Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances

Derks, A; Katsaros, C; Frencken, J.E.F.M.; Hof, MA van't; Kuijpers-Jagtman, Anne Marie

doi:10.1308/1355761052894211

Cited by 22 publications

(39 citation statements)

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“…However, regarding the literature, many preventive strategies have been developed to optimize oral hygiene during treatment. But study protocols are at high risk of bias: problems with randomization, maintenance of blindness, and short-term follow-up [16,17]. Furthermore, most of the publications relating to this subject do not focus on the educational methods to be employed but rather on the equipment and prophylactic measures provided by the orthodontist.…”

Section: Discussionmentioning

confidence: 99%

“…Regarding the literature, many preventive strategies have been developed to optimize oral hygiene during treatment. Unfortunately, study protocols are at high risk of bias: problems with randomization, maintenance of blindness, and short-term follow-up [16,17]. It is therefore difficult to draw evidence-based conclusions and to translate them into everyday practice.…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

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Auditory Versus Visual vs Kinesthetic Learning Hygiene Education in Adolescents with Orthodontic Braces: A Randomized Controlled Trial. Trial Acronyme: MAHO.

Fouler

Jeanne

Sorel

et al. 2021

Preprint

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1.1 BackgroundFixed orthodontics appliances hamper oral hygiene procedures. The consequences are gingivitis and white spot lesions. 50 to 70% of patients treated with braces encounter these problems. Their care in the USA represents an annual cost of five hundred million dollars. Initial education and motivation for oral hygiene depend on two categories of factors. First, practical prophylactic measures (instruments and medication, professional care). Secondly, the educational component: choice of communication technique, frequency and nature of hygiene instructions. This trial aims to study this last component. Its main objective is to compare three method's effectiveness of oral hygiene education in adolescent patients treated with braces in terms of biofilm (plaque) control. The secondary objectives are the evaluation of these methods’ effectiveness regarding gingival inflammation and the maintenance of hygiene during the first six months of treatment.1.2 MethodsThis study is a prospective randomized controlled trial of superiority. It evaluates the effectiveness of three hygiene education techniques. A total of 90 patients from the University Hospital Center of Rennes will be randomized into 3 parallel groups with a 1:1:1 ratio. Each will benefit from a different educational method: oral and / or practical. The main outcome will be the average plaque index for each group after 6 months of treatment. Additional outcomes will be the average gingival index for each group and the plaque and gingival indeces over 6 months.1.3 DiscussionThe effectiveness of preventive procedures for optimizing oral hygiene during orthodontics is based on ambiguous literature. As a result, it is difficult to draw conclusions and to translate them into everyday practice. 68% of the orthodontists support the development of guidelines for education. The aim of this study is to standardize methods of oral hygiene education during orthodontic fixed treatment. The purpose of this study would be to provide practitioners with a concrete education program through guidelines dedicated to the method having the best results.1.4 Trial registrationThis trial is registered with the ClinicalTrial.gov under number NCT04444154, registration date 06/22/2020. It is also regristered in SI CNRIPH with ID 8011N° 20.04.27.58337.

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Section: Discussionmentioning

confidence: 99%

Section: Background and Rationale {6a}mentioning

confidence: 99%

Auditory Versus Visual vs Kinesthetic Learning Hygiene Education in Adolescents with Orthodontic Braces: A Randomized Controlled Trial. Trial Acronyme: MAHO.

Fouler

Jeanne

Sorel

et al. 2021

Preprint

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“…Duraphat® 5000ppm toothpaste (Colgate, USA) with sodium fluoride was effective in caries prevention [10]. Pinto et al [11] examined the influence of this high fluoride toothpaste and arginine-carbonate toothpaste applications on dentinal tubules exposure followed by an acid challenge.…”

Section: Conventional Fluoridesmentioning

confidence: 99%

Agents Used for Enamel Remineralisation and Reducing Dentin Hypersensitivity: A Comprehensive Review

Yanko

2020

Med. and Ecol. probl.

