Prevention and caries risk management in teenage and orthodontic patients

Walsh, L. J.; Healey, D L

doi:10.1111/adj.12671

Cited by 31 publications

(24 citation statements)

References 71 publications

(67 reference statements)

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“…Our results showed that use of an orthodontic appliance is one of the risk factors for dental caries. This finding supports those of a recent review that suggested an association between use of an orthodontic appliance and the risk of dental caries [29]. Thus, clinicians should educate young adults about the susceptibility to dental caries and should educate young adults with orthodontic appliances about careful tooth cleaning practices.…”

Section: Discussionsupporting

confidence: 87%

Association between Household Exposure to Secondhand Smoke and Dental Caries among Japanese Young Adults: A Cross-Sectional Study

Saho

Taniguchi-Tabata

Ekuni

et al. 2020

IJERPH

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The long-term effects of secondhand smoke (SHS) on dental caries among Japanese young adults remain unclear. The purpose of this cross-sectional study was to evaluate whether household exposure to SHS is associated with dental caries in permanent dentition among Japanese young adults. The study sample included 1905 first-year university students (age range: 18–19 years) who answered a questionnaire and participated in oral examinations. The degree of household exposure to SHS was categorized into four levels according to the SHS duration: no experience (−), past, current SHS < 10 years, and current SHS ≥ 10 years. Dental caries are expressed as the total number of decayed, missing, and filled teeth (DMFT) score. The relationships between SHS and dental caries were determined by logistic regression analysis. DMFT scores (median (25th percentile, 75th percentile)) were significantly higher in the current SHS ≥ 10 years (median: 1.0 (0.0, 3.0)) than in the SHS—(median: 0.0 (0.0, 2.0)); p = 0.001). DMFT ≥ 1 was significantly associated with SHS ≥ 10 years (adjusted odds ratio: 1.50, 95% confidence interval: 1.20–1.87, p < 0.001). Long-term exposure to SHS (≥10 years) was associated with dental caries in permanent dentition among Japanese young adults.

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Section: Discussionsupporting

confidence: 87%

Association between Household Exposure to Secondhand Smoke and Dental Caries among Japanese Young Adults: A Cross-Sectional Study

Saho

Taniguchi-Tabata

Ekuni

et al. 2020

IJERPH

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“…However, in patients with xerostomia, Sjogren’s syndrome, and radiation caries, and older adults who are home-bound due to impaired physical and mental disabilities and have difficulty in carrying their daily oral hygiene regimen, brushing once daily with a high-fluoride dentifrice would be a more pragmatic approach. The findings may also have implications for the management of white spots in high-risk orthodontic patients [44,45]. Colgate PreviDent 5000 plus dentifrice showed superior remineralization in dentine at a depth of 100–150 µ, possibly because the remineralizing potential is greater in a tissue that demineralizes more.…”

Section: Discussionmentioning

confidence: 99%

Remineralization of Demineralized Enamel and Dentine Using 3 Dentifrices—An InVitro Study

et al. 2019

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Objectives: To monitor the electrical resistance of artificially demineralized enamel and root dentine after exposure to different fluoridated dentifrices and, using transversal microradiography, to quantify remineralization. Materials and methods: This in-vitro blind investigation used 20 extracted teeth (four groups of five each). Each group was exposed to one test dentifrice [Colgate PreviDent (5000 ppm F), Colgate Winterfresh gel (1100 ppm F), Fluocaril Bi-Fluoré (2500 ppm F) and placebo (without fluoride)] three times daily for three minutes for 4 weeks. In between exposure to the test dentifrices, teeth were stored in a saliva storage solution. An Electrical Caries Monitor measured the electrical resistance at baseline and during the four-week test period at weekly intervals. The measurements were log transformed and Duncan’s multiple range test applied. Remineralization was quantified using transversal microradiography. Results: Log mean (SD) electronic carries monitor (ECM) measurements in enamel at baseline and after 4 weeks of exposure to the test dentifrices were 4.07(1.53) and 3.87(0.90) (Placebo-Fluocaril), 4.11(1.86) and 4.64(1.43) (Colgate Winterfresh gel), 4.81(0.9) and 4.21(1.20) (Fluocaril Bi-Fluoré), and 4.60(0.88) and 3.76(0.9) (Colgate PreviDent). Corresponding measurements in dentine were 2.13(0.89) and 3.06(0.87) (Placebo-Fluocaril), 1.87(0.63) and 2.88(1.32) (Colgate Winterfresh gel), 2.47(1.20) and 1.65(0.60) (Fluocaril), and 2.16(0.00), and 2.34(1.07) for Colgate PreviDent. Lesion depth (µm) after microradiography in enamel was 100.1 (Placebo), 50.6 (Colgate Winterfresh gel), and 110.2 (Fluocaril, and 97.1 (Colgate PreviDent), and corresponding values in dentine were 169.7, 154.8, 183.7, and 153.5. The correlation of ECM and microradiographic parameters was negative (p < 0.05). Conclusion: Exposure of artificially demineralized enamel and root dentine to fluoridated dentifrices and saliva storage solution resulted in remineralization as follows: Colgate Winterfresh > Colgate PreviDent > Placebo-Fluocaril > Fluocaril Bi-Fluoré. Remineralization in teeth of the Placebo dentifrice group may be attributed to the presence of calcium and phosphate ions in the saliva storage solution.

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“…All the articles included should have a statistical analysis of the results, at least two time points for analysis (with at least one before the beginning of treatment), and at least 10 patients analyzed. Only the studies which analyzed functional removable orthodontic appliances were included, in this way space maintainers, aligners or removable retainers were not considered [26][27][28][29][30][31][32][33].…”

Section: Eligibility Criteriamentioning

confidence: 99%

The Effect of Removable Orthodontic Appliances on Oral Microbiota: A Systematic Review

et al. 2021

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Background (1): Removable orthodontic appliances may favor plaque accumulation and oral microbe colonization. This might be associated with intraoral adverse effects on enamel or periodontal tissues. The proposed systematic review was carried out to evaluate qualitatively and quantitatively the microbiological changes occurring during orthodontic therapy with removable orthodontic appliances. Methods (2): PubMed, Cochrane Library, Embase, Web of Science, Scopus, Ovid Medline, and Dentistry and Oral Sciences Source were searched. The research included every article published up to January 2020. The Preferred Reporting Items for Reporting Systematic reviews and Meta Analyses (PRISMA) protocol and the "Swedish Council on Technology Assessment in Health Care Criteria for Grading Assessed Studies" (SBU) method were adopted to conduct this systematic review. Results (3): The current study has a moderate evidence, demonstrating that removable appliances do influence the oral microbiota. Significant alterations occur just 15 days after the beginning of therapy, independently from the type of appliance. Furthermore, the levels of oral pathogens decrease significantly or even returned to pre-treatment levels several months later the therapy end. Conclusions (4): This review suggests that orthodontic treatment with removable appliances induces changes to oral microflora, but these alterations might not be permanent.

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Prevention and caries risk management in teenage and orthodontic patients

Cited by 31 publications

References 71 publications

Association between Household Exposure to Secondhand Smoke and Dental Caries among Japanese Young Adults: A Cross-Sectional Study

Association between Household Exposure to Secondhand Smoke and Dental Caries among Japanese Young Adults: A Cross-Sectional Study

Remineralization of Demineralized Enamel and Dentine Using 3 Dentifrices—An InVitro Study

The Effect of Removable Orthodontic Appliances on Oral Microbiota: A Systematic Review

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