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dc.contributor.advisorJefferies, Steven R.
dc.creatorPodray, Susan
dc.date.accessioned2020-11-02T14:46:41Z
dc.date.available2020-11-02T14:46:41Z
dc.date.issued2012
dc.identifier.other864885427
dc.identifier.urihttp://hdl.handle.net/20.500.12613/2166
dc.description.abstractWhite Spot lesions are a common iatrogenic occurrence on patients who are treated with fixed orthodontic appliances. There is a dynamic chemical interaction between enamel and saliva at the tooth surface that allow a lesion to have phase changes involving demineralization of enamel and remineralization. This is due to calcium and phosphate dissolved in saliva that is deposited onto the tooth surface or removed depending on the surrounding pH. Caseinphosphopeptide-amorphous calcium phosphate (CPP-ACP) is gaining popularity in dentistry as a way to increase the available level of calcium and phosphate in plaque and saliva to improve the chemical gradient so that if favors remineralization. The aim of our investigation is to search the available current literature and formulate a recommendation for use of CPP-ACP in orthodontics. Publications from the following electronic databases were searched: PubMed, Web of Science, Cochrane Library and Science Direct. Searches from August 2010 to April 1st 2012 were performed under the terms "MI Paste OR Recaldent OR caseinphosphopeptide-amorphous calcium phosphate OR CPP-ACP or tooth mousse". The searches yielded 155 articles, These were reviewed for relevance based on inclusion and exclusion criteria. Articles with inappropriate study design or no outcome measures at both baseline and end point were also excluded. 13 articles were deemed of relevance with a high quality study design and were included in this study for evaluation. The current literature suggests a preventative treatment regimen in which MI Paste Plus is used. It should be delivered once daily prior to bed after oral hygiene for 3 minutes in a fluoride tray, throughout orthodontic treatment. It should be recommended for high risk patients determined by poor oral hygiene, as seen by the inability to remove plaque from teeth and appliances. This protocol may prevent or assist in the remineralization of enamel white spot lesions during and after orthodontic treatment.
dc.format.extent55 pages
dc.language.isoeng
dc.publisherTemple University. Libraries
dc.relation.ispartofTheses and Dissertations
dc.rightsIN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/
dc.subjectDentistry
dc.subjectNanotechnology
dc.subjectBiochemistry
dc.subjectCpp-acp
dc.subjectMi Paste
dc.subjectOrthodontic
dc.subjectRecaldent
dc.subjectTooth Mousse
dc.subjectWhite Spot Lesion
dc.titleCurrent Technology and Techniques in Re-mineralization of White Spot Lesions: A Systematic Review
dc.typeText
dc.type.genreThesis/Dissertation
dc.contributor.committeememberSciote, James J.
dc.contributor.committeememberGodel, Jeffrey H.
dc.description.departmentOral Biology
dc.relation.doihttp://dx.doi.org/10.34944/dspace/2148
dc.ada.noteFor Americans with Disabilities Act (ADA) accommodation, including help with reading this content, please contact scholarshare@temple.edu
dc.description.degreeM.S.
refterms.dateFOA2020-11-02T14:46:41Z


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