Comparison of remineralization by fluoride varnishes with and without casein phosphopeptide amorphous calcium phosphate in primary teeth |
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Authors: | Nehal Raid Salman Magda ElTekeya Niveen Bakry Samia Soliman Omar |
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Affiliation: | 1. Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Pharos University, Alexandria, Egypt;2. Department of Pediatric Dentistry and Dental Public Health, Faculty of Dentistry, Alexandria University, Alexandria, Egypt;3. Department of Oral Biology, Faculty of Dentistry, Alexandria University, Alexandria, Egypt |
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Abstract: | Objective: To compare MI (5% NaF with 2% CPP-ACP) and Prevident (5% NaF) varnishes in remineralizing caries-like lesions in primary teeth regarding calcium and phosphate enamel content and lesion depth.Material and methods: Caries-like lesions were created in 48 primary teeth which were divided into 2 halves; one left untreated (control) and the other half treated with MI or Prevident varnishes. Calcium and phosphate content was assessed using energy dispersive X-ray spectrometer and reduction in lesion depth was assessed using polarized light microscopy. Demineralization and remineralization values in each group were compared using paired t test and percentage change between groups was compared using t test and Mann Whitney U test.Results: A greater percentage increase of calcium was observed in MI than Prevident specimens (median?=?8.97 and 2.67, p?.0001), with greater calcium phosphate ratio percentage increase (median?=?28.96 and 7.40) and phosphate percentage reduction (median?=?15.5 and 4.51). The mean (SD) percentages reduction in lesion depth in the MI varnish was significantly greater than in Prevident varnish (44.41 (7.12) and 22.73 (9.35), p?.0001).Conclusions: MI varnish had better remineralization effect in primary teeth than Prevident varnish in terms of higher mineral content and shallower lesion depth. |
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Keywords: | Amorphous calcium phosphate tooth remineralization tooth deciduous microscopy polarization |
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