In-vitro evaluation of various treatments to prevent demineralization next to orthodontic brackets

Behnan, Scott M.; Arruda, Airton O.; González-Cabezas, Carlos; Sohn, Woosung; Peters, Mathilde C.

doi:10.1016/j.ajodo.2010.05.014

Cited by 69 publications

(64 citation statements)

References 14 publications

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“…Topical fluoride applications like 0.05% sodium fluoride, 1.2% acidulated phosphate fluoride mouth rinse (weekly), 0.4% stannous fluoride gel and fluoride varnish can be used to maintain such high standards. [7][8][9] For noncompliant patients, fluoridecontaining cements/bonding agents 10 and fluoride-releasing elastomeric ligatures 11 can be used for the same.…”

Section: Lesions Of Enamel Enamel Decalcification/white Spot Lesionsmentioning

confidence: 99%

Orthodontic Scars

Reddy¹,

Vasudevan²,

Sankar³

et al. 2012

JIAOMR

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Section: Lesions Of Enamel Enamel Decalcification/white Spot Lesionsmentioning

confidence: 99%

Orthodontic Scars

Reddy¹,

Vasudevan²,

Sankar³

et al. 2012

JIAOMR

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“…As a delivery mechanism, fluoride varnish applied topically, addresses the issue of patient compliance better than any other current application method and can be applied by auxiliary personnel during routine appointments. 6 The authors' study design was one in which 12-to 22-year old children, adolescents and young adults were blindly randomised to receive topical fluoride varnish or a placebo (saline) during the first six months following debonding. A unique aspect of this randomised, parallel group, controlled clinical trial was that the WSLs were evaluated by the use of laser fluorescence (Diagnodent Pen ® , KaVo, Inc.), which has been shown to have a high degree of reliability and validity at quantification of smooth surface lesions.…”

mentioning

confidence: 99%

Fluoride varnish may improve white spot lesions

Stafford

2011

Evid Based Dent

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The authors' rationale for conducting this study was that while there have been numerous clinical trials evaluating white spot lesions The aim of the study reviewed for this commentary was to evaluate one such alternative method, topical fluoride varnish, and its ability to revert white spot lesions (WSLs) after the debonding of orthodontic brackets. It has been shown that orthodontic patients have a significantly higher incidence of WSLs than patients who have not had orthodontic therapy, 2 and more recent investigations have put the incidence of WSLs during orthodontic treatment with fixed appliances at 73% to 95%. 3,4 Topical fluoride varnish has been demonstrated to reduce WSLs during orthodontic treatment, 5 so one could logically assume that the same effect could be achieved following orthodontic therapy.The purpose of this study was to discover whether or not topical fluoride varnish, when applied in those patients who have WSLs evident following debonding, would be a successful intervention and a preferential method of fluoride delivery. As a delivery mechanism, fluoride varnish applied topically, addresses the issue of patient compliance better than any other current application method and can be applied by auxiliary personnel during routine appointments. 6 The authors' study design was one in which 12-to 22-year old children, adolescents and young adults were blindly randomised to receive topical fluoride varnish or a placebo (saline) during the first six months following debonding. A unique aspect of this randomised, parallel group, controlled clinical trial was that the WSLs were evaluated by the use of laser fluorescence (Diagnodent Pen ® , KaVo, Inc.), which has been shown to have a high degree of reliability and validity at quantification of smooth surface lesions. 7,8 Even though this method of evaluation has been shown to be adversely influenced by a number of variables in the oral environment, 8 care was taken by the researchers to minimise these SUMMARY TRIAL/CARIESDesign A randomised, parallel-group, controlled clinical trial.

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“…However, decalcification areas, also known as white spot lesions, sometimes form around the brackets and the bands during an orthodontic treatment [1]. A white spot lesion on tooth enamel is an unwanted risk that often occurs during fixed orthodontic treatments [2,3]. The prevalence of white spot lesions after these treatments varies between 2% and 96% [4].…”

Section: Introductionmentioning

confidence: 99%

Enamel Surface Quality Improvement in White Spot Lesions After Orthodontic Treatment Using a Microabrasion Technique With Fluoride or Calcium Phosphopeptide-Amorphous Calcium Phosphate Application

et al. 2018

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Objectives: White spot lesions after fixed orthodontic treatment will increase bacterial plaque formation due to increased enamel surface roughness. The aim of this study was to analyze the surface roughness of white spot lesions on enamel after a microabrasion technique, a microabrasion technique combined with calcium phosphopeptide-amorphous calcium phosphate (CPP-ACP) application, and a microabrasion technique combined with fluoride application. Methods:Artificially induced white spot lesions on the enamel surfaces of 42 maxillary first premolars were randomly assigned into one of three treatment groups (n=14): (a) A microabrasion technique, (b) a microabrasion technique combined with CPP-ACP application, and (c) a microabrasion technique combined with fluoride application. A Mitutoyo SJ-301 surface roughness tester was used to measure differences in surface roughness before and after treatment, and the after treatment measurements were compared among the three groups.Results: A significant difference in surface roughness was noted for the white spot lesions on enamel before and after treatment in all groups (p<0.05). A significant difference was also found when comparing the after treatment surface roughness in all groups. Conclusion:The combination of the microabrasion technique with CPP-ACP application significantly reduced enamel surface roughness when compared to microabrasion alone or the combination of microabrasion and fluoride application.

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In-vitro evaluation of various treatments to prevent demineralization next to orthodontic brackets

Cited by 69 publications

References 14 publications

Orthodontic Scars

Orthodontic Scars

Fluoride varnish may improve white spot lesions

Enamel Surface Quality Improvement in White Spot Lesions After Orthodontic Treatment Using a Microabrasion Technique With Fluoride or Calcium Phosphopeptide-Amorphous Calcium Phosphate Application

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