Abstract
Background: The incipient non-cavitated carious lesion are characterized by subsurface dissolution which have potential to remineralize. Traditional remineralization protocols have varying results. An effective remineralizing protocol thus would be one which brings about a change in enamel crystal and makes it more resistant to acidic challenges of oral cavity. Material & Methods: 102 patients of either sex, between age of 6 - 18 years having incipient pit and fissure caries on first or second mandibular molar were selected and its respective contralateral tooth type served as control. Occlusal scanning for both groups was done by LASER fluorescence method (DIAGNOdent) and this was baseline value. Group B (Test) was irradiated with 810 nm AlGaAs low level LASER for 30 seconds followed by application of CPP-ACP F remineralizing paste. In Group a (Control) only remineralization paste was applied. The LASER fluorescence values were recorded after 7 days and the treatment protocol repeated. 18 months follow up at 6 monthly intervals included LASER fluorescence serial scanning. Fall in values from baseline indicates remineralization. Statistical analysis was done.
Highlights
Introduction potential to remineralizeTraditional remineralization protocols have varying results
An effective remineralizing protocol would be one which brings about a change in enamel crystal and makes it more resistant to acidic challenges of oral cavity
To harness the Material & Methods: 102 patients of either sex, between age of remineralization potentiality of an incipient non-cavitated 6 - 18 years having incipient pit and fissure caries on first or lesion, it becomes imperative that carious lesions are 13 second mandibular molar were selected and its respective contralateral tooth type served as control
Summary
LASER irradiation leads to caries inhibition as indicated by fall in LASER fluorescence values after irradiation. Oral fluoride administration in the form of tablets though effective has documented instances of overdose leading to dental fluorosis, nausea, diarrhea, and abdominal cramps.[5, 6] Safe drinking water is a constitutionally guaranteed right in India and millions of rupees are invested in water sanitization, centralized systems of water supply and monitoringare ineffective. One that brings about a change in enamel crystal and makes it more resistant to acidic challenges of the oral cavity. One such modality is the inclusion of LASERs in the prevention of caries.
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