Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis

Mohammed, Hisham; Rizk, Mumen Z; Wafaie, Khaled; Ulhaq, Aman; Almuzian, Mohammed

doi:10.1093/ejo/cjy045

Cited by 35 publications

(27 citation statements)

References 48 publications

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“…The introduction of cellphone technology has had a tremendous effect on human lifestyle and the current results indicate that it could possibly be also incorporated in the orthodontist’s armamentarium against WSLs. This is in agreement with two previous reviews that also highlighted the possible benefit of active reminders in the fight against WSLs . This might be attributed to the well‐documented improvement in plaque accumulation and gingival score of patients in the active reminder group, since these are relevant to the WSLs’ pathogenetic mechanism.…”

Section: Discussionsupporting

confidence: 92%

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Tasios

Papageorgiou

Papadopoulos

et al. 2019

Orthod Craniofacial Res

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Aim of this systematic review was to assess the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment. Nine databases were searched without limitations in September 2018 for randomized trials. Study selection, data extraction and risk of bias assessment were done independently in duplicate. Random‐effects meta‐analyses of mean differences (MDs) or relative risks (RRs) with their 95% confidence intervals (CIs) were conducted, followed by sensitivity analyses, and the GRADE analysis of the evidence quality. A total of 24 papers (23 trials) were included, assessing preventive measures applied either around orthodontic brackets (21 trials; 1427 patients; mean age 14.4 years) or molar bands (2 trials; 46 patients; age/sex not reported). Active patient reminders were associated with reduced WSL incidence on patient level compared to no reminder (3 trials; 190 patients; RR: 0.4; 95% CI: 0.31‐0.64; Number Needed to Treat [NNT]: 3 patients), flat surface sealants were associated with reduced WSL incidence on tooth level than no sealant (5 trials; 2784 teeth; RR: 0.8; 95% CI: 0.63‐0.95; NNT: 33 teeth), and fluoride varnish was associated with reduced WSL severity on tooth level (2 trials; 1160 teeth; MD: −0.32 points; 95% CI: −0.44 to −0.21 points). However, the quality of evidence was low according to GRADE, due to risk of bias. Some evidence indicates that active patient reminders and flat surface sealants or fluoride varnish around orthodontic brackets might be associated with reduced WSL burden, but further research is needed.

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Section: Discussionsupporting

confidence: 92%

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Tasios

Papageorgiou

Papadopoulos

et al. 2019

Orthod Craniofacial Res

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“…Our systematic review widened the scope from previous reviews on the topic (Lima et al 2018; Mohammed et al 2019; Toniazzo et al 2019), with a research question that considers interventions for the management of any oral disease or condition (not restricted to oral hygiene) on any population (no limited to orthodontics patients). We included any form of prevention or promotion of oral health through telematic technologies (any digital or remote approach and no restriction to mHealth; Appendix Table 1).…”

Section: Discussionmentioning

confidence: 99%

“…Hence, the health-associated use of smartphones can positively influence habits and behaviors (Underwood et al 2015). Although a few recent systematic reviews focused on the use of mHealth (mobile app and text messages) to improve oral health knowledge and gingival health (Toniazzo et al 2019) or the use of reminders to improve the hygiene in orthodontics patients (Lima et al 2018; Mohammed et al 2019), evidence is still lacking on the use of other digital approaches, labeled teledentistry , for the prevention and promotion of oral health.…”

Section: Introductionmentioning

confidence: 99%

Teledentistry and mHealth for Promotion and Prevention of Oral Health: A Systematic Review and Meta-analysis

et al. 2021

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The dental profession has experienced a dramatic acceleration in the use of communication systems and information-based technologies over recent years, originating new paradigms for the prevention and promotion of oral health. The purpose of this systematic review was to determine the effect of teledentistry-based (telematic) strategies, reported in randomized controlled trials and quasi-randomized trials, with a focus on oral health prevention and promotion–related outcomes in patients of all ages. We searched Medline via PubMed, SCOPUS, and Web of Science from inception until August 2020, regardless of the language of publication. We selected studies for inclusion and conducted data extraction, assessed risk of bias (Cochrane tool), and evaluated the certainty of the evidence (GRADE approach) in duplicate and independently. Out of 898 potentially eligible references, we selected 43 for full-text screening, of which 19 studies proved eligible: 18 randomized controlled trials and 1 quasi-randomized study. Virtual interventions were mostly asynchronous via apps ( n = 9), text messages ( n = 9), or computer-aided learning ( n = 1). The use of teledentistry as compared with conventional strategies may result in a large reduction in the plaque index (standardized mean difference, −1.18; 95% CI, −1.54 to −0.82; I2 = 92%; low certainty) and will likely result in a large reduction in the gingival index (standardized mean difference, −2.17; 95% CI, −3.15 to −1.19; I2 = 97%; moderate certainty) and in the incidence of white spot lesions (risk ratio, 0.48; 95% CI, 0.35 to 0.66; I2 = 0%; moderate certainty), with an increased effect over time. Evidence suggests that teledentistry, particularly mHealth (messages and apps), is a promising clinical tool for preventing and promoting oral health, especially under the accelerated virtualization of dentistry. Future studies should include a broader spectrum of the population, including adults and elders, to better inform policy and implementation of teledentistry (PROSPERO: CRD42020192685).

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“…Moreover, oral hygiene instructions and regular professional cleanings with motivation of patients have been recommended to inhibit demineralization [ 32 ]. The use of reminder systems to improve oral hygiene and adherence to appointments can reduce prevalence of white spot lesions [ 33 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of the caries-protective self-assembling peptide P11-4 on shear bond strength of metal brackets

2020

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Purpose During orthodontic treatment with fixed appliances, demineralization around brackets often occurs. The aim of this in vitro study was to investigate the effect of the caries-protective self-assembling peptide P11‑4 (SAP P11-4) on the shear bond strength of metal brackets. Methods In all, 45 extracted human wisdom teeth were available for the study. The teeth were randomly divided into 3 groups (each n = 15) and pretreated as follows: test group 1: application of SAP P11‑4 (Curodont Repair, Windisch, Switzerland) and storage for 24 h in artificial saliva; test group 2: application of SAP P11‑4; control group: no pretreatment with SAP P11‑4. A conventional metal maxillary incisor bracket (Discovery, Dentaurum, Ispringen) was adhesively bonded to each buccal surface. The shear bond strength was tested according to DIN 13990. After shearing, the Adhesive Remnant Index (ARI) was determined microscopically (10 × magnification). Analysis of variance (ANOVA) was used to check the groups for significant differences (α = 0.05). The distribution of the ARI scores was determined with the χ 2 test. Results There was no significant difference in shear forces between the groups (p = 0.121): test group 1 = 17.0 ± 4.51 MPa, test group 2 = 14.01 ± 2.51 MPa, control group 15.54 ± 4.34 MPa. The distribution of the ARI scores between the groups did not vary (p-values = 0.052–0.819). Conclusion The application of the caries protective SAP P11‑4 before bonding of brackets did not affect the shear bond strength. Therefore, pretreatment of the enamel surface with SAP P11‑4 shortly before bracket insertion can be considered.

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Reminders improve oral hygiene and adherence to appointments in orthodontic patients: a systematic review and meta-analysis

Abstract: None.

Cited by 35 publications

References 48 publications

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Prevention of orthodontic enamel demineralization: A systematic review with meta‐analyses

Teledentistry and mHealth for Promotion and Prevention of Oral Health: A Systematic Review and Meta-analysis

Effect of the caries-protective self-assembling peptide P11-4 on shear bond strength of metal brackets

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