Enamel Remineralization and Dentine Tubules Occlusion by Bioactive Formulations Based on Ion-Doped Nanohydroxyapatite and Precursor Nanoparticles

Recent health care products are based on formulations claimed to provide enamel remineralization and dentinal tubules occlusion through calcium-phosphate bioactive nanocompounds ( ion-doped hydroxyapatite and precursor nanoparticles). This study aimed to test and characterize for the first time the structure and composition of a representative sample of remineralizing toothpastes and topical mousses available on the market. The enamel remineralization and dentinal tubules occlusion efficacy of tested formulations were investigated in vitro. Formulations were characterized in terms of water- and acid-insoluble fractions, and PXRD, FTIR, and EDS analyses were performed to determine their composition and investigate the presence of bioactive compounds and doping elements. All formulations containing Ca-P bioactive nanocompounds showed remineralizing ability, notably when hydroxyapatite and amorphous calcium phosphate compounds were doped with small amounts of CO3-, F, Mg, and Sr. Topical mousse formulations showed a higher tubules occlusion capability than toothpastes, independently from their composition. In conclusion, all tested formulations could express remineralizing potential both on enamel and dentin thanks to the presence of biomimetic Ca-P compounds. The presence of doping elements or CPP-ACP seems essential to allow such performances.