Remineralization of Early Carious Lesion Using Natural Agents Versus Bioadhesive Polymers

Inclusion criteria

• 1. Criteria related to patient:

• Age's eligible for trial was 18- 30 years.
• Patient able to read and sign the informed consent form.
• Cooperative patient who are willing to participate and able to continue the schedule time of wok keep good oral hygiene throughout the study.
• Healthy volunteers.
• Patient with moderate and high caries index. 2. Criteria related to tooth:
• Patient with at least 2 white lesions (WSL) detected clinically on the buccal surface of permanent anterior teeth, one on each side. WSL selected either due to caries or orthodontic treatment (just following deboning).
• Teeth with score1, 2, 3 according to ICDAS II.
• Absence of preoperative pain, no mobility & tenderness on percussion.
• Radiographically, the pre-operative inclusion criteria were absence of internal or external resorption, no periapical radiolucencies and no widening of periodontal ligament space..

Exclusion criteria

• 1. Criteria related to patient:

• Patient with Rampant uncontrolled caries.
• Patient with compromised medical history.
• Pregnant or breast feeding females.
• Heavy smoker.
• Patient who currently received extensive fluoride regiments for treatment of WSL.
• Patients who planned to move within 3 months of enrollment.
• Patient with evidence of xerostomia. 2. Criteria related to tooth:
• Teeth with score 4, 5 according to ICDAS II.
• Teeth with periapical pathology, internal or external resorption or exhibiting any symptoms of pulp pathology.
• Teeth with questionable vitality or have root canal therapy.
• Teeth have been pulp capped.
• Teeth with periodontal pocket and bleeding on probing.
• Cracked teeth.