Abstract

Statement of the Problem: Although fluoride varnish has been investigated and recommended by many studies for the prevention of white spot lesion, its effective use over the course of 3 months from a single application is not considered enough especially when it is compared to newly proposed material. These materials such as resin-modified glass ionomer have not been studied enough throughout literature to evaluate their real effect.

Purpose: The aim of this study was to evaluate the effect of a Clinpro XT varnish single application on enamel demineralization near orthodontic brackets during fixed orthodontic treatment in comparison with acidulated phosphorus fluoride gel.

Materials and Methods: Eighteen patients were seeking orthodontic treatment. They were selected from the out-patients clinic of the Orthodontic Department, Faculty of Dentistry, Cairo University. For each patient the maxillary anterior teeth (from canine to canine) were divided into right and left sides. The two quadrants were randomly divided into two groups: Group I (54): Teeth were treated by Clinpro XT. Group II (54): Teeth were treated with Acidulated Phosphorus Fluoride gel which was assessed immediately before application (T₀), after three months (T₁) and after six months (T₂) application. The outcome of treatment was assessed by color change using spectrophotometer and patient satisfaction using Visual Analogue Scale (VAS).

Results: Show a statistically insignificant difference in the color change was found between the intervention and comparator groups after 3 months of the beginning of orthodontic treatment while the difference between the 2 groups was statistically significant after 6 months. Regarding the Visual Analogue Scale results there was statistically significant difference between the 2 groups at both 3-month and 6-month follow up period.

Conclusion: Clinpro XT varnish outperformed acidulated Phosphorus Fluoride gel in preventing white spot lesions during orthodontic treatment hence it is recommended to be used as a preventive material at 6-month of administration.

Keywords: Resin Modified Glass Ionomer; Acidulated Phosphorus Fluoride; Prevention and White Spot Lesions

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Citation

Citation: Mohamed Zidan., et al. “Resin-Modified Glass Ionomer Varnish Versus Acidulated Phosphorus Fluoride Gel in Prevention of White Spot Lesions During Comprehensive Orthodontic Treatment (Split Mouth Randomized Clinical Trial) (A Comparative Study)". Acta Scientific Dental Sciences 4.12 (2020): 03-12.

Copyright

Copyright: © 2020 Mohamed Zidan., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.