White Spot Lesions
Conditions
Brief summary
Dental caries is the primary cause of tooth loss and oral diseases. Dental decay is a continuous pathological process with loss of tooth minerals, demineralization, which involves the destruction of tooth structure from acids. The first sign of early active demineralization is white spot lesions (WSLs) on the tooth surface, meanwhile, subsurface active mineral decomposition.
Detailed description
Deposition of minerals depends on the equilibrium between demineralization and remineralization which may happen as a natural repair mechanism. The aim of this trial is to comparatively evaluate the efficacy of surface pre-reacted glass filler (S-PRG) Barrier Coat coating material against the Icon resin infiltration in the ability to improve the caries lesion state of the WSLs along 1 year. Laser fluorescence was used to compare the two materials to evaluate the caries progression. PRG Barrier Coat group showed immediate significant improvement in LF scores in demineralization progress and inhibition of caries progression with a significant improved effect. S-PRG Barrier Coat was clinically successful strategy in inhibition of caries and improve remineralization.
Interventions
COMBINATION_PRODUCTsurface pre-reacted glass filler coating material
the ability to improve the aesthetic appearance (masking) and caries lesion state of the WSLs
Sponsors
Al-Azhar University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients within 20-40 years of age. * Each patient has 4 or more WSLs. * Mild and moderate WSLs according to Gorelick's scale. * Good oral hygiene and willing patients who can attend the study visits. * a Symmetrical number of permanent teeth in each arch (mesial to second molars).
Exclusion criteria
* Active carious lesions. * Facial surface restorations. * Intrinsic and extrinsic stains. * Patients who have a significant medical history or if they smoke. * Criteria for discontinuation; Mortality and acquiring severe debilitating disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessments of caries lesion state of WSLs: | 1 year | Assessing of carious lesions state of WSLs, was performed by using Diagnodent pen to record the progression or regression of caries by time. The assessment of the WSLs demineralization condition took place before intervention (baseline) \[T0\], immediately after intervention \[T1\], 3 months later \[T2\] ,6 months later \[T3\] and 1 year later \[T4\]. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of color change of WSLs: | 1 year | The difference in color of the WSLs were performed by Vita Easyshade V at the five distinct times: before intervention (baseline) \[T0\], immediately after intervention \[T1\], 3 months later \[T2\] ,6 months later \[T3\] and 1 year later \[T4\]. |
Countries
Egypt
Outcome results
None listed