Materials Testing
  • Polyphosphates* / chemistry
  • Polyphosphates* / pharmacology
  • Reference Values
  • Reproducibility of Results
  • Saccharum* / chemistry
  • Statistics, Nonparametric
  • Surface Properties / drug effects
  • Time Factors
  • Tooth Demineralization / prevention & control
  • Tooth Erosion* / prevention & control
  • Treatment Outcome

Substances

  • trimetaphosphoric acid
  • Polyphosphates
  • Calcium
  • Citric Acid

Grants and funding

This study was supported by FAPESP (2022/11297-3). The authors thank FAPESP for the concession of scholarships to Carolina Ruis Ferrari (2021/14161-2) and Karolyne Sayuri de Araujo Kitamoto (2022/11297-3).