Management of Post Orthodontic White Spot Lesions Using Resin Infiltration and CPP-ACP Materials- A Clinical Study

Abstract

Objectives: The purpose of this present study was to assess and compare the effectiveness and durability of topical application of remineralizing agent Casein Phospho Peptide (CPP-ACP, Toothmousse, GC corporation, Germany, Europe) and Resin infiltration (ICON, DMG, Hamburg, Germany) in the management of post orthodontic white spot lesions. Study design: A Randomized Control clinical trial was conducted among 60 children who had undergone fixed orthodontic therapy presented with white spot lesions (WSLs) on maxillary or mandibular anteriors after debonding. Identification of WSLs was done with International Caries Detection and Assessment System (ICDAS II) criteria. The clinical photographs recorded were used to measure the size of lesion. The color assessment of the lesion and sound adjacent enamel was recorded by using spectrophotometer (Vita-Easy shade 4.0, VITA Zahnfabrik, Germany). Area of the lesion was calculated using Digimizer software (Digimizer, MedCalc Software, Belgium). The selected samples were randomly allocated into two groups: Group I- Resin infiltration- Icon, DMG, Germany, (n=30) and Group II- Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP)–GC Toothmousse, GC Corporation, Germany, (n=30). The WSLs were evaluated immediately following resin infiltration, and in CPP-ACP group after 1 month. In both the groups lesions were evaluated at 1, 3, 6 and 12 months. Results: There was significant reduction in lesion area, and improvement in color of white spot lesions with both of the treatment modalities. Conclusion: Both the resin infiltration and CPP-ACP have desired and durable esthetic improvement in terms of reduction in the area as well as color of post orthodontic white spot lesions.

Assessment of the Remineralizing Potential of Biomimetic Materials on Early Artificial Caries Lesions after 28 Days: An In Vitro Study

“…The oral pH levels depend upon the individual’s eating habits, oral hygiene practices, fluoride usage, and the composition and the quality of saliva and plaque [ 43 ]. For this reason, further in vitro studies and especially clinical trials are needed to validate the promising outcome of this research and clinically evaluate the remineralization efficacy of RA [ 57 , 58 , 59 ].…”

Comparative Efficacy of Novel Biomimetic Remineralising Technologies

“…The results of this in vitro study on the remineralisation efficacy of the other biomimetic technologies needs to be assessed in clinical trials as has been conducted for the CPP–ACP technology. [ 32 , 33 , 47 , 48 ].…”

Bioactive Materials for Caries Management: A Literature Review

“…However, the most common approach for caries management remains traditional drilling and filling [ 10 ], from which it is necessary to shift to a new concept: a medical model [ 11 ]. In addition, conditions such as white spot lesions and molar incisor hypomineralisation should also be considered precursors of dental caries [ 12 , 13 ]. These conditions should be managed in clinical settings using bioactive materials [ 12 ].…”

“…In addition, conditions such as white spot lesions and molar incisor hypomineralisation should also be considered precursors of dental caries [ 12 , 13 ]. These conditions should be managed in clinical settings using bioactive materials [ 12 ].…”