An Extensive Comparison of the Clinical Efficiency of Acidulated Phosphate Fluoride (APF) and Neutral Sodium Fluoride (NaF) Oral Rinses in the Prevention of White Spot Lesions during Fixed Orthodontic Treatment: A Randomized Controlled Trial

Pilli, Lakshmi Narayana; Singaraju, Gowri Sankar; Nettam, Venkatesh; Keerthipati, Thejasree; Mandava, Prasad; Marya, Anand

doi:10.1155/2022/6828657

Cited by 8 publications

(8 citation statements)

References 43 publications

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“…Regarding the use of fluorinated products, mouthwashes are a very popular additional oral hygiene element [ 27 , 28 ], and in our study, a good percentage was found to use them together with a fluoride toothpaste, with high satisfaction regarding it.…”

Section: Discussionmentioning

confidence: 53%

Oral Hygiene Habits and Use of Fluoride in Developmental Age: Role of Parents and Impact on their Children

Zumbo

Tranquilli

Stamegna

et al. 2022

BioMed Research International

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Introduction. In healthcare, the need to pay more attention to the achievement of two objectives within the society arises: health promotion and prevention in terms of nutrition, good education, sport, and health education. Scientific evidence shows that adequate health standards must be learned since childhood through the help of parents and appropriate school projects. Parental intervention must be appropriate to support the responsibility of their children’s health. In oral health, it has been established for many years that there is a correlation between parental behaviors and lifestyles and children’s attitude. The aim of this study is to verify the close relation between behaviors, habits, lifestyles, and the knowledge of parents about their oral health and, consequently, their focus and care for their own children’s oral health. Furthermore, the awareness of parents about the importance and use of fluorine was to be determined. Materials and Methods. The study lasted 15 months and was conducted from April 2018 to July 2019: an anonymous 29-question questionnaire was administered to all parents who accompanied their children (aged between 3 and 12 years) going under treatment in the Pediatric Dentistry Unit of the University Hospital Policlinico Umberto I, Rome. Anamnestic data, sociodemographic context (e.g., educational level and occupation), oral health habits, and prevention of parents and children and fluoride knowledge were investigated. The study received ethical approval. 204 questionnaires were collected. The data gathered were recorded with a specifically designed computer program and collected and analyzed using a Microsoft Excel 10 database. Data were evaluated using standard statistical analysis software; descriptive statistics including mean ± SD values and percentage were calculated for each variable. The relationship between the age of parents, between mother or father and the parents’ degree of education levels, and the knowledge for their own children’s oral health was explored using the chi-square test of homogeneity and Fisher’s exact test ( P value of < 0.05 considered as statistically significant). Results. From the acquired data, it is possible to deduce that the major respondents were mothers aged from 36 to 45, while only a small part were fathers aged above 45 years. Questions related to parents’ oral hygiene habits were included in the questionnaire, and from the sample taken into consideration, it emerges that 64.7% of the respondents (67.1% mothers and 57.7% fathers) periodically attend a dental office for a checkup, 20.9% tend to postpone the treatment, and 15.2% go there just for emergency. Some of the questions showed that 80% of the interviewed subjects use fluoride toothpaste for their child’s oral hygiene. Conclusion. Prevention in childhood, in addition to being synonymous with monitoring the oral health of the child, means first of all to pay attention to parents who are the main behavioral reference. It emerged that there is no adequate knowledge about fluorine, especially when the subjects have a low educational level. A role of fundamental importance for the diffusion of adequate concepts in the field of oral hygiene is covered, according to the data received from the study carried out, by the dentist and dental hygienist.

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Section: Discussionmentioning

confidence: 53%

Oral Hygiene Habits and Use of Fluoride in Developmental Age: Role of Parents and Impact on their Children

Zumbo

Tranquilli

Stamegna

et al. 2022

BioMed Research International

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“…However, budget constraints limit these methods from being used in the majority of studies. Six out of eight studies included in this review used visual evaluation and digital intraoral photographs for WSL assessment [14,16,17,[19][20][21]. These methods tend to underestimate the actual prevalence of enamel demineralization due to remains of bonding materials, moisture contamination, and blurry/overexposed pictures [14].…”

Section: Discussionmentioning

confidence: 99%

“…Among the 8 included studies, 5 randomized controlled trials [14-18] evaluated the effects of fluorides, of which two evaluated the effect either of Ammonium F [14] or single F containing varnish [15] compared with placebo and Xylitol varnish, two included studies compared the effect between fluoride, nanosilver or CHX mouthwash [16,17], and one assessed the effect of different F containing pastes [18].…”

