Effects of orthodontic treatment and different fluoride regimens on numbers of cariogenic bacteria and caries risk: a randomized controlled trial

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

doi:10.1093/ejo/cjy025

Cited by 25 publications

(24 citation statements)

References 25 publications

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“…Especially the professional application of 12,300 ppm F foam (1.23% acidulated phosphate fluoride (APF)) or varnish in combination with a high fluoride toothpaste (5,000 ppm F) has proven to be the most effective modality (Table 4 ). This confirms that the sole application of fluoride toothpaste (1,450 ppm F) is not sufficient to prevent enamel demineralization [ 69 , 70 ]. Nevertheless, the results from Table 4 should be viewed with caution since the available evidence remains limited.…”

Section: Discussionmentioning

confidence: 59%

Management of white spot lesions induced during orthodontic treatment with multibracket appliance: a national-based survey

2022

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Objectives The study aimed to survey current strategies against enamel demineralization during multibracket therapy (MBT) and guide a prevention concept based on existing scientific evidence. Materials and methods The survey comprised questions on the prevention and management of white spot lesions (WSL). The questionnaire was sent via email to orthodontists working in practices and universities throughout Germany. The analysis involved descriptive statistics using the chi-square test (p < 0.05). Results A prevention protocol was used before MBT by 80.6% of the participants. Less than a quarter of the participants regularly applied topical fluoride (gel or varnish) during MBT. According to the respondents’ assessment, the prevalence of WSL during MBT is 11.6%, mainly observed in 12- to 15-year-old male patients. Orthodontists graduating after 2000 tended to recommend and apply fluoride-containing materials more often than their senior colleagues (p = 0.039). Participants from private practices applied fluoride varnish or gel more frequently than those from university clinics (p = 0.013). Fluoridation was the most common (70.7%) treatment for WSL after MBT, followed by resin infiltration (21.2%). The majority (80.9%) of the participants favor a guideline for preventing WSL. Conclusions WSL prevention during MBT is challenging. Males in puberty are predominantly affected. Younger orthodontists are more concerned about the prevention of WSL during MBT. Clinical relevance. The non-negligible prevalence of individuals with WSL emphasizes the need for dental education and health care reform. This would help to implement standardized procedures and establish innovative applications.

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Section: Discussionmentioning

confidence: 59%

Management of white spot lesions induced during orthodontic treatment with multibracket appliance: a national-based survey

2022

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“…In this study, patients did not pay attention to the kind of toothpaste used, because nearly half of the participants did not know which type of toothpaste they used, and only 37.2% of subjects reported using toothpaste with fluoride. Fluoride toothpaste is recommended to orthodontic patients due to its potential to decrease the risk of the development of caries, especially when a different fluoride regime of toothpastes (1450 ppm and 5000 ppm) is combined [42]. Findings from other studies revealed a higher usage of toothpaste with fluoride, varying from 61% to 81.9% [43,44].…”

Section: Discussionmentioning

confidence: 99%

Self-Reported Changes in Oral Hygiene Habits among Adolescents Receiving Orthodontic Treatment

