Remineralisation of occlusal white spot lesion with a combination of 10% CPP-ACP and 0.2% sodium fluoride evaluated using Diagnodent: a pilot study

Oral Health Prev Dent. 2013;11(2):191-6. doi: 10.3290/j.ohpd.a29736.

Abstract

Purpose: To evaluate the efficacy of 10% casein phosphopeptide amorphous calcium phosphate complex (CPP-AC P) used alone or with fluoride as compared to fluoride mouthrinse for the remineralisation of occlusal white spot lesions in an in vivo pilot study.

Materials and methods: Forty-five subjects with occlusal white spot lesions (WSL) determined by visual examination and confirmed with Diagnodent were randomly divided into 3 groups: group 1: 10% CPP-AC P + 0.2% NaF; group 2: 10% CPPAC P; group 3: 0.5% NaF mouthrinse for 30 days. The pre-treatment and post-intervention Diagnodent values were tabulated and subjected to statistical analysis.

Results: Among the groups, the remineralising potential of 10% CPP-AC P + 0.2% NaF (group 1) and 10% CPP-AC P (group 2) were similar, however, both groups were superior to 0.5% NaF mouthrinse (group 3).

Conclusions: The CCP-AC P technique is highly beneficial for the remineralisation of non-cavitated occlusal white spot lesions when compared to 0.5% NaF mouthrinse.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Cariostatic Agents / administration & dosage
  • Cariostatic Agents / therapeutic use*
  • Caseins / administration & dosage
  • Caseins / therapeutic use*
  • Dental Caries / diagnosis
  • Dental Caries / therapy*
  • Drug Combinations
  • Female
  • Follow-Up Studies
  • Humans
  • Lasers*
  • Male
  • Mouthwashes / therapeutic use
  • Pilot Projects
  • Sodium Fluoride / administration & dosage
  • Sodium Fluoride / therapeutic use*
  • Tooth Remineralization / methods*
  • Toothpastes / therapeutic use*
  • Treatment Outcome
  • Young Adult

Substances

  • Cariostatic Agents
  • Caseins
  • Drug Combinations
  • Mouthwashes
  • Toothpastes
  • casein phosphopeptide-amorphous calcium phosphate nanocomplex
  • Sodium Fluoride