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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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Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Alexander SA, Ripa LW: Effects of self-applied topical fluoride preparations in orthodontic patients. Angle Orthod 2000;70:424–430.
  2. Årtun J, Brobakken BO: Prevalence of carious white spots after orthodontic treatment with multibonded appliances. Eur J Orthod 1986;8:229–234.
  3. Axelsson P: An Introduction to Risk Prediction and Preventive Dentistry. Carol Stream, Quintessence Publishing, 1999, pp 107–111.
  4. Bader JD, Shugars DA, Bonito AJ: A systematic review of selected caries prevention and management methods. Community Dent Oral Epidemiol 2001;29:399–411.
  5. Banks PA, Burn A, O’Brien K: A clinical evaluation of the effectiveness of including fluoride into an orthodontic bonding adhesive. Eur J Orthod 1997;19:391–395.
  6. Banks PA, Chadwick SM, Asher-McDade C, Wright JL: Fluoride-releasing elastomerics: A prospective controlled clinical trial. Eur J Orthod 2000;22:401–407.
  7. Banks PA, Richmond S: Enamel sealants: A clinical evaluation of their value during fixed appliance therapy. Eur J Orthod 1994;16:19–25.
  8. Boyd RL: Two-year longitudinal study of a peroxide-fluoride rinse on decalcification in adolescent orthodontic patients. J Clin Dent 1992;3:83–87.
  9. Boyd RL: Comparison of three self-applied topical fluoride preparations for control of decalcification. Angle Orthod 1993;63:25–30.
  10. Boyd RL: Long-term evaluation of a SnF2 gel control of gingivitis and decalcification in adolescent orthodontic patients. Int Dent J 1994;44:119–130.
  11. Boyd RL, Rose CM: Effect of rotary electric toothbrush versus manual toothbrush on decalcification during orthodontic treatment. Am J Orthod Dentofacial Orthop 1994;105:450–456.
  12. Büyükyilmaz T, Tangugsorn V, Øgaard B, Arends J, Ruben J, Rølla G: The effect of titanium tetrafluoride (TiF4) application around orthodontic brackets. Am J Orthod Dentofacial Orthop 1994;105:293–296.
  13. Chan DCN, Swift EJ, Bishara SE: In vitro evaluation of a fluoride-releasing orthodontic resin. J Dent Res 1990;69:1576–1579.
  14. Chang HS, Walsh LJ, Freer TJ: Enamel demineralization during orthodontic treatment: Aetiology and prevention. Austr Dent J 1997;42:322–327.
  15. Chung CK, Millet DT, Creanor SL, Gilmour WH, Foye RH: Fluoride release and cariostatic ability of a compomer and a resin-modified glass ionomer cement used for orthodontic bonding. J Dent 1998;26:533–538.
  16. D’Agostino RB, Cancro LP, Fischman S: Effects of anticaries dentifrices on orthodontic subjects. Comp Con Educ Dent 1988;11:S384–S389.
  17. Dénes J, Gábris K: Results of a 3-year oral hygiene programme, including amine fluoride products, in patients treated with fixed appliances. Eur J Orthod 1991;13:129–133.
  18. Doherty UB, Benson PE, Higham SM: Fluoride-releasing elastomeric ligatures assessed with the in situ caries model. Eur J Orthod 2002;24:371–378.
  19. Fornell AC, Sköld-Larsson K, Hallgren A, Bergstrand F, Twetman S: Effect of a hydrophobic tooth coating on gingival health, mutans streptococci, and enamel demineralization in adolescents with fixed orthodontic appliances. Acta Odontol Scand 2002;60:37–41.
  20. Gaworski M, Weinstein M, Borislow AJ, Braitman LE: Decalcification and bond failure: A comparison of a glass ionomer and a composite resin bonding system in vivo. Am J Orthod Dentofacial Orthop 1999;116:518–521.
  21. Geiger AM, Gorelick L, Gwinnett AJ, Benson BJ: Reducing white spot lesions in orthodontic populations with fluoride rinsing. Am J Orthod Dentofacial Orthop 1992;101:403–407.
  22. Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG: The effect of a fluoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop 1988;93:29–37.
  23. Gorelick L, Geiger AM, Gwinnett AJ: Incidence of white spot formation after bonding and banding. Am J Orthod Dentofacial Orthop 1982;81:93–98.
  24. Harazaki M, Hayakawa K, Fukui T, Isshiki Y, Powel LG: The Nd-Yag laser is useful in prevention of dental caries during orthodontic treatment. Bull Tokyo Dent Coll 2001;42:79–86.
  25. Heanue M, Deacon SA, Deery C, Robinson PG, Walmsley AD, Worthington HV, Shaw WC: Manual versus powered toothbrushing for oral health (review). Cochrane Database Syst Rev 2003.
  26. Heintze SD, Jost-Brinkman PG, Loundos J: Effectiveness of three different types of electric toothbrushes compared with a manual technique in orthodontic patients. Am J Orthod Dentofacial Orthop 1996;110:630–638.
