Bayoumi, M., hanno, A., Dowidar, K. (2022). THE CLINICAL EFFECT OF CASEIN PHOSPHOPEPTIDE AMORPHOUS CALCIUM PHOSPHATE VARNISH ON CARIES AFFECTED DENTINE IN PRIMARY TEETH (A RANDOMIZED CONTROLLED CLINICAL TRIAL). Alexandria Dental Journal, 47(3), 185-191. doi: 10.21608/adjalexu.2022.107229.1233
Mohamed Amr Bayoumi; azza Gamal Eldin hanno; Karin Mohamed Dowidar. "THE CLINICAL EFFECT OF CASEIN PHOSPHOPEPTIDE AMORPHOUS CALCIUM PHOSPHATE VARNISH ON CARIES AFFECTED DENTINE IN PRIMARY TEETH (A RANDOMIZED CONTROLLED CLINICAL TRIAL)". Alexandria Dental Journal, 47, 3, 2022, 185-191. doi: 10.21608/adjalexu.2022.107229.1233
Bayoumi, M., hanno, A., Dowidar, K. (2022). 'THE CLINICAL EFFECT OF CASEIN PHOSPHOPEPTIDE AMORPHOUS CALCIUM PHOSPHATE VARNISH ON CARIES AFFECTED DENTINE IN PRIMARY TEETH (A RANDOMIZED CONTROLLED CLINICAL TRIAL)', Alexandria Dental Journal, 47(3), pp. 185-191. doi: 10.21608/adjalexu.2022.107229.1233
Bayoumi, M., hanno, A., Dowidar, K. THE CLINICAL EFFECT OF CASEIN PHOSPHOPEPTIDE AMORPHOUS CALCIUM PHOSPHATE VARNISH ON CARIES AFFECTED DENTINE IN PRIMARY TEETH (A RANDOMIZED CONTROLLED CLINICAL TRIAL). Alexandria Dental Journal, 2022; 47(3): 185-191. doi: 10.21608/adjalexu.2022.107229.1233
THE CLINICAL EFFECT OF CASEIN PHOSPHOPEPTIDE AMORPHOUS CALCIUM PHOSPHATE VARNISH ON CARIES AFFECTED DENTINE IN PRIMARY TEETH (A RANDOMIZED CONTROLLED CLINICAL TRIAL)
1Pediatric Dentistry Department, Faculty of Dentistry, Pharos University in Alexandria, Alexandria, Egypt
2pediatric dentistry and dental public health department, faculty of dentistry, alexandria university, alexandria, egypt
3Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Alexandria University
Abstract
Background: Dental caries remains the most global widespread disease. To deal with dental caries in a minimal invasive technique, attempts were made to remineralize affected dentine to improve its physical properties. Objectives: This study aimed to assess the clinical and radiographic success of applying Casein Phosphopeptide Amorphous Calcium Phosphate (CPP-ACP) under glass ionomer restorations in primary teeth treated with Atraumatic Restorative Treatment (ART). Materials and method: Forty primary molars from patients attending the pediatric dentistry clinic were selected for clinical and radiographic assessments after fulfilling the inclusion criteria. The study sample was divided randomly into 2 groups: Group I: 20 molars treated with CPP-ACP varnish then restored with glass ionomer restoration. Group II: 20 molars restored only with glass ionomer restoration. Cavity preparation included the removal of the infected dentine and conserving the affected dentinal tissue. Clinical and restoration assessments were carried out at 1 and 6 months while the radiographic assessment was done at baseline and 6 months. Results: No significant differences were shown between the 2 groups after 1 and 6 months when comparing the clinical success of CPP-ACP and success of the restoration used with ART. Moreover, no significant differences were found regarding radiographic success after 6 months. Conclusions: The use of CPP-ACP before applying RMGI restorations in primary teeth proved to be a successful technique in class I ART restorations, allowing a painless anesthesia-free dental visit and decreasing the incidence of pulp exposure.
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