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Table of Contents
Vol. 38, No. 5, 2004
Issue release date: September–October 2004
Section title: Original Paper
Caries Res 2004;38:413–420
(DOI:10.1159/000079621)

Caries-Inhibiting Effect of Preventive Measures during Orthodontic Treatment with Fixed Appliances

A Systematic Review

Derks A. · Katsaros C. · Frencken J.E. · van ’t Hof M.A. · Kuijpers-Jagtman A.M.
Departments of aOrthodontics and Oral Biology and bCommunity, Preventive and Paediatric Dentistry, University Medical Centre, Nijmegen, The Netherlands

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/13/2003
Accepted: 11/6/2003
Published online: 8/20/2004

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 3

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: http://www.karger.com/CRE

Abstract

A systematic review was performed of published data on the caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. The purpose was to develop evidence-based recommendations about the most effective means of preventing white spot lesions in orthodontic patients. The 15 studies included were divided into four groups based on comparable preventive measures: fluoride, chlorhexidine, sealants and bonding materials. The caries-inhibiting effect of the preventive measures was expressed by the prevented fraction (PF). The overall PF of the fluoride-releasing bonding materials was 20% (SEM 0.09). This effect was, however, not statistically significant. It was impossible to calculate an overall PF for the other preventive measures, but the tendency of their caries-inhibiting effect has been described. The use of toothpaste and gel with a high fluoride concentration of 1,500–5,000 ppm or of complementary chlorhexidine during orthodontic treatment showed a demineralisation-inhibiting tendency. The use of a polymeric tooth coating on the tooth surface around the brackets showed almost no demineralisation-inhibiting effect. Many publications had to be excluded from this systematic review because of improper research designs. Future clinical trials are needed to give evidence- based advice on the optimal caries-prevention strategy.


Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: 5/13/2003
Accepted: 11/6/2003
Published online: 8/20/2004

Number of Print Pages: 8
Number of Figures: 2
Number of Tables: 3

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

For additional information: http://www.karger.com/CRE


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