A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study

Enamel demineralization and white-spot lesions (WSLs) around the orthodontic brackets are common clinical complications after orthodontic fixed appliance therapy. WSLs form mainly due to plaque deposition around the brackets during the orthodontic treatment period. This study was designed to compare...

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Main Authors: Hassan Alsubhi, Mohammad Gabbani, Abdulsalam Alsolami, Mohammed Alotaibi, Jameel Abuljadayel, Waleed Taju, Omair Bukhari
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2021/6644069
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author Hassan Alsubhi
Mohammad Gabbani
Abdulsalam Alsolami
Mohammed Alotaibi
Jameel Abuljadayel
Waleed Taju
Omair Bukhari
author_facet Hassan Alsubhi
Mohammad Gabbani
Abdulsalam Alsolami
Mohammed Alotaibi
Jameel Abuljadayel
Waleed Taju
Omair Bukhari
author_sort Hassan Alsubhi
collection DOAJ
description Enamel demineralization and white-spot lesions (WSLs) around the orthodontic brackets are common clinical complications after orthodontic fixed appliance therapy. WSLs form mainly due to plaque deposition around the brackets during the orthodontic treatment period. This study was designed to compare and evaluate the efficacy of two different remineralization agents on WSLs, which are “Clinpro 5000 and Colgate Sensitive Pro-Relief”. 27 caries-free human premolar teeth were collected after extraction for orthodontic purposes. The crowns were set in acrylic resin, and the entire surfaces were coated with nail varnish apart from an area of 4 × 4 mm on the buccal surface. The surface microhardness (SMH) was measured using the Vickers microhardness testing machine at baseline, after demineralization, and after treatment. Then, the different SMH values were statistically analyzed using mixed-effects linear regression. All samples were immersed in demineralizing solution for ten days to create WSLs, and then the teeth were allocated randomly into one of the three groups: Group 1 (control group-immersed in artificial saliva), Group 2 (treated with Colgate sensitive Pro-Relief toothpaste), and Group 3 (Clinpro 5000 toothpaste). Cycles of treatment were done for 5 minutes every 12 hours for 14 days. The samples were stored in freshly prepared artificial saliva between cycles. The mixed-effects model was used to quantify the effect of different remineralization agents. All statistics were computed using STATA software (version14.1; Stata, College Station, TX). All statistical tests were two-tailed and interpreted at the 0.05 significance level. Both agents improved the surface hardness. Clinpro 5000 improved the surface hardness by 12.7 (P value 0.012), and Colgate Sensitive Pro-Relief improved surface hardness by 18.2 (P value <0.0001), However when both treatments are compared with each other, there was no statistical significance among them. When compared to the control group, both treatments “Clinpro™ 5000 and Colgate Sensitive Pro-Relief” have significantly improved enamel’s SMH.
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publishDate 2021-01-01
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series International Journal of Dentistry
spelling doaj-art-6916e6faeda549919d89373a5f8ff5fa2025-02-03T01:20:49ZengWileyInternational Journal of Dentistry1687-87281687-87362021-01-01202110.1155/2021/66440696644069A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro StudyHassan Alsubhi0Mohammad Gabbani1Abdulsalam Alsolami2Mohammed Alotaibi3Jameel Abuljadayel4Waleed Taju5Omair Bukhari6Umm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaUmm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaUmm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaUmm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaDepartment of Preventive Dentistry, Umm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaDepartment of Preventive Dentistry, Umm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaDepartment of Preventive Dentistry, Umm Al Qura University, Faculty of Dentistry, Makkah 21955, Saudi ArabiaEnamel demineralization and white-spot lesions (WSLs) around the orthodontic brackets are common clinical complications after orthodontic fixed appliance therapy. WSLs form mainly due to plaque deposition around the brackets during the orthodontic treatment period. This study was designed to compare and evaluate the efficacy of two different remineralization agents on WSLs, which are “Clinpro 5000 and Colgate Sensitive Pro-Relief”. 27 caries-free human premolar teeth were collected after extraction for orthodontic purposes. The crowns were set in acrylic resin, and the entire surfaces were coated with nail varnish apart from an area of 4 × 4 mm on the buccal surface. The surface microhardness (SMH) was measured using the Vickers microhardness testing machine at baseline, after demineralization, and after treatment. Then, the different SMH values were statistically analyzed using mixed-effects linear regression. All samples were immersed in demineralizing solution for ten days to create WSLs, and then the teeth were allocated randomly into one of the three groups: Group 1 (control group-immersed in artificial saliva), Group 2 (treated with Colgate sensitive Pro-Relief toothpaste), and Group 3 (Clinpro 5000 toothpaste). Cycles of treatment were done for 5 minutes every 12 hours for 14 days. The samples were stored in freshly prepared artificial saliva between cycles. The mixed-effects model was used to quantify the effect of different remineralization agents. All statistics were computed using STATA software (version14.1; Stata, College Station, TX). All statistical tests were two-tailed and interpreted at the 0.05 significance level. Both agents improved the surface hardness. Clinpro 5000 improved the surface hardness by 12.7 (P value 0.012), and Colgate Sensitive Pro-Relief improved surface hardness by 18.2 (P value <0.0001), However when both treatments are compared with each other, there was no statistical significance among them. When compared to the control group, both treatments “Clinpro™ 5000 and Colgate Sensitive Pro-Relief” have significantly improved enamel’s SMH.http://dx.doi.org/10.1155/2021/6644069
spellingShingle Hassan Alsubhi
Mohammad Gabbani
Abdulsalam Alsolami
Mohammed Alotaibi
Jameel Abuljadayel
Waleed Taju
Omair Bukhari
A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study
International Journal of Dentistry
title A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study
title_full A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study
title_fullStr A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study
title_full_unstemmed A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study
title_short A Comparison between Two Different Remineralizing Agents against White Spot Lesions: An In Vitro Study
title_sort comparison between two different remineralizing agents against white spot lesions an in vitro study
url http://dx.doi.org/10.1155/2021/6644069
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