Helal Narmin, Azzahrani Ghadi S, Azzouz Lujain Z, Sabbagh Heba J
Department of Pediatric Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia.
Department of Pediatric Dentistry, Ministry of Health, Yanbu, Saudi Arabia.
Int J Clin Pediatr Dent. 2023 Sep-Oct;16(5):751-757. doi: 10.5005/jp-journals-10005-2689.
Evaluating the remineralization efficacy of noncavitated proximal incipient lesions with Colgate® PreviDent® and MI™ varnishes in comparison to the industry standard (1.23%) acidulated phosphate fluoride (APF) gel.
Parallel randomized controlled, multicenter, single-blinded trial.
By flipping a coin, 18 patients with 91 lesions were divided into three groups. The Colgate® PreviDent ( = 33), MI varnish ( = 30), and control (APF gel) groups ( = 28) were identified as the three arms. We conducted an initial assessment and therapy as well as follow-ups at 3 and 6 months to evaluate the course of the caries lesion.
Caries progression was significantly reduced on treated surfaces across both groups. Nine surfaces in the Colgate® PreviDent® group with white spots and dryness did not change, one surface turned into a white patch without dryness, and another surface changed to a sound surface; only two surfaces were discontinued from treatment (restored) due to a misdiagnosis by the operator ( = 2). Nine of the surfaces in the MI™ group maintained their white patches with dryness, whereas one developed a new white patch that was not dry. Only MI varnish™-treated teeth exhibited dramatic radiographic improvement. Caries on the outside enamel were either unchanged or restored to healthy levels. Caries on the inner surface of the enamel also did not change.
Remineralizing noncavitated early-stage lesions may be done with both MI™ and Colgate® PreviDent® varnishes. Despite this, radiographic results did not vary significantly across the three groups. In situations of rather advanced incipient caries seen on radiographs, the MI varnish™ might be recommended.
Helal N, Azzahrani GS, Azzouz LZ. Effectiveness of MI Varnish and PreviDent Varnish in Noncavitated Interproximal Lesions: A Randomized Clinical Trial. Int J Clin Pediatr Dent 2023;16(5):751-757.
与行业标准(1.23%)的酸化磷酸氟(APF)凝胶相比,评估高露洁®PreviDent®和MI™护齿剂对非龋性邻面早期病变的再矿化效果。
平行随机对照、多中心、单盲试验。
通过抛硬币,将18例患者的91处病变分为三组。高露洁®PreviDent组(n = 33)、MI护齿剂组(n = 30)和对照组(APF凝胶组,n = 28)为三个研究组。我们进行了初始评估和治疗,并在3个月和6个月时进行随访,以评估龋损的发展过程。
两组治疗表面的龋病进展均显著降低。高露洁®PreviDent®组中,9处有白斑且干燥的表面未发生变化,1处变为无干燥的白色斑块,另1处变为健康表面;仅2处表面因操作者误诊而停止治疗(修复)(n = 2)。MI™组中有9处表面保持有干燥的白色斑块,而1处出现了新的无干燥白色斑块。仅经MI护齿剂™治疗的牙齿在影像学上有显著改善。釉质外层的龋病要么未改变,要么恢复到健康水平。釉质内表面的龋病也未改变。
MI™和高露洁®PreviDent®护齿剂均可使非龋性早期病变再矿化。尽管如此,三组之间的影像学结果并无显著差异。对于在X线片上可见的较晚期早期龋情况,可能推荐使用MI护齿剂™。
Helal N, Azzahrani GS, Azzouz LZ.MI护齿剂和PreviDent护齿剂对非龋性邻面病变的有效性:一项随机临床试验。《国际临床儿科牙科学杂志》2023;16(5):751 - 757。