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Comparison of remineralization by fluoride varnishes with and without casein phosphopeptide amorphous calcium phosphate in primary teeth
Authors:Nehal Raid Salman  Magda ElTekeya  Niveen Bakry  Samia Soliman Omar
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
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?p?Conclusions: MI varnish had better remineralization effect in primary teeth than Prevident varnish in terms of higher mineral content and shallower lesion depth.
Keywords:Amorphous calcium phosphate  tooth remineralization  tooth  deciduous  microscopy  polarization
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