Table 3 Representative biomineralization-inspired materials for enamel remineralization

From: Advances in biomineralization-inspired materials for hard tissue repair

Material

Demineralization

Approach

Model

Performance

Reference

Proteins and peptides

Amelogenin-containing chitosan hydrogel

30% phosphoric acid, 30 s

The hydrogel is applied to enamel surface

In vitro remineralization in artificial saliva for 7 days

Stabilize calcium phosphate clusters, induce needle-like crystals formation, and improve the bonding between enamel and newly grown layer

264

shADP5 peptide

White spot lesion: daily cycling between demineralization and neutral solutions for 6 and 17.5 h, respectively

Immersion treatment in peptide solution; 0.8 mmol·L−1, 10 min

In vitro remineralization in Ca2+/PO43− solution for 1 h

Facilitate the formation of dense layer of HAP crystals, and incorporate fluoride ions into the remineralized layer

274

Peptide-7

37% phosphoric acid, 30 s

The peptide-7 solution is dropped on enamel surface; 2.5 mg·mL−1, 10 min

In vitro remineralization in artificial saliva for 8 days; in vivo remineralization in rats with caries

Strong affinity to HAP; induce the formation of compact crystal layer; excellent cariogenic prevention effect comparable to fluoride

294

Oligopeptide amphiphile

37% phosphoric acid, 60 s

The oligopeptide amphiphile is added into mineralization solution; 15 μg·mL−1

In vitro remineralization in mineralization solution for 1 day or 20 days (1 mg·L−1 NaF is contained in the mineralization solution)

Induce the formation of ACP nanoparticles; improve the packing density of newly formed crystal layer of remineralized enamel

308

PTL/C-AMG

37% phosphoric acid, 50 s, or 5 min to remove the outermost prism-like enamel crystals

In vitro: immersion treatment in a PTL/C-AMG buffer; 10 min. In vivo: PTL/C-AMG buffer is injected into the oral cavity of rats

In vitro remineralization in artificial saliva for 1 week; in vivo remineralization in rats’ oral cavity for 14 days

Induce regularly arranged enamel-like crystals with identical orientations, and restore mechanical strength to the level of natural enamel; induce enamel-like prisms in rats’ oral cavity

237

PAMAM dendrimers

ALN–PAMAM–COOH

37% phosphoric acid, 45 s

ALN–PAMAM–COOH is added onto enamel surface; 4 mg·mL−1

In vitro remineralization in artificial saliva for different periods; in vitro cell experiments of HepG2 cells, and L929 cells; in vivo remineralization in rats’ oral cavity

Low cytotoxicity; strong binding on enamel and facilitate nanorod-like crystal formation; promote enamel remineralization in rats’ oral cavity

219

PAMAM–PO3H2

PAMAM–PO3H2 is added onto enamel surface; 1 mg·mL−1

232

Inorganic materials

Calcium phosphate ion clusters

37% phosphoric acid, 30 s or 10 min to remove the prism-less enamel

CPIC ethanol solution is dropped onto enamel surface; 2 mg·mL−1

In vitro remineralization in modified simulated oral fluid for 48 h (15 mg·L−1 F− is involved in the mineralization solution)

Induce epitaxial growth of enamel apatite, and recover hierarchical structure and mechanical properties to those of natural enamel

235

Amorphous ZrO2

35% phosphoric acid gel, 20 s

Amorphous ZrO2 layer is coated on enamel through in situ growth

N/A

Recover mechanical properties; prevent bacterial adhesion and proliferation

228

  1. SAP, salivary acquired pellicle; PTL/C-AMG, phase-transited lysozyme/C-terminus of the amelogenin peptide; ALN–PAMAM–COOH, carboxyl-terminated PAMAM–alendronate conjugate; PAMAM–PO3H2, phosphate-terminated poly(amidoamine); CPIC, calcium phosphate ion cluster