Clinical Efficacy of Combined Application of Diode Laser and Different Remineralizing Agents on Combined Application of Diode Laser and Different Remineralizing Agents on White Spot Lesions
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- White Spot Lesion of Tooth
- Sponsor
- Al-Azhar University
- Enrollment
- 45
- Locations
- 1
- Primary Endpoint
- Spectrophotometric color assessment:
- Status
- Completed
- Last Updated
- 2 years ago
Overview
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.
Investigators
Amani abdullah Omar bin shahna
operative clinic
Al-Azhar University
Eligibility Criteria
Inclusion Criteria
- •The patients should be 13-40 years old.
- •Patients should have good oral hygiene.
- •The patients with good general health and no systemic disease.
Exclusion Criteria
- •- 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.
Outcomes
Primary Outcomes
Spectrophotometric color assessment:
Time Frame: 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 Outcomes
- surface area measurement(from base line (application of materials) to one month)