Caries; Initial
Conditions
Brief summary
Self-assembling peptide (P11-4) exhibited an outstanding ability for biomimetic re-mineralization of incipient enamel carious lesions. It creates a 3D matrix within the subsurface of carious lesions, allowing de novo formation of Hydroxyapatite crystals, thus enabling guided enamel regeneration of the demineralized enamel structure. Addition of fluoride to P11-4 may have a synergistic effect on the remineralization potential.
Detailed description
This study is a randomized clinical trial, with parallel study design, 1:1 allocation ratio and superiority framework. The aim of the current trial is to evaluate remineralization potential of P11-4 combined with fluoride compared to fluoride varnish in management of incipient white spot carious lesions. Progress of the lesions will be assessed using laser fluorescence (DIAGNOdent).
Interventions
5% Sodium Fluoride varnish (equal to 22,600 ppm fluoride)
P11-4 self assembling peptide combined with fluoride
Sponsors
Study design
Eligibility
Inclusion criteria
* Active carious white spot lesions. * Patient compliance. * Controlled oral hygiene condition.
Exclusion criteria
* Participant in another trial. * Non carious lesions. * Systemic diseases or concomitant medication affecting salivary flow. * Cavitation of carious lesions. * Parafunctional habits. * Pregnancy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Remineralization | 6 months | measuring carious lesion development using DIAGNOdent laser fluorescence (scores from 0 to 99) according to progression of the carious lesion |
Countries
Egypt