Remineralizing Efficiency of Brushing with Aloe Vera Versus Fluoride Toothpaste on Artificially Demineralized Enamel

Authors

1 Dentist at Egyptian Ministry of Health

2 ⦁ Associate Professor and Head of Pedodontics and Oral Dental Health, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt.

3 Lecturer of Pedodontics and Oral Dental Health, Faculty of Dental Medicine for Girls, Al-Azhar University, Cairo, Egypt

Abstract

Purpose: Three commercially available toothpastes and Aloe Vera gel were evaluated and compared for their ability to remineralize artificially demineralized enamel on human premolar teeth. Subjects and Methods: forty-four healthy adult premolars that had been extracted for orthodontic treatment were included in this study. To establish an artificial initial enamel lesion, the teeth were placed in a demineralizing solution for 4 days. Then, they were randomly divided into 4 groups,11 in each. Group A: teeth were treated with 1,450–ppm fluoride toothpaste. Group B: teeth were treated with aloe vera 1,450–ppm fluoridated toothpaste. Group C: teeth were treated with aloe vera non-fluoridated toothpaste. Group D: teeth were treated with aloe vera gel. For a total of 10 days, each group experienced twice daily 3-minute PH cycling. Measurements were made using scanning electron microscopy (SEM) and energy dispersive X-ray (EDX) analysis during the pre-demineralization, repeated demineralization, and post-remineralization processes. Results: Following remineralization therapy, EDX readings showed that only group B had statistically significant higher values in remineralization potential after 10 days, while group C had the lowest value. Groups A and D were not significantly different. Conclusion: The remineralization capability comparable to toothpaste with 1,450 ppm fluoride was found by utilizing the Aloe Vera gel. However, aloe vera (AV) non-fluoridated toothpaste demonstrated a decreased remineralization efficacy. In contrast, aloe vera with sodium fluoride in toothpaste offered efficient remineralization and collaboration of sodium fluoride and aloe vera.

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