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Abstract Background: Great efforts have been undertaken for dental caries prevention. Among the recent remineralizing materials, Nano silver fluoride varnish products which are based on nanotechnology have been proposed for “repairing” enamel . Regenerative medicine-based approaches for caries treatment focus on biomimetic remineralization of initial carious lesions as a minimal invasive therapy using Self-Assembling Peptide P11-4 (Curodont Repair) which enhances remineralization of white spot lesions. Purpose of the Study: The aim of this study is to compare clinically and microbiologically the therapeutic effect of Self Assembling Peptide P11-4 (Curodont Repair), nano silver fluoride varnish and 5% fluoride varnish (Duraflor) on remineralization of enamel White Spot Lesions in permanent teeth of adults. Sample: The study will be a randomized controlled double-blinded study conducted on participants aged 10 to 24 years satisfying the inclusion criteria with visible active white spot lesions on buccal surfaces of permanent teeth. Sixty six patients will be randomly allocated into 3 groups of the three materials: study group 1: one application of Curodont Repair, study group 2: one application of Nano-silver fluoride varnish and Control group twice application of Fluoride Varnish (Duraflor). Methods: White spot lesions will be assessed at baseline according to International Caries Detection and Assessment System- Lesion Activity Assessment (ICDAS-LAA) and saliva samples will be collected to assess salivary Streptococcus Mutans and Lactobacillus count. The materials will be applied in compliance with the manufacturers’ instructions. The participants will be followed up at 3, 6 and 12 months for Visio tactile assessment and DIAGNOdent measurements. Microbiological analysis will be done at one, 3 and 6 months follow up. Key words: White spot lesions, nano-silver fluoride varnish, self-assembling peptide, curodont repair, duraflor fluoride varnish. |