Biomimetic Action of Zinc Hydroxyapatite on Remineralization of Enamel and Dentin: A Review
Andrea Butera,
Carolina Maiorani,
Simone Gallo,
Maurizio Pascadopoli,
Martina Quintini,
Marco Lelli,
Fabrizio Tarterini,
Ismaela Foltran,
Andrea Scribante
Affiliations
Andrea Butera
Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Carolina Maiorani
Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Simone Gallo
Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Maurizio Pascadopoli
Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Martina Quintini
Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Marco Lelli
Department of Industrial Chemistry “Toso Montanari”, University of Bologna, 40126 Bologna, Italy
Fabrizio Tarterini
Department of Industrial Chemistry “Toso Montanari”, University of Bologna, 40126 Bologna, Italy
Ismaela Foltran
Incos-Cosmeceutica Industriale, Funo di Argelato, 40050 Bologna, Italy
Andrea Scribante
Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy
Biomimetic zinc–carbonate hydroxyapatite technology was developed to realize materials that mimic the natural hydroxyapatite of enamel and dentin and possess good activity in terms of affinity to adhere to these biological tissues. The chemical and physical characteristics of this active ingredient allows the hydroxyapatite itself to be particularly similar to dental hydroxyapatite, enhancing the bond between biomimetic hydroxyapatite and dental hydroxyapatite. The aim of this review is to assess the efficacy of this technology in terms of benefits for enamel and dentin and reduction of dental hypersensitivity. Materials and methods: A literature search (Pubmed/MEDLINE and Scopus) of articles from 2003 to 2023 was conducted to analyze studies focused on the use of zinc-hydroxyapatite products. Duplicates were eliminated from the 5065 articles found, leaving 2076 articles. Of these, 30 articles were analyzed based on the use of products with zinc–carbonate hydroxyapatite in these studies. Results: 30 articles were included. Most of the studies showed benefits in terms of remineralization and prevention of enamel demineralization in terms of occlusion of the dentinal tubules and reduction of dentinal hypersensitivity. Conclusion: Oral care products such as toothpaste and mouthwash with biomimetic zinc–carbonate hydroxyapatite were shown to provide benefits according to the aims of this review.
