A. M. El-Marhomy , Thuraia M. Genaid Wedad M. Ethman And Tahany Mahmoud Hamdy .,

ABSTRACT


Aim: One-year Clinical Evaluation Of Different Non-invasive Management Of Initial Occlusal Carious Lesions.

Materials and Methods: Ten Patients With Four Initial Occlusal Carious Lesions Were Selected And Examined With DIAGNOcam And ICDAS Visual Criteria To Select Teeth Having ICDAS Code 1 And Code 2. Forty Lesions Were Divided Into Four Groups According To The Material Used For Treatment Were (group I: Icon?, Group II: FissealTM, Group III: Duraphat, Group IV: Left Without Treatment). The Teeth Were Subjected To Clinical Follow Up Schedule Representing Three Follow Up Periods (baseline, After 6 And 12 Months) During Which The Efficacy Of Tested Materials To Arrest Caries Progression Was Assessed Radiographically Through The Subtraction Of Pixel Grey Value Measurements. 1st Subtraction, Subtracting The Baseline Values From Those After 6 Months, 2nd Subtraction, Subtracting Values Of 6 From Those After 12 Months. The 3rd Subtraction, Subtracting The Baseline Values From Those After 12 Months.

Results: All The Tested Groups Showed Different Degree Of Continuous Lesion Progression With No Significant Difference In Group I, II And III. While, Group VI Recorded A Significant Difference With No Difference Between Its 1st Subtraction And 2nd Subtraction. However, There Was A High Significant Difference Between Its 3rd Subtraction Versus Both The 1st And 2nd Subtraction. The Effect Of All The Tested Groups On Caries Progression Showed A High Statistically Significant Difference At Each Evaluation Period With No Significant Difference Between Group I And Group II While Both Groups Were Significantly Different From Group III. However, Group IV Recorded A High Significant Difference From Groups I, II And III.

Conclusions: ICON?, FissealTM And Duraphat Were Effective To Hamper The Caries Progression Of Initial Occlusal Carious Lesions. The Initial Occlusal Carious Lesion Progressed Significantly In The Untreated Lesions Indicating That The Treatment Is Essential.