Section: Table 2 Data Of Interestmentioning

confidence: 99%

“…At T2 and T3, there was a significant difference between the groups in the gingival, incisal and mesial surfaces with lower number of WSLs in nanosilver group compared to F and CHX groups, but no significant difference in the distal surface [17]. Pilli et al [16] conducted a study to compare the efficacy of a weekly once regime of NaF mouth rinse with APF daily mouth rinse. Intergroup comparison of mean severity white spot lesions (ICDAS scores) showed the significant difference at the T1, T2 and T3 time points, indicating the 0.44% APF formulated daily oral rinse is more effective than the weekly once regimen of 0.2% NaF oral rinse.…”

Section: Table 2 Data Of Interestmentioning

confidence: 99%

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Interventions Prior and During the Orthodontic Treatment for Orthodontically Induced White Spot Lesions

Spaičytė¹,

Gudelevičiūtė²,

Migonienė³

et al. 2023

Health Sciences

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Objective. To evaluate the efficiency of various interventions performed before and during orthodontic treatment which aim to reduce the incidence of WSL. Materials and methods. Using PRISMA guidelines in search of clinical trials published between 2017 and 2022, a literature analysis was performed. This search was conducted using following Medical Subject Heading (MeSH) terms in 2 databases: “prevention and control” AND “Orthodontics” AND “Tooth Demineralization”. Supplementary, a manual search was conducted in Google Scholar. Results. The literature search resulted in a total of 3626 study articles, of which 8 publications were used in the present review, according to a selection based on the pre-established eligibility criteria. The review showed that F varnish, 10% Xylitol varnish had positive outcomes in comparison with placebo. 0.44% APF formulated daily oral rinse and nanosilver mouthwash were better than 0.2% NaF weekly rinse and CHX, F mouthwashes respectively. NovaMin toothpaste, MIPP and MIV, examined in different studies, proved no significant difference over regular F toothpaste. MIV compared to ProSeal provided no statistically significant between-group differences as well. Clinpro 5000 provided superior protection against enamel decalcification when compared to Clinpro Tooth Creme and MI Paste. Conclusion. The white spot lesions have improved, regressed, or eliminated with topical agents including F, Xylitol, or CPP-ACP during the fixed orthodontic treatment. In order to determine the most effective therapeutic approach for the treatment of surface and subsurface demineralization of the enamel, more research is needed to provide scientific proof.

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“…Hasil penelitian ini, menunjukkan setelah dilakukan periode pengamatan selama enam bulan untuk membandingkan 1,23% APF dan 0,2% NaF untuk mencegah lesi white spot dan gingivitis mengungkapkan bahwa penggunaan APF lebih efektif dalam pencegahan white spot lesion dan gingivitis selama tahap awal perawatan ortodontik dengan peralatan cekat dan dapat dimasukkan dalam program perawatan pencegahan primer. 40 Penelitian yang dilakukan Gabriela Malts Goldenfu, et al pada tahun 2020 dengan 98 sampel yang bertujuan untuk mengetahui efektivitas 1,23% APF gel terkait oral hygiene dan instruksi diet untuk melindungi lesi kavitas non-aktif pada gigi permanen, campuran, dan sementara.…”

Section: Pembahasanunclassified

Acidulated phosphate fluoride sebagai bahan pencegahan Karies gigi anak : a scoping review (Laporan Penelitian)

Hayaza

Jeddy

Laksmiastuti

2022

JKGT

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Background: Caries occur in the hard tissues of the teeth due to bacterial activity in plaque. Untreated dental caries can result in pain, therefore early and if caries is left over time it will cause pain so that early caries prevention is necessary. Caries prevention can be done using Acidulated Phosphate Fluoride as an effective option in preventing the process of caries development in children. Aim: To know the effectiveness of APF gel 1,23% in preventing caries in children. Method: Scoping Review with inclusion criteria using a Randomized Controlled Trial (RCT) study design was conducted according to Preferres Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and two databases (PubMed and Google Scholar). Result: The results showed that the initial search yielded 985 documents. After eliminating duplicate studies and screening full-text articles for eligibility (n = 21), the authors identified 3 studies that met the criteria for inclusion. Conclusion: APF gel 1.23% has the effectiveness and preventing dental caries in children due to its better ability to bind calcium enamel,also does not irritate the gingiva..

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An Extensive Comparison of the Clinical Efficiency of Acidulated Phosphate Fluoride (APF) and Neutral Sodium Fluoride (NaF) Oral Rinses in the Prevention of White Spot Lesions during Fixed Orthodontic Treatment: A Randomized Controlled Trial

Cited by 8 publications

References 43 publications

Oral Hygiene Habits and Use of Fluoride in Developmental Age: Role of Parents and Impact on their Children

Oral Hygiene Habits and Use of Fluoride in Developmental Age: Role of Parents and Impact on their Children

Interventions Prior and During the Orthodontic Treatment for Orthodontically Induced White Spot Lesions

Acidulated phosphate fluoride sebagai bahan pencegahan Karies gigi anak : a scoping review (Laporan Penelitian)

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