Remineralization of Early Carious Lesion Using Natural Agents Versus Bioadhesive Polymers

Study Overview
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Brief Summary
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This study will be conducted to evaluate: The remineralization potential of natural agents (egg shell powder and clove extract) versus bioadhesive polymers (carbopol and carboxymethyl cellulose) with or without PH cycling using microhardness test. The clinical efficacy of all agents in patients with early carious lesions.

Official Title
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Remineralization of Early Carious Lesion Using Natural Agents Versus Bioadhesive Polymers

Conditions
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Dental Caries

Intervention / Treatment
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* Other: Clove water extract
* Other: Carbopol
* Other: Carboxymethyle cellulose


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 1. Criteria related to patient: Age's eligible for trial was 18- 30 years. Patient able to read and sign the informed consent form. Cooperative patient who are willing to participate and able to continue the schedule time of wok keep good oral hygiene throughout the study. Healthy volunteers. Patient with moderate and high caries index. 2. Criteria related to tooth: Patient with at least 2 white lesions (WSL) detected clinically on the buccal surface of permanent anterior teeth, one on each side. WSL selected either due to caries or orthodontic treatment (just following deboning). Teeth with score1, 2, 3 according to ICDAS II. Absence of preoperative pain, no mobility & tenderness on percussion. Radiographically, the pre-operative inclusion criteria were absence of internal or external resorption, no periapical radiolucencies and no widening of periodontal ligament space.. Exclusion Criteria: 1. Criteria related to patient: Patient with Rampant uncontrolled caries. Patient with compromised medical history. Pregnant or breast feeding females. Heavy smoker. Patient who currently received extensive fluoride regiments for treatment of WSL. Patients who planned to move within 3 months of enrollment. Patient with evidence of xerostomia. 2. Criteria related to tooth: Teeth with score 4, 5 according to ICDAS II. Teeth with periapical pathology, internal or external resorption or exhibiting any symptoms of pulp pathology. Teeth with questionable vitality or have root canal therapy. Teeth have been pulp capped. Teeth with periodontal pocket and bleeding on probing. Cracked teeth.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Egg shell powder nanoparticles<br> | Other: Clove water extract<br>* natural product<br>Other: Carbopol<br>* Bioadhesive polymer<br>Other: Carboxymethyle cellulose<br>* Bioadhesive polymer<br>|
| Experimental: Clove water extract<br> | Other: Clove water extract<br>* natural product<br>Other: Carbopol<br>* Bioadhesive polymer<br>Other: Carboxymethyle cellulose<br>* Bioadhesive polymer<br>|
| Experimental: Carbopol<br> | Other: Clove water extract<br>* natural product<br>Other: Carbopol<br>* Bioadhesive polymer<br>Other: Carboxymethyle cellulose<br>* Bioadhesive polymer<br>|
| Experimental: Carboxymethyle cellulose<br> | Other: Clove water extract<br>* natural product<br>Other: Carbopol<br>* Bioadhesive polymer<br>Other: Carboxymethyle cellulose<br>* Bioadhesive polymer<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Remineralization of enamel | Remineralization of enamel using Vista scan | 3 months |