In vitro hydroxyapatite formation of a tetracalcium phosphate and anhydrous dicalcium phosphate based dentine desensitiser: TRIS buffer vs artificial saliva.
Main Article Content
Abstract
Background: Calcium phosphates (CPs) form hydroxyapatite (HA) in physiological solutions. These are commonly used to treat dentine hypersensitivity (DH) as they mimic the mineral composition of the natural tooth.
Aim: The present study aims to characterise the apatite formation ability of a commercially available calcium phosphate TeethmateTM (TM) in physiological-like media.
Materials and Methods: In this study, 4mm (D) x 6mm (L) cylindrical samples of TM were produced and immersed in tris(hydroxymethyl)aminomethane (TRIS) buffer (pH: 7.3) and artificial saliva (AS) (pH: 6.5) for up to 24 hours. This was followed by characterisation of the samples after immersion using 31P magic angle - nuclear magnetic resonance spectroscopy (MAS-NMR), X-ray powder diffraction (XRD) and dentine treated with the material using scanning electron microscopy (SEM).
Results: 31P MAS-NMR and XRD analyses revealed that samples immersed in TRIS buffer solution formed hydroxyapatite within approximately 6 hours of immersion. This change was observed at around 12 hours for samples soaked in AS. The pH of the immersion media increased with increasing immersion time. SEM analysis showed a transitional phase formation of structures exhibiting plate-like morphology.
Conclusion: This study shows that TM converts to HA in vitro rapidly and provides an effective option for the treatment of dentine hypersensitivity.
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Bartold PM. Dentinal hypersensitivity: a review. Aust Dent J 2006; 51(3):212-8; quiz 276. https://doi.org/10.1111/j.1834-7819.2006.tb00431.x
- Love RM, Jenkinson HF. Invasion of dentinal tubules by oral bacteria. Crit Rev Oral Biol Med. 2002;13(2):171-83.https://doi.org/10.1177/154411130201300207
- Frank RM. Attachment sites between the odontoblast process and the intradentinal nerve fibre. Arch Oral Biol. 1968; 13(7): 33 - IN39. https://doi.org/10.1016/0003-9969(68)90104-0
- Frank RM, Steuer P. Transmission electron microscopy of the human odontoblast process in peripheral root dentine. Arch Oral Biol. 1988; 33(2):91-98. https://doi.org/10.1016/0003-9969(88)90051-9
- Brannstrom M. The hydrodynamics of the dentine. Its possible relationship to dentinal pain. Int Dent J. 1972; 22:219-227.
- Orchardson R, Gillam DG. Managing dentin hypersensitivity. J Am Dent Assoc. 2006; 137(7): 990-8; quiz 1028-9. https://doi.org/10.14219/jada.archive.2006.0321
- Habraken W, Habibovic P, Epple M, Bohner M. Calcium phosphates in biomedical applications: materials for the future? Materials Today. 2016; 19(2):69-87. https://doi.org/10.1016/j.mattod.2015.10.008
- Hilgenstock G. Eine neue Verbindung von P2O5 und CaO. Stahl und Eisen 1883; 3(498): 13.
- Zhou J, Chiba A, Scheffel DL, Hebling J, Agee K, Niu LN, Tay FR, Pashley DH. Effects of a Dicalcium and Tetracalcium Phosphate-Based Desensitizer on In Vitro Dentin Permeability. PLoS One 2016; 11(6):e0158400. https://doi.org/10.1371/journal.pone.0158400
- Ishihata H, Kanehira M, Finger W, Takahashi H, Tomita M, Sasaki K. Effect of two desensitizing agents on dentin permeability in vitro. J Appl Oral Sci. 2017;25(1):34-41. https://doi.org/10.1590/1678-77572016-0228
- Chow LC. Solubility of Calcium Phosphates. Monogr Oral Sci. 2001; 18:94-111. https://doi.org/10.1159/000061650
- Habraken WJ, Tao J, Brylka LJ, Friedrich H, Bertinetti L, Schenk AS, et al. Ion-association complexes unite classical and non-classical theories for the biomimetic nucleation of calcium phosphate. Nat Commun. 2013; 4:1507. https://doi.org/10.1038/ncomms2490
- Schroeder HE, Bambauer HU. Stages of calcium phosphate crystallisation during calculus formation. Arch Oral Biol. 1966; 11(1):1-14. https://doi.org/10.1016/0003-9969(66)90112-9
- Lu X, Leng Y. Theoretical analysis of calcium phosphate precipitation in simulated body fluid. Biomater. 2005; 26(10):1097-108. https://doi.org/10.1016/j.biomaterials.2004.05.034
- Tsai TWT, Chan JCC. Chapter 1 - Recent Progress in the Solid-State NMR Studies of Biomineralization. In Annual Reports on NMR Spectroscopy, Webb GA., Ed. Academic Press: 2011; Vol. 73, pp 1-61. https://doi.org/10.1016/B978-0-08-097074-5.00001-3
- Tseng YH, Mou CY, Chan JCC. Solid-State NMR Study of the Transformation of Octacalcium Phosphate to Hydroxyapatite:? A Mechanistic Model for Central Dark Line Formation. J Am Chem Soc. 2006; 128(21): 6909-6918. https://doi.org/10.1021/ja060336u
- Elliott JC, Chapter 1 - General Chemistry of the Calcium Orthophosphates. In Studies in Inorganic Chemistry, Elliott JC., Ed. Elsevier: 1994; Vol. 18, pp 1-62. https://doi.org/10.1016/B978-0-444-81582-8.50006-7
- Bingel L, Groh D, Karpukhina N, Brauer DS. Influence of dissolution medium pH on ion release and apatite formation of Bioglass® 45S5. Materials Letters. 2015; 143: 279-282. https://doi.org/10.1016/j.matlet.2014.12.124
- Mneimne M, Hill RG, Bushby AJ, Brauer DS. High phosphate content significantly increases apatite formation of fluoride-containing bioactive glasses. Acta Biomaterialia. 2011; 7 (4): 1827-1834. https://doi.org/10.1016/j.actbio.2010.11.037
- Tas AC, Aldinger F. Formation of apatitic calcium phosphates in a Na-K-phosphate solution of pH 7.4. J Mater Sci: Mater Med. 2005; 16(2): 167-174. https://doi.org/10.1007/s10856-005-5919-5
- Thanatvarakorn O, Nakashima S, Sadr A, Prasansuttiporn T, Ikeda M, Tagami J. In vitro evaluation of dentinal hydraulic conductance and tubule sealing by a novel calcium-phosphate desensitizer. J Biomed Mater Res B Appl Biomater. 2013;101(2): 303-9. https://doi.org/10.1002/jbm.b.32840
- Garberoglio R, Brännström M. Scanning electron microscopic investigation of human dentinal tubules. Arch Oral Biol 1976;21(6):355-62. https://doi.org/10.1016/S0003-9969(76)80003-9
- Huang M, Hill RG, Rawlinson SC. Strontium (Sr) elicits odontogenic differentiation of human dental pulp stem cells (hDPSCs): A therapeutic role for Sr in dentine repair? Acta Biomater. 2016; 38: 201-11. https://doi.org/10.1016/j.actbio.2016.04.037