Effect of a mouth rinse and a high-fluoride toothpaste on caries incidence in orthodontic patients: A randomized controlled trial

Enerbäck, Hanna; Lingström, Peter; Møller, Marie Østergaard; Nylén, Cathrine; Bresin, Cecilia Ödman; Ros, Ingrid Östman; Westerlund, Anna

doi:10.1016/j.ajodo.2022.03.011

Cited by 6 publications

(6 citation statements)

References 32 publications

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“…Two studies[ 23 26 ] were at low ROB [ Figure 2 ]. In addition, according to the SCOPUS®, this manuscript was evaluated with the Fi-index instrument and received a score of 0.00 for the first author only on May 15, 2023.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of fluoride mouthrinse in prevention of demineralization during fixed orthodontic treatment: A systematic review and meta-analysis

Jha,

Mahuli,

Verma

et al. 2024

Journal of Orthodontic Science

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Enamel demineralization is a very common occurrence around bonded brackets in an orthodontic practice. Fluoride (FLR) applications have been used to prevent decalcification and further progression of white spot lesions. The purpose of this systematic review and meta-analysis was to systematically appraise available literature on the effectiveness of fluoride mouthrinse in the prevention of demineralization around fixed orthodontic appliances. A search was conducted for randomized controlled clinical trials among four electronic databases (MEDLINE, Google Scholar, PubMed, and Cochrane Review) through MeSH terms and keywords. Studies were excluded if random allocation was not conducted, or if they were animal or in vitro studies. About 146 articles were screened and 5 studies were selected for the present review. Only two studies were selected for MA due to variations in the measurement of outcomes among studies. This review concluded that rinsing with FLR in the course of the fixed orthodontic treatment lessens demineralization around the bracket. Using FLR mouthrinse to inhibit the formation of white spot lesions or dental caries in patients with multiple cavities or restoration can be considered in clinical practice.

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Section: Resultsmentioning

confidence: 99%

“…study of 2022, showed a relative risk of 1.38% for the FLR mouth rinse group when comparedwith the control group. [ 26 ] The control group had only regular toothpaste and no FLR rinse. They suggested high FLR mouthrinse or toothpaste use during FOTreduced demineralization and prevented the formation of dental cavities or WSLs.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of fluoride mouthrinse in prevention of demineralization during fixed orthodontic treatment: A systematic review and meta-analysis

Jha,

Mahuli,

Verma

et al. 2024

Journal of Orthodontic Science

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“…Other research on the prevention of bacteria adhesion on orthodontic wire by applying titanium dioxide has been carried out [40,41]. The relationship with the maintenance of oral hygiene and daily use of fluoride toothpaste is also reported have an influence on the release of Ni [42,43], so it is likely that it also has an influence on the adhesion and formation of biofilms on orthodontic appliances.…”

Section: Discussionmentioning

confidence: 99%

Oral Microbiome Profiles and Inflammation in Pregnant Women Who Used Orthodontic Appliances

et al. 2022

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It is common for women to undergo orthodontic treatment during pregnancy, especially through the use of fixed orthodontic devices. In changing the oral microbiome profile, it is crucial to increase the immune responses of pregnant women using fixed orthodontics; however, changes in the microbiomes of pregnant women with orthodontic appliances can be adjusted. Therefore, we aimed to conduct research on the oral cavity microbiome profiles, specifically IL-6 and TNF-α, of pregnant women using fixed orthodontic appliances. We proposed an observational analysis of 30 third-trimester pregnant women. OHI-S was recorded, saliva collection was performed using the passive drool method for IL-6 and TNF-α, and analysis and mucosal swabs were used to determine the oral microbiome profile. Kruskal–Wallis and post hoc Bonferroni tests were used to identify any significant differences with values of p < 0.05. Of these pregnant women, those with orthodontic appliances developed 10 types of bacteria at similar levels (>80%) from the genera Streptococcus, Lactobacillus, and Veillonella. There was no difference between the oral microbiomes of the control group and the pregnant women with a history of orthodontic appliance use. While the level of TNF-α in the women with orthodontic appliances was higher compared with the control group who had never used orthodontic appliances (p < 0.05), there was no difference in the IL-6 levels. The IL-6 and microbiome profile produced normal results, so the use of orthodontic appliances during pregnancy should be allowed with conditions. Pregnant women with orthodontic appliances must keep the oral cavity clean and their appliances well-maintained to avoid oral problems.

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“…Zilda et al 17 shows that there are changes in the oral flora during orthodontic therapy, also Contaldo et al 18 who conducted a review of the literature reached similar conclusions. Enerbach et al 19 showed that for all risk groups, the risk of caries lesions increases when using braces.…”

Section: Association Between Caries Disease and Use Of Bracesmentioning

confidence: 99%

“…Many studies have reached similar conclusions concerning the association between white spot lesions and the use of brackets, and some other studies researched an association with cavitated caries. Enerbach et al 19 used cavitated lesions to study caries. No difference was found in caries risk between groups using highfluoride toothpastes or fluoride mouthrinses and those using standard toothpastes (Table 1).…”

Section: Caries Prevention In People With Orthodontic Appliancesmentioning

confidence: 99%

Dental caries during orthodontic treatment: a review of the literature

Schulz¹,

Yáñez²

2022

MOJOR

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Background: Dental caries is a dynamic, non-transmissible and multifactorial disease caused by the acid generated by bacterial plaque. It is a very common pathology in the population, which in turn presents various risk factors that are often difficult to identify. Objective: The objective of this research is to provide a broader view of dental caries during orthodontic treatment, not as specific clinical signs, but in a more comprehensive way, including all the associated factors involved. Methods: A database search was conducted to obtain appropriate articles. The following databases were consulted: Pubmed, Medline, and The Cochrane Library, from 2010 to 2022. Results: The results showed that there is an association between caries disease and the use of orthodontics, where the risk of presenting caries lesions increases in those who use orthodontic appliances and also have a higher risk of developing white spot lesions than those who do not use orthodontic appliances. It is also noted that the preventive use of different remineralizing agents could be useful in reducing the incidence of white spot lesions. Conclusión: We can conclude that there is an association between the use of orthodontics and the presence of dental caries, with the white spot being the most studied sign of this. More studies are required with a methodology focused on caries as a complex and multifactorial phenomenon.

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Effect of a mouth rinse and a high-fluoride toothpaste on caries incidence in orthodontic patients: A randomized controlled trial

Cited by 6 publications

References 32 publications

Effectiveness of fluoride mouthrinse in prevention of demineralization during fixed orthodontic treatment: A systematic review and meta-analysis

Effectiveness of fluoride mouthrinse in prevention of demineralization during fixed orthodontic treatment: A systematic review and meta-analysis

Oral Microbiome Profiles and Inflammation in Pregnant Women Who Used Orthodontic Appliances

Dental caries during orthodontic treatment: a review of the literature

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