Clinical evaluation of white spot lesions treated by surface pre-reacted glass filler coating material in comparison with Icon resin infiltration by laser fluorescence. (A randomized controlled trial)

Abstract

Abstract Objective: White spots become one of the initial signs of dental caries. Resin infiltration and remineralization was used to prevent WSLs cavitation. Deposition of minerals depends on the equilibrium between demineralization and remineralization which may happen as a natural repair mechanism. The aim of this study is to compare the effect of PRG Barrier Coat coating material (PRG) against the resin infiltration ICON material in improving the caries lesion state of the WSLs along 1 year. Clinical Considerations: the efficacy of fluoroboro-aluminosilicate Glass surface coating S-PRG fillers and ICON resin infiltration in the ability to improve the aesthetic appearance (masking) and caries lesion state of the WSLs immediately, after 3 months, after 6 months, and after 1 year among adult patients. Laser fluorescence was used to compare the two materials to evaluate the caries progression. PRG Barrier Coat group showed immediate significant improvement in LF scores in demineralization progress and inhibition of caries progression with a significant improved effect. Conclusions: Resin infiltration ICON is more clinical successful treatment for demineralized WSLs. PRG Barrier Coat is useful for short time as control of caries progression and prevention protocol not for treatment of WSLs. Clinical Significance:S-PRG Barrier Coat was clinically successful strategy in inhibition of caries and improve remineralization.