et al. 2019

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The prevalence of malocclusion and a need for orthodontic treatment is high. Orthodontic appliances increase biofilm accumulation by expanding plaque retention sites. The aim of this study was to investigate the self-reported changes in oral hygiene habits among adolescents receiving orthodontic treatment. A cross-sectional study of 291 patients aged 10–17 years (mean (M) = 12.98; standard deviation (SD) = 2.36) was conducted in the Department of Orthodontics, Lithuanian University of Medical Sciences (LSMU) Hospital (Kaunas, Lithuania) during the fall semester (October–January) of the 2017/2018 study year. An anonymous self-administered questionnaire covered background information, experience of orthodontic treatment, oral hygiene habits and the seeking of professional dental care. Statistical data analysis was performed using SPSS version 22. To establish relationships between categorical variables, Chi-squared tests (χ2) were used. A p-value ≤ 0.05 was set to indicate statistically significant difference. The univariate logistic regression analysis evaluated the probability of an event given a certain risk indicator, including odds ratio (OR) and its confidence interval (95% CI). Associations were found between the usage of auxiliary measures (OR = 1.797 (1.118–2.887), p = 0.015), tongue cleaning (OR = 1.712 (1.059–2.767), p = 0.028), mouth rinsing after meals (OR = 1.707 (1.048–2.781), p = 0.032) and experience of orthodontic treatment, respectively. More orthodontic patients underwent professional oral hygiene regularly than non-orthodontic patients (p = 0.024). More patients with fixed orthodontic appliances reported significantly changed oral hygiene habits, while more orthodontic patients with removable appliances did not change their oral hygiene habits.

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“…Also, a decrease in the high caries risk profile due to increasing the actual chance of avoiding caries in the Cariogram pie chart, using 1,450 ppm fluoride toothpaste was confirmed in the Karabekiroglu et al 16 study, who used Cariogram to evaluate the effectiveness of 1,450 ppm fluoride toothpaste, fluoride varnish and chlorhexidine in adolescents for 12 weeks, and found no significant differences between the mentioned preventive methods. Likewise, Enerback et al 24 recommended the everyday use of high-fluoride toothpaste (5,000 ppm F) or mouth rinse (0.2% NaF), in combination with ordinary toothpaste, to reduce risk of caries during orthodontic treatment. However, saliva secretion and buffer capacity, which are two parameters in the Cariogram, were excluded from their study, due to time restraints and patient convenience - while all parameters of the Cariogram program were analyzed in the present study.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of caries risk reduction following preventive programs in orthodontic patients, using Cariogram computer model: A quasi-experimental trial

Doost-Hoseini

Seifi

Pakkhesal

et al. 2021

Dental Press J. Orthod.

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Objective: This study evaluated the effectiveness of preventive strategies on caries risk reduction in patients undergoing orthodontic treatment, using the Cariogram program. Methods: In this quasi-experimental study, samples were selected using a convenience quota sampling technique, in a public dental school. At first, caries risk profile was determined for each subject using the Cariogram before brackets bonding. The sample size consisted of 36 patients. The intervention group (n = 18) received preventive programs, and the control group (n = 18) was trained based on the routine oral health education by means of pamphlets. Then, Cariogram parameters were calculated for patients in both groups after six months. Results: The age range of participants was from 12 to 29 years. The mean percentage of the “Actual chance of avoiding new cavities” section in the intervention group increased from 45.72 ± 21.64 to 62.50 ± 17.64. However, the mean percentage of other parameters - such as “Diet”, “Bacteria” and “Susceptibility” - decreased after six months (p< 0.001). Besides, the differences in the mean percentage between intervention and control group at the end of the study period (T1) related to the Cariogram parameters were statistically significant (p< 0.001). Accordingly, the mean percentage of ‘Actual chance of avoiding new cavities’’ parameter in the intervention group (62.50) was statistically higher than in the control group (42.44) (p< 0.001). Conclusion: Implementing different preventive approaches is able to reduce the caries risk in patients undergoing fixed orthodontic treatment, which can be clearly demonstrated using Cariogram program.

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Effects of orthodontic treatment and different fluoride regimens on numbers of cariogenic bacteria and caries risk: a randomized controlled trial

Abstract: The trial was not registered.

Cited by 25 publications

References 25 publications

Management of white spot lesions induced during orthodontic treatment with multibracket appliance: a national-based survey

Management of white spot lesions induced during orthodontic treatment with multibracket appliance: a national-based survey

Self-Reported Changes in Oral Hygiene Habits among Adolescents Receiving Orthodontic Treatment

Evaluation of caries risk reduction following preventive programs in orthodontic patients, using Cariogram computer model: A quasi-experimental trial

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