Journal of South Asian Association of Pediatric Dentistry

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VOLUME 4 , ISSUE 2 ( July-September, 2021 ) > List of Articles

ORIGINAL RESEARCH

A Comparative Evaluation of CPP-ACP Cream and Fluoride Varnish in Remineralization of MIH-affected Teeth Using Laser Fluorescence

Sanjeev K Singh, Ashima Goyal, Krishan Gauba, Mrinalini Rathore

Keywords : CPP-ACP, Fluoride varnish, Laser fluorescence, Molar incisor hypomineralization, Remineralization

Citation Information : Singh SK, Goyal A, Gauba K, Rathore M. A Comparative Evaluation of CPP-ACP Cream and Fluoride Varnish in Remineralization of MIH-affected Teeth Using Laser Fluorescence. J South Asian Assoc Pediatr Dent 2021; 4 (2):117-121.

DOI: 10.5005/jp-journals-10077-3081

License: CC BY-NC 4.0

Published Online: 26-08-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Molar incisor hypomineralization (MIH) affected teeth have enamel with altered mineral content like decreased calcium, phosphorous, and increased carbon leading to porous enamel and subsequent post-eruptive breakdown. The treatment is aimed at the prevention of their breakdown. Various remineralization strategies originally employed for initial carious lesions have been extrapolated for use on these defects. Aim and objective: To evaluate the remineralization potential of CPP-ACP-based cream and fluoride varnish for MIH-affected teeth using laser fluorescence (LF). Materials and methods: Thirty children aged 8–14 years who exhibited intact, demarcated opacities on their first permanent molars or permanent incisors, were randomly divided into two groups using simple randomization technique; group I: professional application of fluoride varnish (n = 15); group II: daily single application of CPP-ACP cream (n = 15). The mineral density was assessed before and after 15 days of application with a DIAGNOdent™ pen (KaVo). Results: The mean change in LF values depicting a change in the mineral density scores was 8.933 ± 5.05 for the fluoride varnish group and 7.133 ± 4.17 for the CPP-ACP group. This decrease was statistically significant for both groups. However, no significant difference was found between the two groups in terms of these changes. Conclusion: Both CPP-ACP cream and fluoride varnish are equally effective in achieving remineralization of MIH-affected teeth.


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