Reminerlization Potential of GSE Gel versusCPP-ACP in Carious White Spot Lesions in Post Orthodontic Patients

Cairo University (CU)

Status: Unknown

Conditions: Dental Caries

Treatments: Other: Casein-phosphopeptide/amorphous-calcium phosphate; Other: Grape seeds extract

Study type: Interventional

Funder types: Other

Identifiers

NCT03966378

607

Details and patient eligibility

About

Assess the effectiveness of applying grape seed extract (GSE) gel versus casein phosphopeptide-amorphous calcium phosphate (MI) paste on remineralization of white spot lesion (WSLs) in post orthodontic patients.

Full description

The development of WSLs is a challenging problem in the track of orthodontic treatment. Especially in patients wearing fixed orthodontic appliances, plaque accumulation increases around brackets and bands and the pH on dental surfaces becomes acidic.

These early lesions are willing to remineralization, arrest, reharden and revert to healthy enamel condition through a remineralization process involving the diffusion of minerals into the defective tooth structure. For this purpose various remineralizing agents such as casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and grape seed extract (GSE) have been used.

This research is conducted for early intervention and treatment of the white spot lesions by non-invasive method.

Enrollment: 24 estimated patients

Sex: All

Ages: 13 to 35 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Presence of at least two WSLs on the labial surfaces of six maxillary anterior teeth that were not present before orthodontic therapy.

Exclusion criteria

• Severe or active periodontal disease.
• Patients had received therapeutic irradiation to the head and neck region.
• Patients had participated in a clinical trial within 6 months before commencement of this trial.
• Patients unable to return for recall appointments
• Presence of abnormal oral, medical, or mental condition (including any milk-related allergies or any medical condition involving kidneys or salivary glands).
• Presence of restorations or cavities in any anterior teeth or enamel hypoplasia, dental fluorosis, or intrinsic and extrinsic pigmentation.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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24 participants in 2 patient groups

Grape seeds extract

Experimental group

Description:

Every week the grape seeds extract (gel) put into the tray and apply it to the upper teeth of the participant.

Treatment:

Other: Grape seeds extract

Casein-phosphopeptide/amorphous-calcium phosphate

Active Comparator group

Description:

CPP-ACP paste apply to the teeth twice daily.

Treatment:

Other: Casein-phosphopeptide/amorphous-calcium phosphate