Prevention and treatment of white spot lesions in orthodontic patients
Maryam Khoroushi,Marzie Kachuie +1 more
TLDR
This article reviews the currently used methods to manage enamel demineralization during and after orthodontic treatment and the risk factors and preventive measures based on the latest evidence.Abstract:
Decalcification of enamel, appearing as white spot lesions (WSLs), around fixed orthodontic appliances is a major challenge during and after fixed orthodontic treatment by considering the fact that the goal of orthodontic treatment is to enhance facial and dental esthetic appearance. Banded or bonded teeth exhibit a significantly higher rate of WSLs compared to the controls with no braces as fixed appliances and the bonding materials promote retention of biofilms. These lesions are managed in the first step by establishing good oral hygiene habits and prophylaxis with topical fluorides, including high-fluoride toothpastes, fluoride mouthwashes, gels, varnishes, fluoride-containing bonding materials, and elastic ligatures. Recently, other materials and methods have been recommended, including the application of casein phosphopeptides-amorphous calcium phosphate, antiseptics, probiotics, polyols, sealants, laser, tooth bleaching agents, resin infiltration, and microabrasion. This article reviews the currently used methods to manage enamel demineralization during and after orthodontic treatment and the risk factors and preventive measures based on the latest evidence.read more
Citations
More filters
Journal ArticleDOI
Nanocomplexes of carboxymethyl chitosan/amorphous calcium phosphate reduce oral bacteria adherence and biofilm formation on human enamel surface.
TL;DR: CMC/ACP nanocomplexes inhibit cariogenic bacterial adherence, co-adhesion, and biofilm formation on the enamel surface, possibly by altering bacterial surface charge and enhancing the flocculation effect.
Journal ArticleDOI
Prevention and caries risk management in teenage and orthodontic patients.
Laurence J. Walsh,D L Healey +1 more
TL;DR: Practical ways to lower the risk of hard tissue loss from dental caries during orthodontic treatment across the teenage years are outlined, including tooth surface protection, optimised use of mechanical and chemical plaque control, and appropriate delivery of remineralising agents over time.
Journal ArticleDOI
45S5 Bioglass paste is capable of protecting the enamel surrounding orthodontic brackets against erosive challenge.
Mona Aly Abbassy,Ahmed Bakry,Nada Ibrahim Alshehri,Thoria Mohammed Alghamdi,Samiah Adnan Rafiq,Doha Hassan Aljeddawi,Danyah Saad Nujaim,Ali Habib Hassan +7 more
TL;DR: In this article, the effect of using a 45S5 bioglass paste and a topical fluoride as protective agents against acidic erosion (resembling acidic beverage softdrinks intake) for enamel surrounding orthodontic brackets was evaluated.
Journal ArticleDOI
The Effect of Bioactive Glass-Enhanced Orthodontic Bonding Resins on Prevention of Demineralization: A Systematic Review.
TL;DR: Evaluated the effectiveness of bioactive glass enhanced orthodontic bonding resins on enamel remineralization, in addition to their antibacterial, ion release and acid neutralization effect, finding a proportional relationship was proved between BAG concentrations and increased anti-demineralized effect.
Journal ArticleDOI
Comparative Evaluation of Remineralization Potential of Casein Phosphopeptide- Amorphous Calcium Fluoride Phosphate and Novamin on Artificially Demineralized Human Enamel: An In vitro Study
TL;DR: Remineralization was found to be higher in the samples treated with CPP-ACFP than with Novamin, and very high significant differences between Ca/P ratios of remineralized samples were found.
References
More filters
Journal ArticleDOI
Fluoride varnishes for preventing dental caries in children and adolescents.
TL;DR: The main outcome was caries increment measured by the change in decayed, missing and filled tooth surfaces in both permanent (D(M)FS) and primary (d(e/m)fs) teeth.
Journal ArticleDOI
Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents
Tanya Walsh,Helen V Worthington,Anne-Marie Glenny,Priscilla Appelbe,Valeria Cc Marinho,Xin Shi +5 more
TL;DR: The benefits of using fluoride toothpaste in preventing caries in children and adolescents when compared to placebo are confirmed, but only significantly for fluoride concentrations of 1000 ppm and above.
Journal ArticleDOI
New Approaches to Enhanced Remineralization of Tooth Enamel
TL;DR: Biomimetic approaches to stabilization of bioavailable calcium, phosphate, and fluoride ions and the localization of these ions to non-cavitated caries lesions for controlled remineralization show promise for the non-invasive management of dental caries.
Journal ArticleDOI
Caries detection and diagnosis: Novel technologies
TL;DR: Novel technologies and the research supporting their use are examined, finding systems based on the auto-fluorescence of teeth and electrical resistance seem to offer the most hope for achieving reliable, accurate detection of the earliest stages of enamel demineralisation.
Journal ArticleDOI
Prevalence of white spot lesions during orthodontic treatment with fixed appliances.
TL;DR: This clinical study showed a sharp increase in the number of WSLs during the first 6 months of treatment that continued to rise at a slower rate to 12 months, and Clinicians should evaluate the oral hygiene status of patients during the initial weeks of treatment and, if necessary, implement extra measures to prevent demineralization.