Modified fluoride toothpaste technique reduces caries in orthodontic patients: A longitudinal, randomized clinical trial

Combination of high-fluoride toothpaste and no post-brushing water rinsing on enamel demineralization using anin-situcaries model with orthodontic bands

“…Compared with other dental practitioners, orthodontists have a great opportunity to place the emphasis on F toothpaste regimens in their clinics, as they usually visit the clinic every 8-12 weeks. In a recent long-term clinical study we showed that improved F toothpaste technique results in a caries-preventive fraction of »80% over a 2-year period in orthodontic patients [26]. A recent study by Zero et al [27] has shown that both brushing time and dentifrice quantity may be important for F retention in the oral cavity and for the extent of enamel remineralization.…”

Rinsing with Fluoride Toothpaste Slurry may Prevent Dental Caries in Orthodontic Patients

“…5 The reviewed study proposed a simple modification of the toothbrushing technique commonly used by patients and observed a great benefit for orthodontic patients in preventing dental caries-a clinically relevant end point. 6 The main differences of the proposed technique from routine oral hygiene were the spreading of the toothpaste on tooth surfaces before brushing and the rinsing with toothpaste slurry after brushing, instead of fluoride mouthwash. Even though we cannot disentangle which of the modified procedures contributed to the reduction in dental caries, as the authors pointed out, the simplicity of both technique modifications may warrant the use of the modified technique as standard oral hygiene instructions to orthodontic patients.…”

Control de la higiene oral en los pacientes con ortodoncia

“…La prevalencia global de la lesión de mancha blanca en los pacientes de ortodoncia es del 2 al 96%; los incisivos laterales superiores y los molares tienen la mayor prevalencia [4,5,7,10,[22][23][24][25][26][27][28][29]. Esta lesión puede producirse desde un mes después de iniciada la ortodoncia y aproximadamente el 50% de los pacientes las desarrollan al menos en un diente [30,31].…”

“…En pacientes con alto riesgo de caries se recomienda la técnica modificada de la crema dental con flúor (mftt) así: se usan 2 cm de crema dental con 1.450 ppm en un cepillo de dientes húmedo, se extiende la pasta de dientes de manera uniforme en ambos arcos, y se realiza un cepillado durante 2 minutos; luego se utiliza un sorbo de agua que queda en la boca, y con la suspensión de la crema se hacen movimientos activos entre los dientes y la mejilla durante 30 segundos antes de escupir. Se debe evitar un mayor lavado con agua y evitar comer y beber durante 2 horas; debe hacerse dos veces al día (después del desayuno e inmediatamente antes de acostarse [23].…”