Efficacy of a filled-resin sealant in preventing decalcification during orthodontic treatment

Leizer, Cary; Weinstein, Martin; Borislow, Alan J.; Braitman, Leonard E.

doi:10.1016/j.ajodo.2008.11.025

“…18,19,21 The authors of the three remaining studies used their own scoring system based on lesion severity and/or size. 15,20,22 Of these researchers, Wenderoth et al (1999) 15 examined the reliability of their method and this was greater than 90% and in agreement with earlier studies. 23,24 Additional parameters such as plaque assessment and gingival condition were registered in two out of six studies.…”

Section: Resultssupporting

confidence: 59%

“…Benham et al (2009) 19 specified that they placed sealant from the gingival surface of the bracket to the free gingival margin before bracket placement while Wenderoth et al (1999) 15 did the same circumferentially around the bracket base but after its placement (Table 1). Enamel decalcification was clinically evaluated in all studies 15,18,[20][21][22] except one where DIAGNOdent (KaVo, Germany) was used as a supplementary diagnostic method. 19 The WSL assessment was based on visual examination and imaging analysis (photos) in 4 studies, 15,[18][19]22 while the clinical examination consisted of only visual inspection in the remaining two.…”

Section: Resultsmentioning

confidence: 99%

“…Enamel decalcification was clinically evaluated in all studies 15,18,[20][21][22] except one where DIAGNOdent (KaVo, Germany) was used as a supplementary diagnostic method. 19 The WSL assessment was based on visual examination and imaging analysis (photos) in 4 studies, 15,[18][19]22 while the clinical examination consisted of only visual inspection in the remaining two. 20,21 In half of the studies, the index used for the WSL registration was the one suggested by Gorelick et al (1982) 1 which ranges from scores 1 to 4 (from no white spot to cavitation stage).…”

Section: Resultsmentioning

confidence: 99%

“…Only one study 18 followed the parallel design while the single parameter common to all other included studies was a split mouth technique. 15,[19][20][21][22] Sealant was applied on etched tooth surfaces, which were then light cured and this was followed by resin adhesive and bracket placement. Most of the researchers mentioned that the sealant was applied to the entire labial surface of the enamel.…”

Section: Resultsmentioning

confidence: 99%

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The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review

Gizani¹

2014

South Eur J Orthod Dentofac Res

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Introduction: One of the common problems of patients undergoing orthodontic treatment with fixed appliances is the development of enamel demineralization. The objective of this review is to evaluate the effectiveness of sealants in preventing the occurrence of enamel demineralization in patients with fixed orthodontic appliances during treatment.Methods: A complex search was performed in Medline (1969 to May 2013, and by hand in individual articles, in order to identify any relevant study based upon various combinations of key words. The included studies are Randomized Controlled Trials (RCTs), or otherwise prospective clinical trials, with patients (teeth) of any age undergoing fixed orthodontic treatment and with a control group or at least two intervention groups. In the absence of the above, any prospective cohort with more than ten patients was evaluated. To assess the internal validity of the eligible studies, the Cochrane Risk of Bias Tool for Randomized Clinical Trials was applied. Results:The searches originally identified 237 titles and abstracts, 6 fulfilled the inclusion criteria of the review. From these studies, 4 were randomized clinical trials and 2 prospective clinical trials. The results were contradictory, with half of the studies showing significant reductions in the incidence of enamel decalcification for the sealed teeth compared with the control group while the remaining half did not show any important differences.Discussion: Based on the findings from the present systematic review, it was impossible to make any reliable recommendations on the usage of sealants during orthodontic treatment for the prevention of WSL development. Nevertheless, their use in general seems to be beneficial for caries prevention, depending on the type of material, the method of its application and the caries risk status of the patient. Gizani, Sotiria* Department of Pediatric Dentistry, Dental School, University of Athens, Greece Submitted: November 11, 2013. ; Accepted: January 13, 2014. ; Published: April 25, 2014 Gizani S. The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review.

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“…This duration parameter is important since some sealants might have an initial preventive effect that may not last as a result of mechanical abrasion or material deterioration. 22 Therefore, the study duration should resemble the real duration of an orthodontic treatment in order to detect any wash out of the caries preventive effect of the sealant.…”

Section: Discussionmentioning

confidence: 99%

The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review

Gizani

¹

2017

sejodr

0

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Introduction: One of the common problems of patients undergoing orthodontic treatment with fixed appliances is the development of enamel demineralization. The objective of this review is to evaluate the effectiveness of sealants in preventing the occurrence of enamel demineralization in patients with fixed orthodontic appliances during treatment.Methods: A complex search was performed in Medline (1969 to May 2013, and by hand in individual articles, in order to identify any relevant study based upon various combinations of key words. The included studies are Randomized Controlled Trials (RCTs), or otherwise prospective clinical trials, with patients (teeth) of any age undergoing fixed orthodontic treatment and with a control group or at least two intervention groups. In the absence of the above, any prospective cohort with more than ten patients was evaluated. To assess the internal validity of the eligible studies, the Cochrane Risk of Bias Tool for Randomized Clinical Trials was applied. Results:The searches originally identified 237 titles and abstracts, 6 fulfilled the inclusion criteria of the review. From these studies, 4 were randomized clinical trials and 2 prospective clinical trials. The results were contradictory, with half of the studies showing significant reductions in the incidence of enamel decalcification for the sealed teeth compared with the control group while the remaining half did not show any important differences.Discussion: Based on the findings from the present systematic review, it was impossible to make any reliable recommendations on the usage of sealants during orthodontic treatment for the prevention of WSL development. Nevertheless, their use in general seems to be beneficial for caries prevention, depending on the type of material, the method of its application and the caries risk status of the patient. Gizani, Sotiria* Department of Pediatric Dentistry, Dental School, University of Athens, Greece Submitted: November 11, 2013. ; Accepted: January 13, 2014. ; Published: April 25, 2014 Gizani S. The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review.

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Fluorides for the prevention of early tooth decay (demineralised white lesions) during fixed brace treatment

Benson

¹

,

Parkin²,

Dyer³

et al. 2013

Cochrane Database of Systematic Reviews

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This review found some moderate evidence that fluoride varnish applied every six weeks at the time of orthodontic review during treatment is effective, but this finding is based on a single study. Further adequately powered, double-blind, randomised controlled trials are required to determine the best means of preventing DWLs in patients undergoing orthodontic treatment and the most accurate means of assessing compliance with treatment and possible adverse effects. Future studies should follow up participants beyond the end of orthodontic treatment to determine the effect of DWLs on participant satisfaction with treatment.

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Efficacy of a filled-resin sealant in preventing decalcification during orthodontic treatment

Cited by 30 publications

References 13 publications

The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review

The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review

The effect of sealant on prevention of enamel demineralization in patients with fixed orthodontic appliances: A systematic review

Fluorides for the prevention of early tooth decay (demineralised white lesions) during fixed brace treatment

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