Evaluation of caries risk reduction following preventive programs in orthodontic patients, using Cariogram computer model: A quasi-experimental trial

Abstract

Objective: This study evaluated the effectiveness of preventive strategies on caries risk reduction in patients undergoing orthodontic treatment, using the Cariogram program. Methods: In this quasi-experimental study, samples were selected using a convenience quota sampling technique, in a public dental school. At first, caries risk profile was determined for each subject using the Cariogram before brackets bonding. The sample size consisted of 36 patients. The intervention group (n = 18) received preventive programs, and the control group (n = 18) was trained based on the routine oral health education by means of pamphlets. Then, Cariogram parameters were calculated for patients in both groups after six months. Results: The age range of participants was from 12 to 29 years. The mean percentage of the “Actual chance of avoiding new cavities” section in the intervention group increased from 45.72 ± 21.64 to 62.50 ± 17.64. However, the mean percentage of other parameters - such as “Diet”, “Bacteria” and “Susceptibility” - decreased after six months (p< 0.001). Besides, the differences in the mean percentage between intervention and control group at the end of the study period (T1) related to the Cariogram parameters were statistically significant (p< 0.001). Accordingly, the mean percentage of ‘Actual chance of avoiding new cavities’’ parameter in the intervention group (62.50) was statistically higher than in the control group (42.44) (p< 0.001). Conclusion: Implementing different preventive approaches is able to reduce the caries risk in patients undergoing fixed orthodontic treatment, which can be clearly demonstrated using Cariogram program.

Does oral health goal setting during medical visits improve parents' oral health behaviors?

“…Goal‐setting was identified as a major component of the MI approach in most studies included in the meta‐analysis [10, 11]. Although the specific impact of OHGS on ECC was not evaluated in our study, numerous studies have consistently demonstrated an association between optimal OHBs, such as regular brushing and drinking fluoridated water, and their influence on the prevention of caries [12]. Furthermore, a study found that OHGS among adults was predictive of improved oral health‐related quality‐of‐life outcomes [13].…”

Evaluation of Caries Risk Using Cariogram Among Orthodontic Patients Before and During Treatment: A Comparative Study

“…However, alternative research suggests that a minimum duration of six months is preferred for the identification of the outcomes of caries preventive measures. Therefore, the current investigation was carried out for six months, aligning with the investigation completed by Doost-Hoseini et al [ 2 ]. This study confirms that the usage of 1,450 ppm fluoridated toothpaste leads to a lowering of the high caries risk profile, as indicated by the Cariogram pie chart.…”

“…Fixed appliances foster a greater cariogenic burden surrounding orthodontic brackets and bands because they not only enhance the rate of biofilm production but also the number of acid-producing microbes within the biofilm. White spot lesions (WSLs) and demineralization of enamel will eventually occur from the acidogenic bacteria in the dental biofilm if patients are unable to maintain proper oral hygiene during orthodontic therapy [ 2 ]. Fixed appliance therapy has become an essential component of contemporary orthodontics, but it has also been linked with specific negative consequences such as periodontal damage, root resorption, caries, etc.…”

Patologías orales frecuentes en adultos portadores de aparatología ortodóncica fija. Revisión de literatura

“…Por otra parte fue evidente la presencia de caries dental, es así que Alsulaiman et al, examinaron la relación entre el tratamiento de ortodoncia y la presencia de caries dental, los resultados indicaron que las personas que habían recibido tratamiento ortodóntico previamente presentaban una mayor probabilidad de tener caries dental (18). Por lo cual, es importante conocer y aplicar diversas medidas preventivas que minimicen patologías orales presentes durante el tratamiento ortodóncico, es así que Doost-Hoseini et al, señalan que la introducción de medidas preventivas, como la utilización de pasta dental con flúor, enjuague bucal, recursos audiovisuales educativos, y material gráfico podría resultar eficaz en la reducción del riesgo de caries en pacientes que se encuentran bajo tratamiento de ortodoncia fija, estos hallazgos enfatizan la relevancia de la educación en salud bucal y la atención individualizada como componentes clave en el cuidado de la salud oral durante el proceso de ortodoncia (19).…”