Clinical Effectiveness of Bioactive Silica Based With Calcium Toothpaste

Clinical Effectiveness of Bioactive Silica Based With Calcium Toothpaste, Sodium Fluoride Varnish in Management of White Spot Lesions (A 6m Randomized Clinical Trial).

This study will be conducted to Clinically evaluate Bioactive Silica Based with calcium booster (Refix technology) toothpaste and Sodium Fluoride varnish versus conventional fluoride toothpastes in management of white spot lesions of adult patients over 6m follow up and evaluating patient perception regarding the treatment provided.

Inclusion Criteria:

• Patient with non cavitated carious WSL in at least one upper or lower tooth.
• Teeth with active non cavitated white spot carious lesions on the cervical one third of the facial or lingual surfaces.

Teeth with initial carious lesions with score 1 or 2 according to The International Caries Detection and Assessment System (ICDAS).

• Teeth with Diagnodent values between 14-20 that refers to early enamel caries.

Exclusion Criteria:

Patients with known allergies or adverse reactions to any ingredient of the tested materials.

• Systematic disease and/ or physical disabilities that may affect participation.

• Patients with white spots due to congenital reasons e.g. enamel hypomineralization.

• Pregnant females with frequent vomiting attacks.

• Smokers.

• Excessive dietary or environmental exposure to acids.

• Presence of surface cavitation or restorations .