Combined Application of Diode Laser and Different Remineralizing Agents on White Spot Lesions
- Conditions
- White Spot Lesion of Tooth
- Interventions
- Procedure: X Pur ReminProcedure: Remin ProProcedure: Fluoride varnish
- Registration Number
- NCT05871619
- Lead Sponsor
- Al-Azhar University
- Brief Summary
Dental caries is a very common condition, and although it has become less common, it still represents a serious public health risk. Caries symptoms range from the earliest molecular alterations in the tooth's apatite crystals to an apparent white spot lesion (WSL) or eventual cavitation. The white spot lesion looks chalky because minerals are being lost from both the surface and the underside of the enamel. A relatively simple and noninvasive caries preventive regimen in treating white spot lesions with low-level laser irradiation, either alone or with topical fluoride treatment. This treatment results in reduced enamel solubility and dissolution.
- Detailed Description
The study was reviewed and approved by the "Ethical research committee "of the Faculty of Dental Medicine for Girls; at Al-Azhar University, Cairo, Egypt. This study was conducted on 90 teeth with white spot lesions (WSLs) detected clinically on the buccal surface of teeth. The patients with WSLs were selected randomly from the operative dentistry clinic at the Faculty of Dentistry, Girl's Branch, Al-Azhar University
After examination, the teeth will be assigned into six groups of 15 teeth with white spot lesions each according to the remineralizing material used:
* The first group (A1B1): The teeth with WSL will be treated with nano-hydroxyapatite +fluoride with laser application.
* The second group (A1B2): The contralateral teeth will be treated with nano-hydroxyapatite +fluoride without laser application.
* The third group (A2B1): The teeth with WSL will be treated with nano-hydroxyapatite + xylitol with laser application.
* The fourth group (A2B2): The contralateral teeth will be treated with nano hydroxyapatite+ xylitol without laser application.
* The fifth group (A3B1): The teeth with WSL will be treated with 5% sodium fluoride varnish with laser application.
* The sixth group (A3B2): The contralateral teeth will be treated with 5% sodium fluoride without laser application.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 45
- The patients should be 13-40 years old.
- Patients should have good oral hygiene.
- The patients with good general health and no systemic disease.
-
- Presence of enamel hypoplasia or dental fluorosis.
- Presence of carious cavity.
- Patients who have a significant medical history,
- Patients who have evidence of reduced salivary flow or significant tooth wear.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Xpur remin with laser application X Pur Remin A photosensitizing-remineralizing agent mixture was prepared by adding pre-green dye (0.05ml) to 1 mg of the assigned remineralizing agents. The diode laser was irradiated immediately with Average power of 1 W, Exposure time of 10 s, diode 810 nm, continuous and non-contact mode, and Irradiation speed of 1mm/ sec. Remin pro without laser application Remin Pro Used a pea-sized amount with a brush and allowed it to remain on the teeth for at least three minutes as it was recommended by the manufacturer. Instructed the patient to avoid rinsing, eating, and drinking for 30 minutes Remin Pro with laser application Remin Pro A photosensitizing-remineralizing agent mixture was prepared by adding pre-green dye (0.05ml) to 1 mg of the assigned remineralizing agents. The diode laser was irradiated immediately with Average power of 1 W, Exposure time of 10 s, diode 810 nm, continuous and non-contact mode, and Irradiation speed of 1mm/ sec. Xpur remin without laser application X Pur Remin used a thin film of toothpaste on a micro brush and then applied it on the tooth surface for three minutes 2- Do not eat, drink or rinse for 30 minutes fluoride varinsh with laser application Fluoride varnish A photosensitizing-remineralizing agent mixture was prepared by adding pre-green dye (0.05ml) to 1 mg of the assigned remineralizing agents. The diode laser was irradiated immediately with Average power of 1 W, Exposure time of 10 s, diode 810 nm, continuous and non-contact mode, and Irradiation speed of 1mm/ sec. fluoride varnish without laser application Fluoride varnish Used brush applicator to uniformly apply fluoride Varnish, covering the surface to be treated as a thin film.Instructed patient to avoid hard food, alcohol, brushing or flossing for the next 4
- Primary Outcome Measures
Name Time Method Spectrophotometric color assessment: from base line (application of materials) to one month The Vita Easy shade spectrophotometer (Vita Zahnfabrik, Bad Säckingen, Germany) was employed for the color assessment WSLs
- Secondary Outcome Measures
Name Time Method surface area measurement from base line (application of materials) to one month after the finalization of the remineralization protocol, another radiographic examination was undertaken. Bitewing radiographs of the lesions were taken using the same X-ray unit, film holders for bite recording and vertical angulations for standardizing the geometric projection of the X-ray beam by digital subtraction radiograph.
Trial Locations
- Locations (1)
Al-Azhar University
🇪🇬El Cairo, Egypt