Peptide-based biogenic dental product may cure cavities

Authored by washington.edu and submitted by mvea

Peptide-based biogenic dental product may cure cavities

Researchers at the University of Washington have designed a convenient and natural product that uses proteins to rebuild tooth enamel and treat dental cavities.

The research finding was first published in ACS Biomaterials Science and Engineering.

“Remineralization guided by peptides is a healthy alternative to current dental health care,” said lead author Mehmet Sarikaya, professor of materials science and engineering and adjunct professor in the Department of Chemical Engineering and Department of Oral Health Sciences.

The new biogenic dental products can — in theory — rebuild teeth and cure cavities without today’s costly and uncomfortable treatments.

“Peptide-enabled formulations will be simple and would be implemented in over-the-counter or clinical products,” Sarikaya said.

Cavities are more than just a nuisance. According to the World Health Organization, dental cavities affect nearly every age group and they are accompanied by serious health concerns. Additionally, direct and indirect costs of treating dental cavities and related diseases have been a huge economic burden for individuals and health care systems.

“Bacteria metabolize sugar and other fermentable carbohydrates in oral environments and acid, as a by-product, will demineralize the dental enamel,” said co-author Sami Dogan, associate professor in the Department of Restorative Dentistry at the UW School of Dentistry.

Although tooth decay is relatively harmless in its earliest stages, once the cavity progresses through the tooth’s enamel, serious health concerns arise. If left untreated, tooth decay can lead to tooth loss. This can present adverse consequences on the remaining teeth and supporting tissues and on the patient’s general health, including life-threating conditions.

Good oral hygiene is the best prevention, and over the past half-century, brushing and flossing have reduced significantly the impact of cavities for many Americans. Still, some socio-economic groups suffer disproportionately from this disease, the researchers said. And, according to recent reports from the Centers for Disease Control and Prevention, the prevalence of dental cavities in Americans is again on the rise, suggesting a regression in the progress of combating this disease.

Taking inspiration from the body’s own natural tooth-forming proteins, the UW team has come up with a way to repair the tooth enamel. The researchers accomplished this by capturing the essence of amelogenin — a protein crucial to forming the hard crown enamel — to design amelogenin-derived peptides that biomineralize and are the key active ingredient in the new technology. The bioinspired repair process restores the mineral structure found in native tooth enamel.

“These peptides are proven to bind onto tooth surfaces and recruit calcium and phosphate ions,” said Deniz Yucesoy, a co-author and a doctoral student at the UW.

The peptide-enabled technology allows the deposition of 10 to 50 micrometers of new enamel on the teeth after each use. Once fully developed, the technology can be used in both private and public health settings, in biomimetic toothpaste, gels, solutions and composites as a safe alternative to existing dental procedures and treatments. The technology enables people to rebuild and strengthen tooth enamel on a daily basis as part of a preventive dental care routine. It is expected to be safe for use by adults and children.

Co-authors are H. Fong, research scientist in the UW Department of Materials Science and Engineering, and Greg Huang, professor and chair of Orthodontics in the School of Dentistry.

The research was funded by the Washington State Life Sciences Discovery Fund and the UW Department of Restorative Dentistry’s Spencer Fund.

For further information, contact [email protected] or www.uwgemsec.com.

trainercatlady on April 14th, 2018 at 15:01 UTC »

It's always astounded me that in all of the medical and biological advancements we've made over the years, that we still haven't found a way to make teeth grow back or heal themselves. As someone whose dental health has been steadily falling over the years due to lack of insurance, this gives me a lot of hope.

AdsumAcme on April 14th, 2018 at 14:03 UTC »

As a dentist, this is fantastic. It will be widely accepted if it works in vivo. There have been treatments recently invented such as Silver Diamine Fluoride (with a blackening of treatment site side effect). Alternative ways to to remineralize enamel lesions have been proposed before with moderate success. Currently, dentists monitor or treat these with Fluoride. I hope this treatment can be a panacea of incipient caries.

mvea on April 14th, 2018 at 11:58 UTC »

The title of the post is a copy and paste from the title, first and last paragraph of the linked academic press release here:

Peptide-based biogenic dental product may cure cavities

Researchers at the University of Washington have designed a convenient and natural product that uses proteins to rebuild tooth enamel and treat dental cavities.

The peptide-enabled technology allows the deposition of 10 to 50 micrometers of new enamel on the teeth after each use.

Journal reference:

Biomimetic Tooth Repair: Amelogenin-Derived Peptide Enables in Vitro Remineralization of Human Enamel

Sami Dogan†, Hanson Fong‡, Deniz T. Yucesoy‡, Timothee Cousin§, Carolyn Gresswell‡, Sefa Dag‡, Greg Huang§ and Mehmet Sarikaya‡∥⊥

ACS Biomaterials Science & Engineering

Publication Date (Web): March 9, 2018

DOI: https://doi.org/10.1021/acsbiomaterials.7b00959

Link: https://pubs.acs.org/doi/10.1021/acsbiomaterials.7b00959

Abstract:

White spot lesions (WSL) and incipient caries on enamel surfaces are the earliest clinical outcomes for demineralization and caries. If left untreated, the caries can progress and may cause complex restorative procedures or even tooth extraction which destroys soft and hard tissue architecture as a consequence of connective tissue and bone loss. Current clinical practices are insufficient in treating dental caries. A long-standing practical challenge associated with demineralization related to dental diseases is incorporating a functional mineral microlayer which is fully integrated into the molecular structure of the tooth in repairing damaged enamel. This study demonstrates that small peptide domains derived from native protein amelogenin can be utilized to construct a mineral layer on damaged human enamel in vitro. Six groups were prepared to carry out remineralization on artificially created lesions on enamel: (1) no treatment, (2) Ca2+ and PO43– only, (3) 1100 ppm fluoride (F), (4) 20 000 ppm F, (5) 1100 ppm F and peptide, and (6) peptide alone. While the 1100 ppm F sample (indicative of common F content of toothpaste for homecare) did not deliver F to the thinly deposited mineral layer, high F test sample (indicative of clinical varnish treatment) formed mainly CaF2 nanoparticles on the surface. Fluoride, however, was deposited in the presence of the peptide, which also formed a thin mineral layer which was partially crystallized as fluorapatite. Among the test groups, only the peptide-alone sample resulted in remineralization of fairly thick (10 μm) dense mineralized layer containing HAp mineral, resembling the structure of the healthy enamel. The newly formed mineralized layer exhibited integration with the underlying enamel as evident by cross-sectional imaging. The peptide-guided remineralization approach sets the foundation for future development of biomimetic products and treatments for dental health care.