Orthodontic treatment with fixed appliances and biofilm formation—a potential public health threat?

Ren, Yijin; Jongsma, Marije A.; Li, Mei; Mei, Henny C. van der; Busscher, Henk J.

doi:10.1007/s00784-014-1240-3

Cited by 150 publications

(145 citation statements)

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“…5 In orthodontic patients, the number of locations out of reach of mechanical removal is even higher, making orthodontic patients more prone to oral pathologies than non-orthodontic patients. 6 The use of antibacterial containing toothpastes or mouthrinses can be a valuable addendum to mechanical biofilm control in order to reduce the viability of biofilm left-behind after brushing. 1 However, the general structure and composition of oral biofilm hampers penetration of oral antibacterials through the depth of an entire biofilm.…”

Section: Introductionmentioning

confidence: 99%

Synergy of brushing mode and antibacterial use on in vivo biofilm formation

Jongsma

Lagemaat

Busscher

et al. 2015

Journal of Dentistry

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Section: Introductionmentioning

confidence: 99%

Synergy of brushing mode and antibacterial use on in vivo biofilm formation

Jongsma

Lagemaat

Busscher

et al. 2015

Journal of Dentistry

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“…Therefore the prevalence of plaque-induced diseases could be increased, and these orthodontic patients are potentially at a higher risk of developing decalcification and gingivitis [Zachrisson and Zachrisson, 1971;O'Reilly and Feathersone, 1987;Ren et al, 2014]. Improper oral hygiene may lead to an increasing level of Streptococcus mutans and lactobacilli (LB) [Scheie et al, 1984;Lundström and Krasse, 1987a, b;Huser et al, 1990].…”

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Microbiological Changes and Caries-Preventive Effect of an Innovative Varnish Containing Chlorhexidine in Orthodontic Patients

et al. 2018

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The aim of this study was to investigate the effects of Cervitec Plus® on the level of mutans streptococcus (SM) and lactobacillus (LB) colonies and the development of white spot lesions (WSLs) in patients with fixed orthodontic appliances. Informed consent was obtained from 32 volunteers (age 16.5 ± 2.75 years). At baseline, levels of the bacterial colonies were determined in saliva and plaque using a chairside test (CRT Bacteria, Ivoclar-Vivadent, Schaan, Liechtenstein), and the number of WSLs was registered. After placing the fixed appliance, Cervitec Plus® or placebo varnishes (Ivoclar-Vivadent, Schaan, Liechtenstein) were applied monthly around the brackets and tubes, randomly in the right or left (test and placebo) quadrants of the same dental arch. SM and LB colonies in saliva and the SM colonies in plaque were determined on 11–21, 13–23, 15–25, and 16–26 teeth monthly over a 6-month period. At the sixth month, the number of new WSLs was determined. By the end of the study, compared with baseline, the ratio of saliva samples belonging to the low-risk category was significantly higher (p ≤ 0.01) from the 2nd month regarding the SM (76 vs. 52%) and LB (69 vs. 52%); reduction of SM in plaque was significantly greater on the test than placebo sides (6.69 ± 1.71 and 4.45 ± 1.60, respectively; p ≤ 0.01). The mean number of new WSLs was significantly lower in the test (0.06 ± 1.60) than in the placebo quadrants (1.13 ± 1.50, p ≤ 0.01). Conclusion: Monthly use of Cervitec Plus® could result in a significant improvement in oral health of orthodontic patients.

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“…Periodontal short-term effects after orthodontic therapy remain controversial [34], which suggest that in all cases orthodontic patients are at a higher risk for periodontal disease development. The increasing demand for orthodontic treatment and the occurrence of biofilm-related complications has positioned orthodontic treatment as a potential public health threat [35].…”

Section: Periodontal Considerations During Adult Orthodontic Treatmentmentioning

confidence: 99%

Periodontal Considerations in Adult Orthodontic Patients

Kalemaj¹,

Anastasiou²,

Jha³

et al. 2017

Periodontitis - A Useful Reference

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The relationship between periodontology and orthodontics consists of a highly complex, bidirectional and close interaction that is nowadays characterized by controversial scientific opinions and clinical approaches. The relevant increasing number of adult orthodontic patients which in most cases present already-compromised periodontal tissues has markedly highlighted the potential of orthodontic treatment in enhancing or deteriorating periodontal health and also the outmost relevance of peculiar periodontal planning prior and during orthodontic treatment. Since the progress in adult orthodontics trend is rapid, there is also an increasing need for evidence-based protocols that might guide clinicians through a comprehensive, interdisciplinary and successful treatment. This chapter has been compiled with the aim of providing orthodontists, periodontists and general practitioners with sound evidence-based protocols and valid clinical approaches that have proven to be successful for numerous patients over long follow-ups. It is structured following the steps for a correct therapy management, starting from comprehensive examination and diagnosis to before and during orthodontic treatment considerations, and finally analysing the present state of new adult orthodontic technologies.

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Orthodontic treatment with fixed appliances and biofilm formation—a potential public health threat?

Abstract: High treatment demand and occurrence of biofilm-related complications requiring professional care make orthodontic treatment a potential public health threat.

Cited by 150 publications

References 58 publications

Synergy of brushing mode and antibacterial use on in vivo biofilm formation

Synergy of brushing mode and antibacterial use on in vivo biofilm formation

Microbiological Changes and Caries-Preventive Effect of an Innovative Varnish Containing Chlorhexidine in Orthodontic Patients

Periodontal Considerations in Adult Orthodontic Patients

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