Caries prevention during orthodontic treatment: In-vivo assessment of high-fluoride varnish to prevent white spot lesions

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
Federico PerriniGiuseppe Siciliani

Abstract

Our objective was to evaluate the efficacy of a fluoridated varnish in preventing white spot lesions in patients with fixed appliances. A laser-induced fluorescence device was used to determine any correlations between the degree of demineralization and the length of the observation period, the arch sector, the frequency of varnish application, and the specific tooth site. A split-mouth study design was used for 24 orthodontic patients, allocated randomly to 2 subgroups with differing frequencies of Duraphat varnish (Colgate-Palmolive, New York, NY) application. Repeated measures of the degree of demineralization were taken on the vestibular surfaces of 12 teeth (6 varnished and 6 unvarnished controls). Measurements were taken at 4 sites using a DIAGNOdent Pen 2190 laser (KaVo, Biberach an der Riss, Germany) and then subjected to statistical analysis. Generalized linear model and coefficient model analysis showed differences in the degrees of demineralization between treated and untreated teeth, but this was not statistically significant in terms of time point, frequency of application, or specific tooth site. However, when we analyzed the position of the teeth, the varnished anterior teeth showed a statistically significant re...Continue Reading

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Citations

Jan 14, 2018·Journal of Orofacial Orthopedics = Fortschritte Der Kieferorthopädie : Organ/official Journal Deutsche Gesellschaft Für Kieferorthopädie·Stefanie Louise CoordesRalf Müller-Hartwich
Aug 23, 2019·Dental Materials Journal·Aysegul Gulec, Merve Goymen
Nov 11, 2017·Scientific Reports·Ascensión VicenteLuis-Alberto Bravo-González
Aug 10, 2021·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Yunlei WangUNKNOWN Core Outcome Set for trials on the prevention and treatment of enamel White Spot Lesions (COS-WSL) group
Sep 3, 2021·Evidence-based Complementary and Alternative Medicine : ECAM·Mohammad Nima MotallaeiAlireza Yazdanian

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