Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment

Benson, Philip; Parkin, Nicola; Dyer, Florence E.; Millett, Declan T; Germain, Peter

doi:10.1002/14651858.cd003809.pub4

Cited by 56 publications

(57 citation statements)

References 69 publications

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“…In summary, we were able to show, by means of the clinical use of cross-sectional OCT imaging, that clinically relevant sealant damages developed in popular surface sealants already 3 months after application. Thereby conforming the results of other clinical studies [7,11,12,[17][18][19]25], we believe that the protective effect against demineralization by orthodontic surface sealants may be limited in time, and further preventive measures should be investigated. Table 3 Scores for sealant integrity loss at 3, 6, 9 and 12 months Clin Oral Invest…”

Section: Discussionsupporting

confidence: 86%

OCT evaluation of orthodontic surface sealants: a 12-month follow-up randomized clinical trial

et al. 2020

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Objectives The aim of this single-center randomized controlled trial (NCT03753256) was to assess orthodontic surface sealant layer thickness and integrity in vivo during a 12-month follow-up by optical coherence tomography (OCT). Materials and methods Using a split-mouth design, quadrants of 20 patients treated with fixed orthodontic appliances were included. Quadrants were randomly assigned to the sealants Pro Seal® (PS) or Opal® Seal™ (OS). OCT scans were performed immediately after the application of the sealants and after 3, 6, 9, and 12 months. Sealant layer thicknesses and their integrity were determined at 5 regions of interest (ROIs) known for high risks of demineralization. Sealant integrity loss was determined using a self-developed scale. Results A total of 16 patients successfully completed the study. The studied sealants showed significant differences in initial layer thickness. Mean layer thickness was significantly lower for PS (67.8 μm, (95% CI, 56.1-79.5)) than for OS (110.7 μm, (95% CI, 97.3-124.1)). Layer thickness loss was significant after 3 months for PS and after 6 months for OS. Sealant integrity was compromised in more than 50% of the ROIs already after 3 months for both sealants. Conclusions Patients treated with fixed orthodontic surface sealants lost the integrity of the protective layer in more than 50% of cases after 3 months, and the layer thickness of the sealants was significantly reduced after 3-6 months. Clinical relevance The protective effect against demineralization lesions of orthodontic sealants in patients treated with fixed appliances appears to be limited in time. Further preventive measures should be investigated. Trial registration ClinicalTrials.gov (NCT 03753256

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Section: Discussionsupporting

confidence: 86%

OCT evaluation of orthodontic surface sealants: a 12-month follow-up randomized clinical trial

et al. 2020

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“…(Marinho et al, 2003) This study showed that 53.1% of the individuals used fluoride containing toothpaste and these patients showed lesser incidence of caries exhibiting lower DMFT scores. (Benson et al, 2019) Increased fluoride use can lead to discoloration of the tooth surface, but there is very less differential complaints and unwanted effects such as soft tissue damage and tooth staining were minimal for the use of fluoride over 1000ppm. (Rasines, 2010) This study shows and exhibits various oral health education techniques with room for improvement.…”

Section: Discussionmentioning

confidence: 99%

Association of Dental Caries Based on Frequency of Tooth Brushing Habit - A Retrospective Study

Vignesh.A¹,

Jessy²,

Jain³

2021

cibg

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Background: Tooth brushing is one of the fundamental self-care behaviors seen in an individual. It is important for one's oral health and its maintenance. Dental caries is an infectious disease that damages tooth structure and causes cavities. Aim: The aim of this study is to evaluate the association of dental caries based on the frequency of tooth brushing in individuals. Materials and method: Data was collected retrospectively from the dental records of patients visiting saveetha dental college. Patient gender, carious tooth, frequency of brushing and toothpaste used was collected by reviewing the case sheets. The obtained data was entered in MS excel spreadsheet and imported to spss for statistical analysis. Chi square test was applied and level of significance was set p<0.05. Result:The results proved that 76.1% of the individuals brushed once daily and 23.9% of the individuals brushed twice a day .The prevalence of usage of fluoride containing toothpaste was 46.8% .There was a significant association between frequency of tooth brushing habit and DMFT score (p<0.05) .Individuals who had brushed twice a day with fluoride containing toothpaste , showed lesser DMFT scores indicating the decreased incidence of dental caries. Conclusion: Within the limits of the study, it can be concluded that individuals with the lesser frequency of brushing habit and using non-fluoridated toothpaste had increased DMFT scores.

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“…However, our finding suggests that the severe cariogenic challenge around orthodontic appliances appears to require more fluoride than that delivered by the low fluoride concentrations in water and by the 1,100-ppm fluoride dentifrice. In fact, it is evidenced that the use of professional methods of topical fluoride application, overcomes the preventive effects of the single-use of self-administrated (fluoride toothpaste) method in patients wearing orthodontic appliances; however, the level of evidence regarding the fluoride professional therapies against ACL is low (18). With this in mind, it must be pointed out that the diffusion and dissolution processes of this salivary ion on the tooth-pellicle-biofilm-saliva interface in individuals who do and who do not develop ACL should be investigated in detail considering the fluoride therapy.…”

Section: Discussionmentioning

confidence: 99%

A high salivary calcium concentration is a protective factor for caries development during orthodontic treatment

et al. 2020

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Background: This research aimed to evaluate the salivary concentrations of fluoride (F -), calcium (Ca 2+ ), and phosphate (Pi) after brackets bonding, and to identify the role of [F -], [Ca 2+ ], and [Pi] on the development of active caries lesion (ACL) in individuals under fixed orthodontic treatment. Material and Methods: A longitudinal investigation with twenty-two individuals from 11 to 22 years of age was performed in four phases (baseline and after 1, 3, and 6 months). Analyses were carried out considering the salivary concentration of [F -], [Ca 2+ ], and [Pi], as well as the caries index. Data were analyzed using the Friedman test, followed by the Wilcoxon test and the multivariate Cox model (p≤0.05). Results: 1 and 3 months after appliance bonding, the [Ca 2+ ] was statistically lower than after 6 months (p<0.0083). On the other hand, salivary [F -] and [Pi] did not show any significant difference during the follow-up. The Cox model demonstrated that the increase of 1 µg/mL in Ca 2+ decreased the risk of ACL development by 27%. In conclusion, the levels of Ca 2+ changed during orthodontic treatment. Conclusions: A high Ca 2+ level in the saliva is a protective factor for ACL development over time.

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Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment

Abstract: Fluorides for preventing early tooth decay (demineralised lesions) during fixed brace treatment.

Cited by 56 publications

References 69 publications

OCT evaluation of orthodontic surface sealants: a 12-month follow-up randomized clinical trial

OCT evaluation of orthodontic surface sealants: a 12-month follow-up randomized clinical trial

Association of Dental Caries Based on Frequency of Tooth Brushing Habit - A Retrospective Study

A high salivary calcium concentration is a protective factor for caries development during orthodontic treatment

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