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Original Research

Open Access

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

  • Louis Solaman Simon1,*,
  • Jayanta Kumar Dash1
  • Deepika U1
  • Shilpa Philip2
  • Sukanya Sarangi3

1Dept of Pediatric and Preventive dentistry S.C.B Dental College and Hospital, Cuttack, India

2Dept of Periodontics and Implantology,Mahatma Gandhi Postgraduate Institute of Dental Sciences, Puducherry, India

3Hi-Tech Dental College, Bhubaneswar, Odisha, India

DOI: 10.17796/1053-4625-46.1.12 Vol.46,Issue 1,January 2022 pp.70-74

Published: 01 January 2022

*Corresponding Author(s): Louis Solaman Simon E-mail: lososifrom@gmail.com

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.


Keywords

White Spot Lesions (WSLs); Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP); International Caries Detection and Assessment System (ICDAS II)

Cite and Share

Louis Solaman Simon,Jayanta Kumar Dash,Deepika U,Shilpa Philip,Sukanya Sarangi. Management of Post Orthodontic White Spot Lesions Using Resin Infiltration and CPP-ACP Materials- A Clinical Study. Journal of Clinical Pediatric Dentistry. 2022. 46(1);70-74.

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