This study will be performed in two parts, in vivo and in vitro to assess the effect of the remineralization potential of self-assembling peptide P11-4 containing Fluoride on caries-affected dentin compared to untreated caries-affected dentin and the influence of Er, Cr: YSGG Laser treatment.
The present study will be performed to evaluate the remineralization potential of the self-assembling peptide P11-4 combined with fluoride treatment applied over demineralized dentin in occlusal carious molars. * Research objectives: To assess the effect of the two treatment modalities to enhance remineralization of demineralized dentin and clinical performance of restorations. * Research question: Will pretreatment of caries affected dentin using self-assembling peptide P11-4 containing fluoride compared to untreated caries-affected dentin will enhance the remineralization and clinical performance of composite restorations In Vitro Study 1- The present study will be performed to evaluate the remineralization potential of the self-assembling peptide P11-4 combined with fluoride and its effect on bond strength and analyze morphological changes over demineralized dentin in occlusal carious molars using Scanning Electron Microscopy (SEM). * Research Objectives: To evaluate the effect of Curodont Repair Fluoride Plus and Er,Cr:YSGG laser pretreatment on the bond strength of composite resin to superficial and deep dentin. * Research question: Will pretreatment of caries affected dentin using self-assembling peptide P11-4 containing fluoride compared to untreated caries-affected dentin will enhance bond strength?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
21
Pretreatment with Curodont Repair Fluoride Plus (P11-4 + fluoride)
Application of Giomer restorative material following standard adhesive procedures without pretreatment.
Marginal integrity of restorations
Assessed using mirror and probe according to Modified USPHS Criteria
Time frame: 6 months and 12 months
Clinical longevity of restorations
Assessed by restoration retention using mirror and probe
Time frame: 6 and 12 months
Overall clinical performance of restorations
Evaluated using Modified USPHS Criteria
Time frame: 6 and 12 months
Postoperative hypersensitivity
Evaluated using cold spray test
Time frame: 6 and 12 months
Marginal discoloration
Assessed using digital photographic method
Time frame: 6 and 12 months
Recurrent caries
Detected using digital photographic method
Time frame: 6 and 12 months
Surface roughness
Evaluated using digital photographic method
Time frame: 6 and 12 months
Surface luster
Assessed using digital photographic method
Time frame: 6 and 12 months
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