Changes in the appearance and form of the spots of macula cariosa alba in treatment with fluoride gel

Abstract

Aim: The aim of this study was to establish the changes in the appearance of the surface and in the form of the carious spots in the treatment of acute initial caries with fluoride gel.

Material and methods: Clinical observation on 182 white carious spots in 27 children from 7 to 16 years of age was conducted for a period of 12 months. Two groups were formed--experimental (112 spots) and control (70 spots). The treatment of the white spot lesions in the experimental group consists of 4 fluoride gel applications at an interval of 1 weeks. The evaluation of the spots is performed at the beginning of the study and at the end of the 1st, 2nd, 6th and 12th month.

Results: The obtained results show that changes in the appearance of surface and form of the spots are observed in the period of the clinical study in both groups. The changes of the values of the percentages of spots with different form and appearance of the surface show that in the control group arrest of the progress of macula cariosa alba is achieved, while in the experimental group--regress and disappearance of the spots.

Conclusion: The treatment of acute initial caries with 0.42% fluoride gel leads to changes in the appearance of the surface and form of the carious spot which manifests the regress and recovery of the spot.