About this trial
Clinical assessment of the effectiveness of two treatment modalities (self-assembling peptide (P11-4) (alone or combined with fluoride) and resin infiltration) for treating white spot lesions
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Age (a range from 7-14 years of age was determined)
Good general health (absence of disease/no handicaps, to ensure oral care at home)
Preserved pulp vitality of the teeth.
Consolidated oral care daily.
Disqualifiers
Patients with periodontal diseases (periodontal pockets or dental mobility) or radiologically identified pathologies (periapical radiolucency).
Teeth revealing any restorations were excluded from the current study.
Any previous or planned WSL treatment.
Trial design
Parallel
Treatments tested in this trial
P11-4, a self-assembling peptide
Drugrationally designed peptide, the monomers of which self-assemble into a biocompatible fibrillar scaffold that mimics the enamel matrix in response to particular environmental cues
P11-4, a self-assembling peptide with flouride
Drugself assembling peptide with 500 ppm sodium fluoride
resin infilteration
DrugImprovement of white spot lesions appearance by infiltration occurs due to a change in the refractive index since the refractive index of enamel (1.62-1.65) is different than that of air (1.00). Infiltration of the lesions with an infiltrate that has a refractive index of 1.52 is able to mask the lesion
Treatment groups
Trial outcomes
Primary outcomes
Esthetic Improvement of white spot lesion
Outcome Measure: Photographic analysis Outcome measuring device: Image analysis to calculate change in area ratio of WSL to the labial surface using Photoshop software Outcome measuring unit: Percentage change
Tooth remineralization
ICDAS score Outcome Measure: ICDAS score Outcome measuring device: Visual and Clinical examination by operator Outcome measuring unit: Numerical value from 0-6 Outcome Measure: Quantitative Light Fluorescence score from WSL Outcome measuring device: Diagnodent pen Outcome measuring unit: Numerical value ranging from 0 to 99
Secondary outcomes
Patient Satisfaction
Likert 5-point faces scale ranging from very sad to very happy
Locations
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Sponsors and contacts
Click on the lead sponsor to view all of their trials.
October 6 University
Lead sponsor
Al-Azhar University
Collaborator
University of Science and Technology of Fujairah
Collaborator