Association between fixed orthodontic treatment and dental caries: a 1-year longitudinal study

Pinto, Alice Souza; Alves, Luana Severo; Maltz, Marisa; Zenkner, Júlio Eduardo do Amaral

doi:10.1590/1807-3107bor-2021.vol35.0002

Cited by 13 publications

(15 citation statements)

References 19 publications

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“…The exclusion of adolescents with fixed orthodontic appliances can also be a possible limitation of this study. Even considering their increased risk for caries development, 35 we decided to exclude these individuals due to the additional difficulties imposed by the fixed apparatus to perform proper clinical examinations under field conditions. Moreover, we could assume some degree of ecological fallacy in data interpretation, considering that inferences about individuals were deduced from data about the neighborhood to which they belong.…”

Section: Discussionmentioning

confidence: 99%

Self-perceived neighborhood factors and OHRQoL among adolescents: a population-based study in southern Brazil

et al. 2022

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This study aimed to assess the relationship between self-perceived neighborhood factors and oral health-related quality of life (OHRQoL) among adolescents from southern Brazil. A representative sample of 15-19-year-old students from Santa Maria, Brazil, was included. The Oral Health Impact Profile (OHIP-14) was used to assess the OHRQoL. Self-perceived neighborhood factors were assessed through a structured questionnaire and included characteristics of the neighborhood where the adolescents lived, such as the presence of paved streets, tap water, community social networks, and availability of dental services and the Family Health Strategy (FHS). In addition, socioeconomic, behavioral, and clinical variables (dental caries and malocclusion) were also evaluated. Multilevel Poisson regression analysis with a hierarchical approach was used to assess the association between predictors and OHIP-14. The rate ratio (RR) and 95% confidence intervals (CIs) were estimated. A total of 1,197 adolescents were included in this study (participation rate: 72.3%). The mean OHIP-14 score was 8.4 (standard error = 0.2), ranging from 0 to 49. Living in residences with unpaved streets (RR = 1.11, 95%CI:1.06−1.17), no tap water (RR = 1.11, 95%CI: 1.02−1.20), absence of the FHS services (RR = 1.15, 95%CI: 1.09−1.20), and the availability of dental services (RR = 1.08, 95%CI: 1.03−1.14) were associated with higher OHIP-14 scores, indicating a poorer OHRQoL. In addition, lower socioeconomic status, visiting the dentist for curative reasons, lower frequency of brushing teeth, and higher sugar consumption were also associated with higher OHIP-14 scores. In conclusion, self-perceived neighborhood characteristics were associated with OHRQoL in adolescents. Adolescents who perceived their neighborhood as deprived had poorer OHRQoL.

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Section: Discussionmentioning

confidence: 99%

Self-perceived neighborhood factors and OHRQoL among adolescents: a population-based study in southern Brazil

et al. 2022

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“…Orthodontic treatment leads to preferential growth of cariogenic bacteria due to the increase of bio lm accumulation, di cult oral hygiene, reduction of the self-cleaning mechanisms of the oral cavity. 1,2 Orthodontic appliances, such as brackets, automatically place the patient at least at a high or extremely high risk of oral diseases. 3 In a recent study from 2020, Pinto et al found that individuals undergoing xed orthodontic therapy for 1 year, had a signi cantly higher incidence and increase of active caries lesions than those without a xed appliance.…”

Section: Background and Rationalementioning

confidence: 99%

“…3 In a recent study from 2020, Pinto et al found that individuals undergoing xed orthodontic therapy for 1 year, had a signi cantly higher incidence and increase of active caries lesions than those without a xed appliance. 2 The early development of the initial caries lesion in the enamel starts underneath a relatively intact super cial layer of the enamel surface. As a result of the process of demineralization, tissue defects appear in the enamel that correlates to the porous white opacities seen clinically.…”

Section: Background and Rationalementioning

confidence: 99%

Caries Inhibition With Co2-laser During Orthodontic Treatment a Study Protocol for a Randomized Split-mouth Controlled Clinical Trial

Shindova

Belcheva

2021

Preprint

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IntroductionWhite spot lesions associated with orthodontic treatment are a common problem. Recent studies reported increased resistance to acid demineralization of enamel after sub-ablative CO2-laser irradiation in a combination with fluoride application. The aim of the study is to assess the efficacy of CO2-laser in combination with a fluoride varnish in the prevention, severity and extent of white spot lesions during orthodontic treatment with fixed appliances.Methods and analysisThis is a protocol for a randomized, split-mouth controlled, clinical trial. The participants will be children aged 12-18 years at high caries risk, requiring fixed orthodontic treatment. The vestibular surfaces of maxillary anterior teeth of eligible patients will be exposed to CO2-laser irradiation in combination with fluoride therapy and fluoride therapy alone followed by bonding of orthodontic brackets. The patients will be recalled 6 and 12 months post-irradiation. Outcome measures will be visual examination with International Caries Detection and Assessment System criteria and SoproLife fluorescence. Data will be analyzed by Student t-test for paired samples and proportional odds logistic regression model, p˂0.05.Ethics and disseminationThe study protocol has been approved by the Committee for Scientific Research Ethics, Medical University-Plovdiv, Bulgaria (Reference number P-605/27.03.2020,Protocol of approval No. 2/01.04.2021) and registered on a publicly accessible database. This research received institutional funding from the Medical University–Plovdiv, Bulgaria. The results will be presented through peer-reviewed publications and conference presentations.Trial registration: ClinicalTrials.gov (Registration number: NCT04903275).

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“…PINTO AS, ALVES LS, MALTZ M, ZENKNER JEDA [12] 2020 Braz Oral Res Association between fixed orthodontic treatment and dental caries: a 1-year longitudinal study.…”

Section: Orthodontic Alignersmentioning

confidence: 99%

The Effect of Dental Care during Orthodontic Treatment: Systematic Review

Alanazi

Alturaif

Alhuzaimi

et al. 2021

JPRI

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The maintenance of stringent oral hygiene practices is imperative during orthodontic treatment in order to prevent plaque from accumulating over braces and other orthodontic appliances, leading to gingivitis inflammation and periodontal disease. Consequently, an orthodontist is responsible for providing advice to patients about oral hygiene to maintain periodontal health and for monitoring plaque control measures. In spite of their orthodontist's recommendation, most orthodontic patients do not follow their recommended instructions on how to maintain a satisfactory level of plaque control. We conducted our systematic review of literature in English. During the initial re-examination phase, there were no filters applied to ensure all studies were available for subsequent screening. Filters like human studies were added later, with English language studies being the only ones added. We found nine articles related to orthodontic treatment, and their relation to dental care, during our literature review. It is essential to maintain good oral hygiene during orthodontic treatment to reduce iatrogenic demineralization and caries. When a patient's DMFS score is high, prophylaxis programs are necessary during orthodontic treatment.

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Association between fixed orthodontic treatment and dental caries: a 1-year longitudinal study

Cited by 13 publications

References 19 publications

Self-perceived neighborhood factors and OHRQoL among adolescents: a population-based study in southern Brazil

Self-perceived neighborhood factors and OHRQoL among adolescents: a population-based study in southern Brazil

Caries Inhibition With Co2-laser During Orthodontic Treatment a Study Protocol for a Randomized Split-mouth Controlled Clinical Trial

The Effect of Dental Care during Orthodontic Treatment: Systematic Review

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