Evaluation of the Remineralizing Effect of Elmex Erosion Protection and GC Tooth Mousse Plus on the Eroded Enamel of Primary Teeth induced by Specific Medicinal syrup
Background: Dental erosion is highly prevalent condition not only in adults but also in children and adolescents and pediatric medicinal syrups are thought to be one of the important causes. An aim of modern dentistry is to handle the condition non-invasively by remineralization, using range of remineralizing and protective agents. Aim: To investigate the ramineralizing effect of GC Tooth Mousse Plus and Elmex erosion protection, alone or in combination, on the enamel of primary anterior teeth previously eroded with medicinal syrup using surface microhardness and scanning electron microscope analysis. Materials and method: Forty primary anterior teeth were used in the study. Enamel blocks were prepared and divided into (5) groups (8) samples for each: group (1) samples were kept in artificial saliva, group (2) samples were exposed to pHcycle only, group (3) samples were treated with GC-TMP after pH cycle, group (4) samples were treated with Elm-EP after pH cycle and group (5) where samples were treated with combination of Elm-EP and GC-TMP. Results: High statistically significant differences found among the tested groups after treatment cycle. GC Tooth Mousse Plus, Elmex erosion protection and their combination all showed remineralizing effect expressed in increasing surface microhardness, confirmed by SEM analysis, of the samples previously eroded by medicinal syrups with the best results found in the combination group followed by the group treated with GC-TMP alone then the group treated with Elm-EP alone. Conclusion: The simultaneous use of GC Tooth Mousse Plus and Elmex erosion protection paste gave better remineralizing effect than the sole use of either GC Tooth Mousse Plus or Elmex erosion protection paste.