Casein Phosphopeptide-Amorphous Calcium Phosphate Fluoride (CPP-ACPF) as an Enamel Remineralization

Dental erosion is an oral problem which often occurs in children and adolescents. The most common cause of dental erosion is excessive consumption of soft drinks. One of the methods to prevent dental erosion caused by soft drinks is using products that are able to increase the remineralization of dental structure. A remineralization agent that can be used is CPP-ACPF which contains calcium, phosphate, and fluoride. \nPurpose: To examine the microporosity changes on the enamel surface of primary teeth exposed to soft drinks followed by application of CPP-ACPF. \nMethods: Five primary lower incisor crowns were vertically separated in half. Two samples (4 × 4 × 2 mm) were made by dividing one tooth into each group sample. Group A was immersed in 50 ml of soft drink (Coca Cola®) for 15 minutes for 7 days, while in group B, this was followed by CPP-ACPF application for 4 minutes twice a day for 7 days. Samples were scanned with a Scanning Electron Microscope (SEM) with 1000× magnification and the enamel surface microporosity was scored using Dudea criteria. \nResults: The average number of micropores on the enamel surface of primary tooth group A was 3,7500+0,43301, while in group B it was 1,6000+0,45415. \nConclusion: There was a significant decrease in microporosity on the enamel surface after CPP-ACPF application in primary teeth exposed to soft drinks.