Comparative evaluation of remineralising and adsorption properties of regular cow milk and A2 milk using human enamel discs and hydroxyapatite discs

An in-vitro SEM study

https://doi.org/10.53730/ijhs.v5nS2.13752

Authors

  • Gandhali Malgaonkar Joshi Post-Graduate Student, Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to Be University Dental College and Hospital, Pune, India
  • Alok Patel Professor and Head of the Department, Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to Be University Dental College and Hospital, Pune, India
  • Shweta Jajoo Assistant Professor, Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to Be University Dental College and Hospital, Pune, India
  • Krishna Patil Assistant Professor, Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to Be University Dental College and Hospital, Pune, India
  • Rucha Davalbhakta Assistant Professor, Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to Be University Dental College and Hospital, Pune, India
  • Sanket Kunte Professor, Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Deemed to Be University Dental College and Hospital, Pune, India

Keywords:

remineralisation, casein, adsorption, A2 milk, SEM-EDX, SDS-PAGE

Abstract

Depending on the frequency and type of intake, milk can affect caries formation by virtue of its demineralisation- remineralisation properties. The effect of A2 milk on human dentition is still unexplored. Hence,the aim of the present study was to evaluate and compare the remineralising and adsorption properties of regular cow milk and A2 milk using Human Enamel discs and Hydroxyapatite(HA) discs in an in-vitro model. Materials and methods: To evaluate the remineralising properties of milk, 24 human enamel discs and 24 Hydroxyapatite(HA) discs were divided equally into two different milk groups. Subsurface carious lesions were created and they were subjected to remineralisation-demineralisation cycles using twenty-one-day pH-cycling model. Baseline, post-demineralisation and post-remineralisation differences between the groups were studied by microhardness test (Vicker’s Indenter) and surface roughness test (profilometer). Ca:P ratio of the subtrates was analysed using Scanned Electron Microscopy Energy Dispersive X-Ray (SEM-DEX) analysis of five HA discs, out of which two were  treated with the different milk types and the remaining  three with different controls. Sodium Dodecyl Sulphate Polyacrylamide Gel Electrophoresis (SDS-PAGE) based analysis, followed by densitometric evaluation was performed to examine the adsorption of caseins from the two milk types on HA discs. 

Downloads

Download data is not yet available.

References

62 Reynolds EC, Johnson IH: Effect of milk on caries incidence and bacterial composition of dental plaque in the rat. Arch Oral Biol 1981;26:445–451.

Al-Naimi R J, Al-Ani S A. Remineralization Potential of Casein PhosphoPeptide - Amorphous Calcium Phosphate in Comparison with Natural and Dried Milk: A Comparative Study. International Journal Dental and Medical Sciences Research Volume 3, Issue 6, Nov-Dec 2021 pp 645-653

Buzalaf MA, Hannas AR, Magalhães AC, Rios D, Honório HM, Delbem AC. pH-cycling models for in vitro evaluation of the efficacy of fluoridated dentifrices for caries control: strengths and limitations. J Appl Oral Sci. 2010 Jul-Aug;18(4):316-34

Caufield PW, Li Y, Bromage TG. Hypoplasia-associated severe early childhood caries--a proposed definition. J Dent Res. 2012;91(6):544-550.

De Moraes M, Carneiro J, Passos V, Santiago S. Effect of green tea as a protective measure against dental erosion in coronary dentine. Braz Oral Res 2016; 30:1–6.

Dennis D, Lnu Y, & Sinaga R. Increase of Enamel Hardness Score after Cow Milk Immersion of Demineralized Tooth: An In-vitro Study. World Journal of Dentistry, 2018 9, 439-443.

Ekstrand B, Larsson-Raźnikiewicz M, Perlmann C. Casein micelle size and composition related to the enzymatic coagulation process. Biochim Biophys Acta. 1980 Jul 3;630(3):361-6.

Featherstone JD, O'Really MM, Shariati M, Brugler S. Enhancement of remineralization in vitro and in vivo. In: Leach SA, editor. Factors relating to demineralization and remineralization of the teeth. Oxford: IRL; 1986. p. 23-34.

Gocmen G B, Yanikoglu F, Tagtekin D, Stookey G K, Schemehorn B R, Hayran O. Effectiveness of some herbals on initial enamel caries lesion. Asian Pacific Journal of Tropical Biomedicine. 2016, 6(10): 846-85

Goel A, Singh A, Gupta T, Gambhir RS. Evaluation of surface roughness of enamel after various bonding and clean-up procedures on enamel bonded with three different bonding agents: An in-vitro study. J Clin Exp Dent. 2017;9(5):e608-e616.

Gorbunoff M J, Serge N, Timasheff, The interaction of proteins with hydroxyapatite: III. Mechanism, Analytical Biochemistry, Volume 136, Issue 2, 1984, Pages 440-445

Henry JA, Muthu MS, Saikia A, Asaithambi B, Swaminathan K. Prevalence and pattern of early childhood caries in a rural South Indian population evaluated by ICDAS with suggestions for enhancement of ICDAS software tool. International Journal of Paediatric Dentistry. 2017 May;27(3):191-200

Indrapriyadharshini K, Madan Kumar PD, Sharma K, Iyer K. Remineralizing potential of CPP-ACP in white spot lesions - A systematic review. Indian J Dent Res. 2018 Jul-Aug;29(4):487-496.

