This study is a randomized controlled trial involving 127 children ages between 4 and 5 years to investigate the efficacy of Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) in reducing Streptococcus mutans (S. mutans) bacteria, and compare that with fluoride alone, or combined use of fluoride and CPP-ACP over a 6 month period using Saliva Check Mutans kits to detect Mutans Streptococci (MS). It is expected that all used anti-cariogenic agents will have the ability to reduce the S. mutans level in different values.
Aim: The aim of this study is to investigate the efficacy of CPP-ACP in reducing S. mutans, and compare that with fluoride alone, or combined use of fluoride and CPP-ACP. Materials and methods: This study is a randomized controlled trial involving 127 children ages between 4 and 5 years. They will be examined and chosen randomly for the study. One hundred and twenty seven children will be divided equally into three groups: Group 1 will use CPP-ACP twice daily, Group 2 will apply fluoride toothpaste twice daily, Group 3 will apply fluoridated toothpaste and CPP-ACP twice daily. Oral swabs will be collected from children to measure S. mutans levels in terms of Colony forming units (CFU) using Saliva Check Mutans kits (GC© , Asia) for this purpose. Samples will be analyzed for S. mutans colonization before antibacterial agent application (baseline) and at 3, and 6 month intervals. Expected results: it is expected that all used anti-cariogenic agents will have the ability to reduce the S. mutans levels in different levels.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
127
Children will brush their teeth with CPP-ACP paste twice daily.
Children will brush their teeth with fluoridated toothpaste twice daily.
Children will brush their teeth with fluoridated toothpaste and apply CPP-ACP immediately after tooth brushing, twice daily.
Jordan University of Science and Technology
Irbid, Jordan
Changes in Streptococcus mutans levels (Colony Forming Units/CFU) using Saliva Check Mutans kits ( GC, Asia)
Changes in Streptococcus mutans after use of CPP-ACP, Fluoride or both Saliva Check Mutans kits ( GC, Asia)
Time frame: 3 and 6 months
Changes in caries using the decayed, missing due to caries, filled, deciduous teeth (dmft index)
Changes in dmft after use of CPP-ACP, Fluoride or both agents over 3 and 6 months.
Time frame: 3 and 6 months
Changes in caries using the decayed, missing due to caries, filled, deciduous tooth surfaces (dmfs) index
Changes in dmfs after use of CPP-ACP, Fluoride or both agents over 3 and 6 months.
Time frame: 3 and 6 months
Changes in caries using the International Caries Detection and Assessment System (ICDAS) scores
Changes in ICDAS scores over 3 and 6 months.
Time frame: 3 and 6 months
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