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Remineralization potential of CPP-ACP And Novamin and their combination Versus Fluoride to restore mineral content Of white spot lesion : In vitro study

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

Conservative & Esthetic Dentistry

Authors

Shaaban, Tareq Nour

Accessioned

2018-08-26 05:29:04

Available

2018-08-26 05:29:04

type

M.Sc. Thesis

Abstract

This study was conducted to find out the effective remineralizing agent in restoring the mineral content of white spot lesion by evaluating the effect of fluoride combination with Novamin and CPP-ACP on restoring the mineral content of white spot lesion.An 84 specimen collected from 42 of sound extracted human molar teeth were used in this study. The teeth were sectioned in a bucco-lingual direction into mesial and distal halves using a diamond cutting disc at low speed hand piece under water coolant; then the mineral content of each specimen was measured using Energy Dispersive analysis X-Ray Spectroscopy (EDAX) to obtain the baseline measurement. After that the teeth were immersed in a demineralizing solution in a proportion of 2ml solution/mm2 for 72 hours to prompt caries like lesion (white spot lesion), then the mineral content of demineralized specimen were measured again by EDAX to detect the response of enamel surface to acid attack.All Specimens were randomly divided into three main groups according the remineralizing paste used with 28 specimens each, where the first is demineralized enamel treated with fluoride, the second demineralized enamel treated with CPP- ACP with fluoride and the third is demineralized enamel treated with Novamin with fluoride. Each group was divided into two subgroups according to pH cycling application with 14 specimens each, where the first subgroups the specimen subjected to PH cycling and second represent without pH cycling. In order to standardize volume and application time of all tested remineralizing pastes, a 20 units of all tested tooth paste were applied to enamel surface was using insulin syringe then the paste were rubbed for 5 minutes on specimen surface by a micro brush then rinsed off with water and dried with air syringe. After the treated samples were subjected twice daily to pH cycle protocol which consist of 6 hoursof demineralization and 18 hrs of remineralization. However in without pH cycle groups the treated specimen were immersed immediately in remineralizing solution with any demineralization. After that the changes in mineral profile of each specimen were measured using quantitative assessment Energy Dispersive analysis X-Ray Spectroscopy EDAX with Scanning Electron Microscope (SEM). The mineral profile analysis was used to determine the levels calcium, phosphorus and fluorine and Qualitative topographical assessment was performed by SEM at 2000x magnification.

Issued

1 Jan 2016

DOI

http://dx.doi.org/10.21473/iknito-space/39600

Details

Type

Thesis

Created At

28 Jan 2023