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, 11 (9), e776-e782
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A Comparative Quantitative & Qualitative Assessment in Orthodontic Treatment of White Spot Lesion Treated With 3 Different Commercially Available Materials - In vitro Study

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A Comparative Quantitative & Qualitative Assessment in Orthodontic Treatment of White Spot Lesion Treated With 3 Different Commercially Available Materials - In vitro Study

Pooja Yadav et al. J Clin Exp Dent.

Abstract

Background: To comparatively evaluate the esthetic improvement of white-spot lesions (WSLs) treated by: BiominF, CPP-ACP paste with fluoride & ICON resin infiltration, using Spectrophotometer & Diagnodent.

Material and methods: The study was done using 72 sound permanent extracted premolars, divided into four groups (18 teeth per group). After taking the ethical approval the study was commenced. WSLs were created on human premolars and randomly assigned to four groups: Group A: Artificial Saliva, Group B: CPP-ACP with fluoride, Group C: BiominF, Group D: Resin infiltration (Icon). The color change (∆E) of each specimen was measured with a Spectrophotometer (VITA Easy Shade Compact), and fluorescence loss (∆Q) was measured by a laser fluorescence device (DIAGNOdent, Kavo, Biberach, Germany), at different time points after treatment: baseline (0 weeks), 2 weeks, 4 weeks, and 6 weeks.

Results: The ∆E and ∆Q baseline values for the four groups before the treatments did not differ significantly. Icon treatment improved the WSL color significantly and gave the lowest ∆E (5.12± 3.92) & ∆Q (1.64 ±0.72) compared with other treatments at end of 6 weeks (P< .01). In the BiominF and CPP-ACP with fluoride treatment groups, ∆Q & ∆E showed significant recovery compared with the baseline values (P< .05).

Conclusions: Within the limitations of the study, it can be concluded that all the three remineralizing agents used in the study could effectively remineralize artificial enamel caries and showed improvement in color change and fluoresence as compared to the baseline. Therefore they can be effectively used for the treatment of the white spot lesions. Key words:White spot lesions(WSL), Resin infiltration (ICON), BiominF, CPP-ACP with fluoride.

Conflict of interest statement

Conflict of interest statement:The authors have declared that no conflict of interest exist.

Figures

Figure 1
Figure 1
Demineralizing Solution.
Figure 2
Figure 2
Incubator.
Figure 3
Figure 3
Premolar with white spot lesion.
Figure 4
Figure 4
(A) Calibration disc & (B) Calibration probe of diagnodent.
Figure 5
Figure 5
Diagnodent pen (KaVo, Biberach, Germany).
Figure 6
Figure 6
Diagnodent kept perpendicular to the tooth surface.
Figure 7
Figure 7
Spectrophotometer (VITA EASYSHADE COMPACT).
Figure 8
Figure 8
Group A - Artificial Saliva.
Figure 9
Figure 9
Group B- CPP-ACP Paste with fluoride ( GC Tooth Mousse Plus.
Figure 10
Figure 10
Group C - BiominF (Elsenz) toothpaste.
Figure 11
Figure 11
Group D - Resin infiltration (Icon, DMG).
Figure 12
Figure 12
Fluorescence value as measured by Diagnodent at different time periods.
Figure 13
Figure 13
Change in Color (ΔE) as measured by spectrophotometer at different time periods.

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