Rawda Hesham*, Mona Riad, Yomna Hussin
Objective: This study was conducted to assess the effect of preventive regimens using herbal in comparison fluoride toothpastes on remineralization of initial carious lesions in high risk patients.
Materials and methods: Two parallel armed group, randomized, controlled trial was conducted on 32 participants with high caries risk, having initial carious lesions at their smooth surfaces. Participants were randomly allocated into two groups, 16 participants each. Assessment of remineralization of initial lesions were evaluated by diagnodent, visual examination of initial lesions was evaluated by International Caries Detection and Assessment System (ICDAS) scoring system.
Results: Assessment using diagnodent there was no statistically difference throughout the follow-up phases; baseline and 1 week (P=0.6669), while at 3 months’ intergroup comparison revealed statistically difference between herbal and fluoride toothpaste (P=0.0155), intergroup comparison within Himalaya or Colgate have proven that there is a statistically difference between the various follow-up times (P<0.0001). Regarding ICDAs, there was no statistical difference (P=0.1506 and P=0.7273), intragroup comparison within Himalaya have shown statistically difference between different periods (P=0.0159*). Within Colgate, intragroup comparisons revealed no significant differences between different periods (P=0.1506).
Conclusion: Preventive regimens containing different toothpastes are positively influencing remineralization potential of initial lesions in high caries risk patients, while herbal toothpaste was superior along three months follow up. Different regimens didn’t produce significant effect in altering visual appearance of initial lesions.