Objective
Enamel remineralizing effects of theobromine have received much attention from the clinicians. The aim of this study was to investigate the caries preventive effect of theobromine containing toothpaste on children with early childhood caries (ECC).
Material and Methods
Salivary pH, buffering capacity and frequency of
Streptococcus mutans
(SM) levels were measured. Each child was assigned either fluoridated or theobromine containing toothpaste. The changes were analyzed using Laser Fluorescence system. Statistical analyses were performed.
Results
We included 13 children (mean age 4.25) with 145 teeth in the fluoridated toothpaste (Colgate Kids toothpaste) group; 13 children (mean age 4.46) with 115 teeth in theobromine containing toothpaste (Theodent
TM
Kids toothpaste) group. Both toothpastes demonstrated enamel remineralization and were effective in increasing the buffering capacity and pH (p < 0.05). A statistically significant decrease in
S. mutans
levels was found in both toothpaste groups (p<0.05).
Conclusion
Both toothpaste group showed a statistically significant amount of enamel remineralization. Since theobromine had the added benefits of increasing the salivary pH and decreasing the
S.mutans
levels, theobromine containing toothpastes can be considered effective agents in remineralizing white spot lesions and can be used in prevention of early enamel lesions.
Objective: New generation High Viscosity Glass Ionomer Cements (HVGICs) have enhanced physical and mechanical properties. By effectively closing the restoration margin, it ensures that the restorations will last longer. The aim of this study was to investigate the clinical performances of heat-cured versus non heated HVGIC in class II restorations of deciduous molars.
Methods: This randomized, split mouth, multicentre study was performed in four different centres. A total of 250 deciduous molars from 88 individuals were randomly allocated to one of the following groups: 1) non-heated (n = 125) 2) heated (n = 125) and restored with a HVGIC using LED light for heat application. Restorations were clinically evaluated according to the modified USPHS at the baseline, 6 months and 12 months. The survival analysis was performed by Kaplan Meier and Life Tables. This study was retrospectively registered to the ClinicalTrials.gov with the ID number of NCT04291872 at 2nd March 2020.
Results: No statistically significant differences were found between the groups regarding to modified USPHS criteria (p>0.05). Success rate in retention criteria was 94.1% of the heat-cured and 92.6% of the non-heated restorations after 12 months. The mean survival time was 11.8 ±0.1 months in the heated group, while 11.9±0.1 months in the non-heated group.
Conclusion: The heat treated HVGIC for Class II restorations did not show any significant differences in 12 months’ follow-up compared with the conventional technique.
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