Kirthiga M, Muthu Murugan, Ankita Saikia, Richard Kirubakaran,.Risk Factors for Early Childhood Caries: A Systematic Review and Meta-Analysis of Case Control and Cohort Studies. Pediatric Dentistry v 41 / no 2 mar / apr 19

Levine, R. Milk, flavoured milk products and caries. Br Dent J 191, 20 (2001).

Li J, Xie X, Wang Y, Yin W, Antoun JS, Farella M, Mei L. Long-term remineralizing effect of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on early caries lesions in vivo: a systematic review. J Dent. 2014 Jul;42(7):769-77.

Lokam Karthik Prasad, Khwaja Moinuddin MD, Nagamaheshwari X , Uday kumar P , Shekar K, Mamta Kaushik Comparison of remineralizing effect of organic and inorganic fluoride by evaluation of microhardness and quantitative analysis of calcium and phosphorus ratio on enamel surface: an in-vitro study International Journal of Dental Materials 2020;2(3): 75 -81.

Masumo, R., Bårdsen, A. & Åstrøm, A.N. Developmental defects of enamel in primary teeth and association with early life course events: a study of 6–36 month old children in Manyara, Tanzania. BMC Oral Health 13, 21 (2013).

Mellberg JR. Hard-tissue substrates for evaluation of cariogenic and anti-cariogenic activity in situ. J Dent Res. 1992;71 (Spec Iss):913-9

Ogaard B, Rølla G. Intra-oral models: comparison of in situ substrates. J Dent Res. 1992;71(Sp. issue):920-3

Parvathy Sreekumar, Parvathy Kumaran, Arun Mamachan Xavier, Balagopal R Varma, Suresh J Kumar. Qualitative and Quantitative Comparison of the Remineralisation Potential of Three Suitable Materials An In vitro SMH and SEM Study. Journal of Clinical and Diagnostic Research. 2019 Jan, Vol-13(1): ZC01-ZC04

Raynes JK, Day L, Augustin MA, Carver JA. Structural differences between bovine A (1) and A (2) β-casein alter micelle self-assembly and influence molecular chaperone activity. J Dairy Sci. 2015;98(4):2172-2182

Reynolds EC. Casein phosphopeptide – amorphous calcium phosphate and the remineralization of enamel. US DENTISTRY. 2006:51–54.

Shaw JH, Ensfield BJ, Wollman DH: Studies on the relation of dairy products to dental caries in caries-susceptible rats. J Nutr 1959;67:253–273.

Shellis RP, Barbour ME, Jones SB, Addy M. Effects of pH and acid concentration on erosive dissolution of enamel, dentine, and compressed hydroxyapatite. Eur J Oral Sci 2010; 118: 475–482.

Sperling G, Lovelace F, Barnes LL, Smith CA, Saxton JA Jr, McCay CM: Effect of long time feeding of whole milk diets to white rats. J Nutr 1955;55:399–414

Suma Sogi HP, Hugar SM, Nalawade TM, Sinha A, Hugar S, Mallikarjuna RM. Knowledge, attitude, and practices of oral health care in prevention of early childhood caries among parents of children in Belagavi city: A Questionnaire study. J Family Med Prim Care. 2016;5(2):286-290.

Tercinier L, Ye A, Anema SG, Singh A, Singh H. Interactions of casein micelles with calcium phosphate particles. J Agric Food Chem. 2014 Jun 25;62(25):5983-92.

White DJ. Use of synthetic polymer gels for artificial carious lesion preparation. Caries Res. 1987;21(3):228-42.

Widanti H A, Herda E and Damiyanti M. Effect of cow and soy milk on enamel hardness of immersed teeth. IOP Conf. Series: Journal of Physics: Conf. Series 884 (2017) 012006 doi:10.1088/1742-6596/884/1/012006.

William H. Bowen.Effects of dairy products on oral health. Scandinavian Journal of Nutrition 2002; 46 (4): 178–179

Woodward M, Rugg-Gunn AJ. Chapter 8: Milk, Yoghurts and Dental Caries. Monogr Oral Sci. 2020;28:77-90

Woodward M, Rugg-Gunn AJ. Chapter 8: Milk, Yoghurts and Dental Caries. Monogr Oral Sci. 2020; 28:77-90

Xiaodie Wang, Limin Liu, Xiaoyan Zhou, Yongbiao Huo. Casein phosphopeptide combined with fluoride enhances the inhibitory effect on initial adhesion of Streptococcus mutans to the saliva-coated hydroxyapatite disc. BMC Oral Health (2020

Yendriwati, Rizka M Sinaga, D Denni. Increase of Enamel Hardness Score after Cow Milk Immersion of Demineralized Tooth: An In vitro Study. World Journal of Dentistry, November-December 2018;9(6):439-444

Published

31-12-2021

How to Cite

Joshi, G. M., Patel, A., Jajoo, S., Patil, K., Davalbhakta, R., & Kunte, S. (2021). Comparative evaluation of remineralising and adsorption properties of regular cow milk and A2 milk using human enamel discs and hydroxyapatite discs: An in-vitro SEM study. International Journal of Health Sciences, 5(S2), 671–685. https://doi.org/10.53730/ijhs.v5nS2.13752

Issue

Section

Peer Review Articles

Most read articles by the same author(s)