Remineralization Effect of Eggshell Powder on Post-Orthodontic White Spot Lesions Compared to CPP-Acp: A Randomized Controlled Clinical Trial

Abstract

Aim: White spot lesions are the only carious process lesions that can be remineralized noninvasively. The focus of modern dentistry is stopping the caries process without unnecessary damaging the tooth structure. The present clinical trial aimed to assess the remineralizing effect of eggshell powder (ESP) compared to Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) in carious post-orthodontic white spot lesions orthodontic treatment.Methodology: Twenty-Four patients were selected from the Clinic of Orthodontic Dentistry Department, Faculty of Dentistry, Cairo University. Patients were divided into two groups according to the treatment received either ESP gel or CPP-ACP paste (GC Tooth-Mousse). The participants were instructed to use pea size eggshell powder gel or GC Tooth Mousse on the teeth surfaces using a clean finger twice daily after brushing their teeth with Colgate Total Original Care toothpaste. WSLs were assessed at baseline, 1 month, 3months and 6 months by DIAGNOdent (Kavo, Germany).Results: Data were analyzed using Two-way ANOVA showed that there was no statistically significant difference in overall DIAGNOdent mean readings between ESP and GC Tooth Mousse groups at (P=0.136). Conclusion:Based on the data obtained in this study, it is suggested that ESP is effective and has a promising future in the treatment of post-orthodontic WSLs.

Clinical evaluation of white spot lesions treated by surface pre-reacted glass filler coating material in comparison with Icon resin infiltration by laser fluorescence. (A randomized controlled trial)

“…Indeed, S PRG demineralized outer enamel lead to a shallower pores with low bond and decreased penetration than ICON (44) . Similarly, It was observed in previous study, the longer the resin tags of a sealant the lesser is the nanoleakage and consequently the better is its sealing ability (45) . Also, the depth of penetration of sealants into WSLs plays an important role in the control of caries lesion progression (46) .…”

“…This was con rmed by using a LF device. Fluorescence scores (11)(12)(13)(14)(15)(16)(17)(18)(19)(20) of WSLs were considered, as it indicates outer half enamel caries (initial demineralization) (18) .…”

“…We examined 45 patients, 10 patients do not accept participate in the trial and 15 patients did not meet the inclusion criteria (cavitation/chipping adjacent to WSLs / did not present at least 2 WSLs with LF score [11][12][13][14][15][16][17][18][19][20]. Finally, 20 patients were matching the inclusion criteria and take part in this study.…”

“…Noninvasive treatment to WSLs helps to stop cavitation and caries progression (11) . Laser Fluorescence is important to detect the rst sign of subsurface demineralization and monitoring over-time.…”

Enamel remineralisation prospect of Moringa Oleifera hydrogel, eggshell hydrogel versus sodium fluoride varnish on artificially demineralised primary teeth: in vitro study

“…The formed hydrogel was kept at 8°C (in the refrigerator) for a period of 24 h before further use. 10% concentrations of ESP produced a paste of consistency that is appropriate for handling and application [15].…”