Current treatment modalities of orthodontically induced white spot lesions and their outcome – a literature review

Cosma, Lavinia Luminita Voina; Şuhani, Raluca Diana; Mesaroş, Anca; Badea, Mîndra Eugenia

doi:10.15386/cjmed-1090

Cited by 18 publications

(16 citation statements)

References 42 publications

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“…Therefore, the emphasis in the prevention of caries during orthodontic treatment should be on management strategies which focus on the remineralization of the lesions, e.g., the use of topical fluoride [ 13 , 20 , 21 ] and amorphous calcium phosphate [ 35 ]. Moreover, oral hygiene instructions and regular professional cleanings with motivation of patients have been recommended to inhibit demineralization [ 32 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of the caries-protective self-assembling peptide P11-4 on shear bond strength of metal brackets

2020

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Purpose During orthodontic treatment with fixed appliances, demineralization around brackets often occurs. The aim of this in vitro study was to investigate the effect of the caries-protective self-assembling peptide P11‑4 (SAP P11-4) on the shear bond strength of metal brackets. Methods In all, 45 extracted human wisdom teeth were available for the study. The teeth were randomly divided into 3 groups (each n = 15) and pretreated as follows: test group 1: application of SAP P11‑4 (Curodont Repair, Windisch, Switzerland) and storage for 24 h in artificial saliva; test group 2: application of SAP P11‑4; control group: no pretreatment with SAP P11‑4. A conventional metal maxillary incisor bracket (Discovery, Dentaurum, Ispringen) was adhesively bonded to each buccal surface. The shear bond strength was tested according to DIN 13990. After shearing, the Adhesive Remnant Index (ARI) was determined microscopically (10 × magnification). Analysis of variance (ANOVA) was used to check the groups for significant differences (α = 0.05). The distribution of the ARI scores was determined with the χ 2 test. Results There was no significant difference in shear forces between the groups (p = 0.121): test group 1 = 17.0 ± 4.51 MPa, test group 2 = 14.01 ± 2.51 MPa, control group 15.54 ± 4.34 MPa. The distribution of the ARI scores between the groups did not vary (p-values = 0.052–0.819). Conclusion The application of the caries protective SAP P11‑4 before bonding of brackets did not affect the shear bond strength. Therefore, pretreatment of the enamel surface with SAP P11‑4 shortly before bracket insertion can be considered.

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Section: Introductionmentioning

confidence: 99%

Effect of the caries-protective self-assembling peptide P11-4 on shear bond strength of metal brackets

2020

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“…So, it´s all the more important to modify the caries risk factors und emphasis on management strategies which focus on the remineralisation of the lesions. Such strategies are use of topical fluoride [30][31][32] , amorphous calcium phosphate 33 or even a combination of both agents 34 . In addition, masking the lesions would improve the esthetic appearance of the teeth including bleaching, micro-abrasion or micro-invasive techniques such as resin infiltration 35 with a camouflage effect.…”

Section: Discussionmentioning

confidence: 99%

Impact of self-assembling peptides in remineralisation of artificial early enamel lesions adjacent to orthodontic brackets

Jablonski-Momeni

Nothelfer

Morawietz

et al. 2020

Sci Rep

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Enamel demineralisation can occur as a side effect during orthodontic treatment with fixed appliances. This study aimed to evaluate the efficacy of the self-assembling peptide P11-4 for remineralisation combined with fluorides, compared to application of fluoride varnish alone. De- and remineralisation was assessed by Quantitative light-induced fluorescence (QLF). Orthodontic brackets were bonded on 108 human enamel samples and white spot lesions were created. The samples were allocated randomly into three groups: Group I received no treatment, group II had a single application of fluoride varnish (22,600 ppm), and group III was treated with P11-4 following a single application of fluoride varnish. Quantitative light-induced fluorescence (QLF) measurements were performed at baseline, after demineralisation and after storage in remineralisation solution for 7 and 30 days. Non-parametric tests (Kruskal–Wallis test and Friedman test) were used for further analysis. After demineralisation, all samples showed a median ΔF -9.38% ± 2.79. After 30 days median ΔF values were as followed: group I = -9.04% ± 2.51, group II = -7.89 ± 2.07, group III = -6.08% ± 2.79). The median ΔF values differed significantly between all groups at all investigation times (p < 0.00001). Application of P11-4 with fluoride varnish was superior to the use of fluorides alone for remineralisation of enamel adjacent to brackets.

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“…The small relative share of respondents that the body of the braces is a risk factor for the development of these lesions indicates that colleagues are poorly informed that the body of the braces seriously impairs oral hygiene and limits the self-cleaning from the saliva (6). The zones around the fixed braces are preelection areas for the accumulation of a larger amount of dental plaque.…”

Section: Discussionmentioning

confidence: 99%

Dentists` Awareness of white spot lesions during treatment with fixed orthodontic appliances

Dimova¹,

Doichinova²,

Andreeva-Borisova³

2020

MedInform

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Introduction:Fixed orthodontic appliances are used for the treatment of jaw deformities for a certain period of time, but they are a risk factor for development of dental caries, because they are retentive and support plaque accumulation. The elements of fixed orthodontic technique can change the biological balance in the oral cavity and put the patients treated with such orthodontic appliances at high risk of developing dental caries.Aim: The aim of the study is to determine the dentists' awareness of white spot lesions as a side effect during orthodontic treatment with fixed appliances and the methods for their diagnostics, prevention and treatment. Material and Methods:The study includes 200 dentists, members of the Bulgarian Dental Union, randomly selected. Their knowledge was evaluated through an anonymous questionnaire of 15 questions.MedInform I S S U E 1 , 2 0 2 0 1157 MedInform Results:The results from the survey indicates a low level of awareness of the dentists surveyed about white carious lesions and poor knowledge about the management with various preventive methods. This requires the creation of a methodological guideline for all dental practitioners.

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Current treatment modalities of orthodontically induced white spot lesions and their outcome – a literature review

Cited by 18 publications

References 42 publications

Effect of the caries-protective self-assembling peptide P11-4 on shear bond strength of metal brackets

Effect of the caries-protective self-assembling peptide P11-4 on shear bond strength of metal brackets

Impact of self-assembling peptides in remineralisation of artificial early enamel lesions adjacent to orthodontic brackets

Dentists` Awareness of white spot lesions during treatment with fixed orthodontic appliances

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