Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

Users Online : 6200

Original article / research
Year : 2016 | Month : May | Volume : 10 | Issue : 5 | Page : ZC149 - ZC154

Assessment of White Spot Lesions and In-Vivo Evaluation of the Effect of CPP-ACP on White Spot Lesions in Permanent Molars of Children

Deepti Munjal, Shalini garg, Abhishek Dhindsa, Gagandeep kaur sidhu, Harsimran singh sethi

1. Senior Lecturer, Department of Pediatric and Preventive Dentistry, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India. 2. Professor, Department of Pediatric and Preventive Dentistry, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana, India. 3. Professor, Department of Pediatric and Preventive Dentistry, MM College of Dental Sciences and Research, Mullana, Ambala, Haryana, India. 4. Senior Lecturer, Department of Oral Pathology and Microbiology, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India. 5. Senior Lecturer, Department of Pediatric and Preventive Dentistry, Maharaja Ganga Singh Dental College and Research Centre, Sriganganagar, Rajasthan, India.

Correspondence Address :
Dr. Harsimran Singh Sethi,
412- G, BRS Nagar, Ludhiana-141012, Punjab, India.
E-mail: sethiharsimranpedo@yahoo.in

Abstract

Introduction: As hindrance of remineralisation process occurs during orthodontic therapy resulting in decalcification of enamel because number of plaque retention sites increases due to banding and bonding of appliances to teeth.

Aim: The present analytic study was undertaken to assess the occurrence of white spot lesions in permanent molars of children with and without orthodontic therapy and to evaluate the effect of Casein PhosphoPeptide-Amorphous Calcium Phosphate (CPP-ACP) on white spot lesions in post-orthodontic patients in a given period of time.

Materials and Methods: The study comprised of examination of 679 first permanent molars which were examined to assess the occurrence of smooth surface white spot lesions in children of 8 to 16 years age group. Group I comprised subjects without any orthodontic treatment and Group II comprised of subjects who had undergone orthodontic therapy. The sample size was calculated using the epi-info6 computer package. Treatment group included 20 post-orthodontic patients examined with at least one white spot lesion within the enamel who received remineralizing cream (GC Tooth Mousse, Recaldent, GC Corporation.) i.e., CPP–ACP cream two times a day for 12 consecutive weeks. Computerized image analysis method was taken to evaluate white spot lesions. These frequency and percentages were compared with chi-square test. For comparison of numeric data, paired t-test was used.

Results: Of the total 278 (49.6%) first permanent molars showed occurrence of smooth surface white spot lesions out of 560 in Group I and 107 (89.9%) first permanent molars showed presence of white spot lesions out of 119 debanded first permanent molars of children examined in Group II. CPP-ACP therapy group showed reduction in severity of codes which was found to be highly significant after 12 weeks and eight weeks on gingival-third, p-value (<0.001) and significant after eight weeks and four weeks on middle-third according to ICDAS II criteria and computerized image analysis.

Conclusion: CPP-ACP therapy minimum for 12 weeks is highly recommended as post-orthodontic treatment need in management of smooth surface white spot lesions on teeth undergoing fixed orthodontic therapy according to the present study.

Keywords

Casein phosphopeptide-amorphous calcium phosphate, Decalcification, Incipient caries lesions, Orthodontics

How to cite this article :

Deepti Munjal, Shalini garg, Abhishek Dhindsa, Gagandeep kaur sidhu, Harsimran singh sethi. ASSESSMENT OF WHITE SPOT LESIONS AND IN-VIVO EVALUATION OF THE EFFECT OF CPP-ACP ON WHITE SPOT LESIONS IN PERMANENT MOLARS OF CHILDREN. Journal of Clinical and Diagnostic Research [serial online] 2016 May [cited: 2018 Jan 18 ]; 10:ZC149-ZC154. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2016&month=May&volume=10&issue=5&page=ZC149-ZC154&id=7896

DOI and Others

DOI: 10.7860/JCDR/2016/19458.7896


Date of Submission: Feb 11, 2016
Date of Peer Review: Feb 25, 2016
Date of Acceptance: Apr 01, 2016
Date of Publishing: May 01, 2016


Financial OR OTHER COMPETING INTERESTS: None.

JCDR is now Monthly and more widely Indexed .
  • Emerging Sources Citation Index (Web of Science, thomsonreuters)
  • Index Copernicus ICV 2016: 132.37
  • SCOPUS
  • Academic Search Complete Database
  • Directory of Open Access Journals (DOAJ)
  • EBSCOhost
  • Embase & EMbiology
  • Google Scholar
  • HINARI Access to Research in Health Programme
  • Indian Science Abstracts (ISA)
  • Journal seek Database
  • Google
  • Popline (reproductive health literature)
  • www.omnimedicalsearch.com