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ремінералізація, гіперчутливість, десенситизація, емаль, дентинRemineralisation agents not only strengthen enamel resistance, but also can occlude dentine tubules, reducing teeth sensitivity. This article provides an overview of various available agents used for enamel remineralisation and dentin hypersensitivity treatment. Conventional fluorides are used in the form of solutions, varnishes, foam, gels, dentifrices, showing low remineralising and desensitising ability as compared to newer fluoride-content products. Deep fluoridation is an effective method for reducing dentin hypersensitivity for a long time; its remineralising potential is used for white spot lesions treatment, caries prevention, and fissure sealing. Most novel fluoride compounds showed higher remineralising and desensitising abilities as compared to conventional fluorides. Deep penetration fluoridation is an effective method for remineralisation and reducing dentin hypersensitivity in long time. Despite of the fact that calcium phosphate systems have demonstrated a benefit over conventional fluorides in remineralisation their desensitising ability was not confirmed by various studies. The use of bioactive glass in remineralisation and desensitisation is quite promising, but further researches need to be undertaken to prove its efficacy. «Curodont» and synthetic nanohydroxyapatite from biomimetic systems showed good results in the above-mentioned treatments, but more researches are required to confirm their clinical efficacy. There is no doubt that iontophoresis with calcium and fluoride substances is still the most effective method in the office remineralisation, however, its potential effect in desensitisation has to be better evaluated. Efficacy of different kinds of lasers alone or in combination with a remineralisation agent has been confirmed mostly in vitro studies, therefore, there is a lack of clinical trials to prove their benefit. In latter studies, dentin sealants and desensitisers occluded dentin tubules were superior to conventional fluorides and synthetic nanohydroxyapatites. Simultaneously, the data about calcium phosphate and deep penetration fluoridation efficacy over such desensitisers as dentin sealants and nerve sensitivity inhibitors are controversial and indicate that additional studies are required to deepen our knowledge of the insufficiently explored area of reducing dentin hypesensitivity. In spite of the new advances, the ideal treatment modality for remineralisation does not exist. Within last decades, dentistry has made significant steps towards the elusive goal of enamel remineralisation and dentin desensitisation, but more long-term сlinical controlled studies are needed to confirm and quantify these findings, as well as to identify additional factors that can potentiate these processes.

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“…Enamel demineralization of surfaces adjacent to or under orthodontic appliances is a common complication of fixed orthodontic treatment. 1 The majority of orthodontic patients have at least one mild white spot lesion (WLS) on their teeth. 2 A previous study reported that 38% and 46% of patients who received fixed orthodontic treatment for 6 months and one year, respectively, had mild to severe WLSs.…”

Section: Introductionmentioning

confidence: 99%

“…2 A previous study reported that 38% and 46% of patients who received fixed orthodontic treatment for 6 months and one year, respectively, had mild to severe WLSs. 1,2 Microbial biofilm accumulation around orthodontic brackets and composite is a common finding. 3 The surface properties of composite enhance plaque accumulation as well.…”

Section: Introductionmentioning

confidence: 99%

Antibacterial Effects of Orthodontic Primer Harboring Chitosan Nanoparticles against the Multispecies Biofilm of Cariogenic Bacteria in a Rat Model

Nader

Ahmad

Akhavan

et al. 2020

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Introduction: Microbial biofilm accumulation around orthodontic brackets and composite is a common complication of fixed orth-odontic treatment. This study assessed the antibacterial effects of orthodontic primer containing chitosan nanoparticles (CNPs) against the multispecies biofilm of cariogenic bacteria in а rat model. Materials and methods: Transbond XT orthodontic primer containing 0%, 1%, 5%, and 10% CNPs was experimentally prepared. The Wistar rats were randomly divided into four groups (n=7) of control (0% CNPs), 1%, 5% and 10% CNPs. The oral cavities of the rats were infected with cariogenic bacteria. After anesthetizing the rats, 1 drop (10 µL) of primer with different concentrations of CNPs was applied to their central incisor and light-cured for 20 seconds. Transbond XT orthodontic adhesive (2 × 2 mm) was applied on the primer. Another drop (10 µL) of primer was applied and light-cured for 40 seconds. The number of Streptococcus mutans, Streptococcus sanguinis, and Lactobacillus acidophilus colonies in the saliva of rats was quantified at 24 hours, 4 days and 7 days.  Results: Adding 1% (p=0.005), 5% (p<0.001) and 10% (p<0.001) of CNPs to orthodontic primer significantly reduced the S. mutans colony count at 24 hours compared with the control group. At 24 hours, the mean S. sanguinis colony counts in the 5% (p=0.04) and 10% (p=0.02) CNP groups were significantly lower than that in the control group. Also, at 4 and 7 days, the mean colony counts in the 5% and 10% CNP groups were significantly lower than that in the control group (p<0.05). At 24 hours and 4 days, the mean L. acidophilus colony count in the 10% CNP group was significantly lower than that in the control group (p<0.05). At 7 days, rats with failed adhesive showed a significantly higher count of all three bacteria compared with rats with adhesive (p<0.05). Conclusions: The addition of 5% CNPs to orthodontic primer significantly decreased the colony count of cariogenic bacteria in rats.

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Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances

Cited by 22 publications

References 0 publications

Auditory Versus Visual vs Kinesthetic Learning Hygiene Education in Adolescents with Orthodontic Braces: A Randomized Controlled Trial. Trial Acronyme: MAHO.

Auditory Versus Visual vs Kinesthetic Learning Hygiene Education in Adolescents with Orthodontic Braces: A Randomized Controlled Trial. Trial Acronyme: MAHO.

Agents Used for Enamel Remineralisation and Reducing Dentin Hypersensitivity: A Comprehensive Review

Antibacterial Effects of Orthodontic Primer Harboring Chitosan Nanoparticles against the Multispecies Biofilm of Cariogenic Bacteria in a Rat Model

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