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Dynamics of some parameters of macula cariosa alba treated with fluoride gel
1Department of Pediatric Dentistry, Faculty of Dentistry, Higher Medical Institute, Plovdiv, Bulgaria.
Aim:
The purpose of this study was to follow up the changes of the level of demineralization and the area of white spots during treatment with 0.42% fluoride gel.
Methods:
182 white spots in 27 children (aged 7 to 16) were followed. Two groups were formed - a control group (70 spots) and an experimental group (112 spots). The level of demineralization was assessed by a colour test using 2% methylene blue. Area changes were measured in square millimetres. The initial area was taken to represent 100%. Four applications at 1-week intervals were made. Changes were assessed at the end of months 1, 2, 6, and 12.
Results:
The colour test showed a decrease in the respective values during the study. The decrease was greater in the experimental group reaching statistically significant difference after the 1st month. There was a slight decrease in the average area of the spots in the control group. At the end of the study the area was reduced to 92.01% of the initial area. The average area in the experimental group at the end of the study was 28.16% of that at baseline.
Conclusion:
These results show the high efficaciousness of the treatment of incipient caries with 0.42% fluoride gel.

