Do Ginger Extract, Natural Honey and Bitter Chocolate Remineralize Enamel Surface as Fluoride Toothpastes? An In-Vitro Study

Celik Z. C. , Yavlal G. O. , Yanikoglu F., KARGÜL B., TAĞTEKİN D., Stookey G. K. , ...More

NIGERIAN JOURNAL OF CLINICAL PRACTICE, vol.24, no.9, pp.1283-1288, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 24 Issue: 9
  • Publication Date: 2021
  • Doi Number: 10.4103/njcp.njcp_683_20
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Page Numbers: pp.1283-1288
  • Keywords: Bitter chocolate, fluoride toothpaste, ginger, honey, remineralization, DENTAL-CARIES, ANTIBACTERIAL ACTIVITY, ANTIMICROBIAL ACTIVITY, HAMSTER CARIES, PREVENTION, TEETH, WATER
  • Bursa Uludag University Affiliated: Yes


Background: In recent literatures, much attention has been given to natural products for their health benefits. Aims: In this study, the objective was to measure the efficacy of the ginger-honey-chocolate mixture as the remineralization effect has been shown in the literature previously and to evaluate the individual contributions of this mixture; ginger, natural honey, bitter chocolate separately on remineralization of initial enamel caries lesion. Materials and Methods: All specimens were divided into eight groups as: Ginger (Arifoglu (R), Turkey) in powder form, (n = 8); Ginger-Honey-Chocolate (n = 8); Natural honey (Balparmak Plateau Blossom Honey (R), Turkey) (n = 9); Bitter chocolate (Nestle (R), Switzerland) (n = 8); MI Paste (GC, Japan) (n = 8); Paradontax (Sensodyne, Glaxosmithklein, USA) (n = 9); Pronamel (Sensodyne, Glaxosmithklein, USA) (n = 9); Control (n = 9) groups. Samples were carried out five pH cycles along 7 days at 37 degrees C for each group. During pH cycling, blocks were put in a demineralization (6 h) and a remineralization solution (18 h). The treatment consisted of 1 min. interaction of enamel surfaces with agent/deionized slurries (1:3 w/w) on a daily basis. The surface microhardness (SMH) was determined before and after pH cycling with a Digital Micro-Vickers Hardness Tester (Wilson Wolpert; Europe BV, 401 MVD, Netherlands). Mineral changes were determined by using FluoreCam (R) and recovery values were calculated as SMHR% and F Delta%, respectively. Results: All groups showed an enhanced remineralization. There was no significant difference in terms of F Delta% (F = 1.223, P = 0.304) and SMHR% (F = 0.709, P = 0.664) between all groups. Conclusion: The herbals (ginger, honey, and bitter chocolate) examined in this study gave promising results with a high remineralization potential.