Restoration of enamel anti-wear properties via remineralization: Role of occlusal loading

In this in vitro study, the restoration of acid-eroded enamel surface morphology and anti-wear properties under two conditions, mono-remineralization (treated with remineralization alone) and impact-remineralization (treated with cyclic impact followed by remineralization), are characterized to determine the effect of occlusal loading on enamel remineralization. Compared with the mono-remineralized surface, the impact-remineralized surface demonstrates better anti-wear performance, as manifested by a higher hardness and elastic modulus, as well as a lower friction coefficient and wear volume. Loading on the eroded enamel surface induces the fragmentation of hydroxyapatite nanoparticles, which aids crystal deposition and fusion during subsequent remineralization. In summary, owing to the enamel microstructure, occlusal loading can promote the restoration of enamel anti-wear properties by enhancing remineralization. Remineralization enhancement through occlusal-loading-induced nanoparticle fragmentation plays a significant role in preventing human teeth from excessive wear.