Objectives: To systematically review the effectiveness of 5% sodium fluoride varnish (FV) in the treatment of orthodontically-induced white spot lesions (WSLs). Methods: A literature search of three independent databases (Medline, Cochrane Library and Web of Science) was performed from inception to November 2020. This systematic review included randomised/quasi-randomised clinical trials (RCTs) that used FV for patients who had at least one WSL as a result of fixed orthodontic treatment. Exclusion criteria were split-mouth study designs or studies that failed to report WSLs as the outcome variable or studies with less than 3 months follow-up. An Inverse-Variance fixed-effect method was performed for continuous variables. Changes in the mean difference (MD) for the DIAGNOdent (DD) scores following FV application were calculated at the 95% confidence interval (CI). Results: Three of the four included studies showed significant improvement in the remineralisation of WSL after treatment with FV in comparison to control subjects. Three studies were conducted on patients after fixed orthodontic treatment and one study was conducted during treatment. The studies included a total of 284 participants with the majority in the age range of 10 to 25 years. The distribution of the participants was approximately equal in the FV and control group. When compared with the control group, there was a statistically significant reduction in the mean DD readings for the FV group at the 3-month (MD= -3.43; 95% CI: -4.72 to -2.15; p < 0.001) and at the 6-month (MD = -4.47; 95% CI: -4.72 to -2.15; p < 0.001) follow-up visit. Conclusions: Although few studies have shown the effectiveness of FV application in the treatment of orthodontically-induced WSLs, the limited number of robust clinical trials, makes it difficult to draw a definitive conclusion.
The purpose of this study was to evaluate the bibliometric qualities and global trend among all publications on laser intervention in dentinal hypersensitivity. Methodology: A bibliometric search was conducted in the PubMed database from year 1980 to 2021. Collected data has been classified into two categories, were labeled using the competition's standard classification (SCR). The VOS viewer technique was used to establish systematic sceneries and assets on citation frequency, countries, journals, authors, and other information. Result: The geographical distribution of publications included 6 countries/regions and majority of authors were belongs to Brazil (4 articles) , followed by Turkey (2 articles), Europe (2 articles) and Sudan 1 article. Total of 44 authors contributed in 8 selected articles, maximum number of authors contribution was found in study done by Mayra de la Caridad Pérez et.al, followed by T.C.C.G.P. Ladalardo et al. Conclusion: There is a lack of interventional studies, including cohort studies and randomized controlled trials, it is necessary to include the laser and dentinal hypersensitivity population in high impact oral health investigations globally.
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