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Effectiveness Fluoride Varnishes in Children With Early Childhood Caries

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StatusAbgeschlossen
Sponsoren
Merve Erkmen Almaz

Schlüsselwörter

Abstrakt

The study was carried out in 88 children with severe early childhood caries (dmfs≥age +1) who were referred to the investigators' clinic. Patients who completed dental treatment under general anesthesia in a single session, were included to the study.
Patients were divided randomly into 4 groups and after dental treatment one of the fluoride varnish listed below was applied to each child. The groups were as follows;
1. Duraphat varnish containing 5% Sodium Fluoride (Colgate) (n = 22),
2. Clinpro ™ White Varnish containing 5% of Sodium Fluoride tricalcium phosphate (3M ESPE) (n = 22),
3. Embrace ™ Varnish containing 5% Sodium Fluoride with CXP ™ (Pulpdent) (n = 22),
4. MI Varnish containing 5% Sodium Fluoride casein phosphopeptide amorphous calcium phosphate varnish (GC) (n = 22).
Saliva Mutans streptococci (MS) and Lactobacilli (LB) levels, were evaluated by taking saliva samples before general anaesthesia; one month after treatment and three months after treatment.

Beschreibung

Duraphat (Colgate), which we used as a positive control group in our study, contains only 5% sodium fluoride. It has been reported in studies that Duraphat is effective in remineralization.

Clinpro ™ White Varnish, another topical varnish in this study,was reported to be effective for caries prevention in pre-school children.

One of the varnishes we evaluate in the study, Embrace™ Varnish, contains 5% sodium fluoride with xylitol-coated calcium and phosphate. According to the manufacturer, the xylitol coating prevents the calcium and phosphate salts from reacting until they come in contact with saliva. Saliva dissolves the xylitol and releases the calcium and phosphate ions, which react with the fluoride ions in saliva to form protective fluorapatite on the teeth19 MI Varnish, in the fourth group containing 5% sodium fluoride with casein phosphopeptide amorphous calcium phosphate (CPP-ACP) had a high release of calcium and fluoride ions.

Termine

Zuletzt überprüft: 07/31/2018
Zuerst eingereicht: 07/26/2018
Geschätzte Einschreibung eingereicht: 08/08/2018
Zuerst veröffentlicht: 08/09/2018
Letztes eingereichtes Update: 08/08/2018
Letztes Update veröffentlicht: 08/09/2018
Tatsächliches Startdatum der Studie: 10/31/2016
Geschätztes primäres Abschlussdatum: 06/30/2017
Voraussichtliches Abschlussdatum der Studie: 11/30/2017

Zustand oder Krankheit

Early Childhood Caries

Intervention / Behandlung

Drug: Sodium Fluoride

Drug: Sodium Fluoride with TCP

Drug: Sodium Fluoride with CXP

Drug: Sodium Fluoride with CPP-ACP

Phase

-

Armgruppen

ArmIntervention / Behandlung
Active Comparator: Sodium Fluoride
Varnish containing 5% Sodium Fluoride, was applied to all remaining teeth of each child after dental treatment under general anaesthesia.
Drug: Sodium Fluoride
Experimental: Sodium Fluoride with TCP
Varnish containing 5% Sodium Fluoride with tricalcium phosphate (TCP) ,varnish was applied to all remaining teeth of each child after dental treatment under general anaesthesia.
Drug: Sodium Fluoride with TCP
Experimental: Sodium Fluoride with CXP
Varnish containing 5% Sodium Fluoride with Xylitol-coated Calcium and Phosphate (CXP) ,varnish was applied to all remaining teeth of each child after dental treatment under general anaesthesia.
Drug: Sodium Fluoride with CXP
Experimental: Sodium Fluoride with CPP-ACP
Varnish containing 5% Sodium Fluoride with casein phosphopeptide amorphous calcium phosphate (CPP-ACP), varnish was applied to all remaining teeth of each child after dental treatment under general anaesthesia.
Drug: Sodium Fluoride with CPP-ACP

Zulassungskriterien

Altersberechtigt für das Studium 36 Months Zu 36 Months
Studienberechtigte GeschlechterAll
Akzeptiert gesunde FreiwilligeJa
Kriterien

Inclusion Criteria:

- clinical diagnosis of healthy children with severe early childhood caries,

- younger than 6 years in the primary dentition

Exclusion Criteria:

- history of any chronic disease,

- use of any drugs that reduce salivary flow or antibiotics in the last 4 weeks,

- use of systemic fluoride tablets

Ergebnis

Primäre Ergebnismaße

1. Effect of fluoride varnishes on saliva Mutans streptococci (MS) and Lactobacilli (LB) levels were evaluated as colony forming units (CFU). [3 months]

Saliva Mutans streptococci (MS) and Lactobacilli (LB) levels, were evaluated by taking saliva samples using CRT Bacteria (Caries Risk Test, Ivoclar Vivadent)

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