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Study aim: This study evaluates whether the orthodontic retention phase can be used not only for tooth stabilization but also for treating white spot lesions, comparing green tea extract with CPP‑ACP as a more accessible natural option. Design: A randomized, triple‑blind, parallel‑group, controlled Phase 3 clinical trial conducted on 36 teeth in each intervention group (the study includes two intervention groups). Randomization will be performed using a random numbers table. Settings and conduct: This study will be performed in clinics affiliated with Isfahan University of Medical Sciences, including the TorabiNejad, Ghaedi, and Afzal clinics. Each patient receives two syringes: one contains CPP‑ACP or green tea and one placebo, applied nightly to the reservoir spaces. Lesions are measured with a DIAGNOdent Pen at baseline, 1 month, and 2 months. The study is triple‑blinded (patient, operator, and statistician). Randomizing the distribution of the sample is done using a random number table. Participants/Inclusion and exclusion criteria: Inclusion criteria: Age 15 to 30 years; Presence of at least one white spot lesion with a DIAGNOdent score between 10 and 20 on the corresponding teeth on both sides of one arch. Exclusion criteria: Systemic diseases, Tooth rotation, gingival hyperplasia, and tobacco use. Intervention groups: Intervention group Includes two subgroups of 36 teeth each with white spot lesions (DIAGNOdent 10–20). These teeth are treated with either green tea extract or CPP‑ACP paste. Comparison group Includes two corresponding subgroups of 36 contralateral teeth with the same DIAGNOdent range (10–20). These teeth receive a placebo. Main outcome variables: WSLs remineralization
IRCTID: IRCT20260417069084N1
  1. Comparison of the effect of casein phosphopeptide-amorphous calcium phosphate(CPP-ACP) and Xylitol Chewing gums and probiotic yogurt on streptocuccos mutans and microbial dental plaque
  2. Comparison the effectiveness of Fluoride Varnish and Casein Phosphopeptide Amorphous Calcium Phosphate (CCP-ACP) on remineralization of white spot lesions of primary teeth enamel:An in vivo study
  3. Comparative evaluation of the effects of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and Xylitol-containing chewing gum on salivary flow rate, pH and concentration of calcium and phosphate
  4. A Comparison Study of Effect of Casein Phosphopeptide Amorphous Calcium Phosphate and Flouride Varnish on Dentinal Hypersensitivity
  5. Incidence of White Spot Lesions around Orthodontic Bands on First Permanent Molars after use of Two Glass Ionomer Cements
  6. Effect of toothpaste containing Bioactiveglass in remineralization of white spot lesion during fixed orthodontic treatment: A randomized clinical trial
  7. Treatment of post-orthodontic white spot lesions with 10% xylitol varnish: A randomized Clinical Trial
  8. Investigating the effect of pH changes in orthodontic patients using Casein Phosphopeptide -Amorphous Calcium Phosphate with Fluoride paste
  9. A comparison of white spot lesion prevention of ReminPro, CPP-ACP, MI Paste Plus and fluoride varnish in fixed orthodontic patients
  10. The effect of two typs of chewing gum containing casein phosphopeptide-amorphous calcium phosphate and xylitol on amounts of streptococcus mutans.
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