Casein phosphopeptide-amorphous calcium phosphate nanocomplex (CPP-ACP) in dentistry: state of the art

Bibliographic Details
Title: Casein phosphopeptide-amorphous calcium phosphate nanocomplex (CPP-ACP) in dentistry: state of the art
Authors: Cristhian Camilo Madrid-Troconis, Sthefanie del Carmen Perez-Puello
Source: Revista Facultad de Odontología Universidad de Antioquia, Vol 30, Iss 2, Pp 248-263 (2019)
Publisher Information: Universidad de Antioquia, 2019.
Publication Year: 2019
Collection: LCC:Dentistry
Subject Terms: casein phosphopeptide amorphous calcium phosphate, dental demineralization, dental remineralization, tooth decay, dentin sensitivity, nanocomplejo de fosfopéptido de caseína-fosfato de calcio amorfo, desmineralización dental, remineralización dental, caries dental, sensibilidad de la dentina, Dentistry, RK1-715
More Details: Saliva and external agents containing different concentrations of sodium fluoride (NaF) promote the dental remineralization process. However, these resources may not be sufficient to counteract the multiple factors involved in the process of dental caries, especially in high-risk patients. There are alternatives that have been extensively researched, such as casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) which provides essential ions, like phosphate and calcium, acting as an adjuvant in the remineralization process. Manufacturers of CPP-ACP-based products also suggest that it can produce desensitizing effects. This nanocomplex has been used experimentally with some dental cements and adhesive systems, but it is important to clarify the effects of this procedure, and the remineralizing/desensitizing advantages it offers. The objective of this topic review was to present the state of the art on CPP-ACP nanocomplex. In terms of dental caries prevention, this remineralizing option is not better than NaF. CPP-ACP provides a dental desensitizing action, but it is temporary and less effective than other alternatives such as potassium nitrate or NaF. The experimental incorporation of CPP-ACP into dental cements should be controlled for not to compromise the physico-chemical properties of the material. The use of dental products based on this nanocomplex as dental surface pretreatment may decrease the bond strength of adhesive materials, but this effect is material dependent.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 0121-246X
2145-7670
Relation: https://revistas.udea.edu.co/index.php/odont/article/view/327228/20794985; https://doaj.org/toc/0121-246X; https://doaj.org/toc/2145-7670
DOI: 10.17533/udea.rfo.v30n2a10
Access URL: https://doaj.org/article/35319f67c92e47de9775c98f0f80fc29
Accession Number: edsdoj.35319f67c92e47de9775c98f0f80fc29
Database: Directory of Open Access Journals
More Details
ISSN:0121246X
21457670
DOI:10.17533/udea.rfo.v30n2a10
Published in:Revista Facultad de Odontología Universidad de Antioquia
Language:English