The aim of the study is to compare the incidence of dental caries and the level of demineralization in pediatric patients with asthma and/or allergic rhinitis. Patients will conduct professional oral hygiene at the baseline. The following clinical indexes will be assessed: BEWE Index, Plaque Index, Bleeding Score, Schiff Air Index. Then, patients will be randomly divided into two groups: * Trial group: domiciliary use of Biorepair Total Protection Plus + desensitizing enamel-repair shock treatment twice a day * Control group: domiciliary use of Elmex Caries Protection twice a day The clinical indexes will be assessed again after 1 month (T1), after 3 (T2) and 6 months (T3).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
40
Domiciliary use twice a day
Domiciliary use twice a day
Unit of Dental Hygiene - Section of Dentistry - Department of Clinical, Surgical, Diagnostic and Paediatrics - University of Pavia
Pavia, Lombardy, Italy
Change of the BEWE Index - Basic Erosive Wear Examination (Barlet et al.2008)
Scoring criteria: 0 = no erosive tooth wear; 1. = initial loss of surface texture; 2. = distinct defect, hard tissue loss \< 50% of the surface area; 3. = hard tissue loss ≥ 50% of the surface area. The BEWE will be assessed with Intact Tooth application
Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)
Change in Shiff Air Index - Dental sensitivity test
Scoring criteria: 0 = the subject did not respond to air blasting; 1. = the subject responded to air blasting; 2. = the subject responded to air blasting and requested discontinuation; 3. = the subject responded to air blasting, requested discontinuation and considered the stimulus to be painful.
Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)
Change in BoP - Bleeding on Probing
Scoring criteria: Percentage of bleeding sites (mesial, distal, vestibular, lingual) of each teeth on the total available sites.
Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)
Change in PI - Plaque Index (Silness and Löe, 1964)
Scoring criteria: 0 = no plaque; 1. = thin plaque layer at the gingival margin, only detectable by scraping with a probe; 2. = moderate layer of plaque along the gingival margin; interdental spaces free, but plaque is visible to the naked eye; 3. = abundant plaque along the gingival margin; interdental spaces filled with plaque.
Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)
Change in salivary pH
Use of Just Fitter strips to assess salivary pH.
Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)
Change in SI - Susceptibility Index
Scoring criteria: * mild: 6.7\< pH \<7.8, BEWE 0-1, SAI 0-1 * moderate: 6.0 \<pH \<6.6, BEWE 1-2, SAI 1-2 * severe: pH \<6.6, BEWE 2-3, SAI 2-3
Time frame: Baseline (T0), 1 month (T1), 3 months (T2), 6 months (T3)
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