List of Publications by Department for the Academic Year The Effectiveness of Self-Assembling Peptide P11-4 Compared to Fluoride Varnish in Remineralization of White Spot Lesions – Clinical Randomized Trial
Abstract
Background: Fluoride varnish with therapeutic tricalcium phosphate formulas(TCPF) such as
Clinpro varnish has shown the greater tendency in treating white spot lesions (WSLs) by
inhibiting the progression of initial enamel lesions through the mineral exchange. While the
Self-Assembling Peptide SAP11-4 works on a different scale in treating WSLs by mimicking
the enamel matrix and aiming to guided enamel regeneration.
Aim: To compare quantitatively the effectiveness of the SAP11-4 (Curodont Repair, Credentis)
versus TCPF (Clinpro varnish 3M ESPE) in remineralization of WSLs in young permanent
teeth.
Materials and methods: Nine healthy patients were enrolled in this study. The trial was
performed on 40 young permanent teeth in the initial demineralization stage. Teeth were
randomly assigned to receive either TCPF (Group A) or SAP11-4 (group B). Lesions were
assessed at pretreatment, 3 and 6 months post treatment quantitatively by laser fluorescence
DIAGNOdent pen.
Results: The results revealed a significant increase in remineralization of WSLs in both groups
and over time intervals. However, the WSL recovery was significantly better in the selfassembling
peptide group, reflecting an excellent remineralization potential of the white spot
lesions by the SAP11-4 compared to TCPF varnish.
Conclusion: Both TCPF and SAP11-4 were effective in treating WSLs. However, the success
of guided enamel regeneration by the SAP11-4 through the biomineralization has proven
superiority of this material compared to TCPF.
Clinical significance: Early detection of WSLs and minimal intervention through
remineralising agents can limit unnecessary tissue loss, further caries progression and
consequently prevent further harm to the patients.
Keywords: White spot lesion, self-assembling peptide, tricalcium phosphate fluoride varnish,
enamel regeneration, remineralization.
Author(s)
Riham Mohamad Kobeissi
Coauthor(s)
Prof. Essam Osman and Assoc. Prof. Sherine Badr