  27. Helfenstein U, Steiner M: Fluoride varnishes (Duraphat): A meta-analysis. Community Dent Oral Epidemiol 1994;22:1–5.
  28. Jenatschke F, Elsenberger E, Welte HD, Schlagenhauf U: Influence of repeated chlorhexidine varnish applications on mutans streptococci counts and caries increment in patients treated with fixed orthodontic appliances. J Orofac Orthop 2001;62:36–45.
  29. Lundström F, Krasse B: Caries incidence in orthodontic patients with high levels of Streptococcus mutans. Eur J Orthod 1987;9:117–121.
  30. Marcusson A, Norevall LI, Persson M: White spot reduction when using glass ionomer cement for bonding in orthodontics: A longitudinal and comparative study. Eur J Orthod 1997;19:233–242.
  31. Marinho VCC, Higgins JPT, Logan S, Sheiham A: Fluoride gels preventing dental caries in children and adolescents (review). Cochrane Database Syst Rev 2003a.
  32. Marinho VCC, Higgins JPT, Logan S, Sheiham A: Fluoride varnishes for preventing dental caries in children and adolescents (review). Cochrane Database Syst Rev 2003b.
  33. Marinho VCC, Higgins JPT, Sheiham A, Logan S: Fluoride toothpaste for preventing dental caries in children and adolescents (review). Cochrane Database Syst Rev 2003c.
  34. Marini I, Pelliccioni GA, Vecchiet F, Bonetti GA, Checchi L: A retentive system for intra-oral fluoride release during orthodontic treatment. Eur J Orthod 1999;21:695–701.
  35. Mattick CR, Mitchell L, Chadwick SM, Wright J: Fluoride-releasing elastomeric modules reduce decalcification: A randomized controlled trial. J Orthod 2001;28:217–219.
  36. Medléna M, Vitalyos G, Márton S, Nagy G: Effect of chlorhexidine varnish on bacterial levels in plaque and saliva during orthodontic treatment. J Clin Dent 2000;11:42–46.
  37. Millet DT, Mc Cluskey LA, Mc Auley F, Creanor SL, Newell J, Love J: A comparative trial of a compomer and a resin adhesive for orthodontic bonding. Angle Orthod 2000;70:233–240.
  38. Millet DT, Nunn JH, Welbury RR, Gordon PH: Decalcification in relation to brackets bonded with glass ionomer cement or a resin adhesive. Angle Orthod 1999;69:65–70.
  39. Mitchell L: Decalcification during orthodontic treatment with fixed appliances: An overview. Br J Orthod 1992a;19:199–205.
  40. Mitchell L: An investigation into the effect of a fluoride releasing adhesive on the prevalence of enamel surface changes associated with directly bonded orthodontic attachments. Br J Orthod 1992b;19:207–214.
  41. Mizrahi E: Surface distribution of enamel opacities following orthodontic treatment. Am J Orthod Dentofacial Orthop 1983;84:323–331.
  42. Øgaard B: Prevalence of white spot lesions in 19-year-olds: A study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop 1989;96:423–427.
  43. Øgaard B, Larsson E, Glans R, Henriksson T, Birkhed D: Antimicrobial effect of a chlorhexidine-thymol varnish (Cervitec®) in orthodontic patients. J Orofac Orthop 1997;58:206–213.
  44. Øgaard B, Larsson E, Henriksson T, Birkhed D, Bishara SE: Effects of combined application of antimicrobial and fluoride varnishes in orthodontic patients. Am J Orthod Dentofacial Orthop 2001;120:28–35.
  45. Øgaard B, Rezk-Lega F, Ruben J, Arends J: Cariostatic effect and fluoride release from a visible light-curing adhesive for bonding of orthodontic brackets. Am J Orthod Dentofacial Orthop 1992;101:303–307.
  46. Øgaard B, Rølla G, Arends J: Orthodontic appliances and enamel demineralization. Part 1:Lesion development. Am J Orthod Dentofacial Orthop 1988a;94:68–73.
  47. Øgaard B, Rølla G, Arends J, ten Cate JM: Orthodontic appliances and enamel demineralization. Part 2: Prevention and treatment of lesions. Am J Orthod Dentofacial Orthop 1988b;94:123–128.
  48. O’Reilly MM, Featherstone JDB: Demineralization and remineralization around orthodontic appliances: An in vivo study. Am J Orthod Dentofacial Orthop 1987;92:33–40.
  49. van Rijkom HM, Truin GJ, van ‘t Hof MA: A meta-analysis of clinical studies on the caries-inhibiting effect of fluoride gel treatment. Caries Res 1998;32:83–92.
  50. Sonis AL, Snell W: An evaluation of a fluoride-releasing, visible light-activated bonding system for orthodontic bracket placement. Am J Orthod Dentofacial Orthop 1989;95:306–311.
  51. Strohmenger L, Brambilla E: The use of fluoride varnishes in the prevention of dental caries: A short review. Oral Dis 2001;7:71–80.
  52. Trimpeneers LM, Dermaut LR: A clinical evaluation of the effectiveness of a fluoride-releasing visible light-activated bonding system to reduce demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 1996;110:218–222.
  53. Turner PJ: The clinical evaluation of a fluoride-containing orthodontic bonding material. Br J Orthod 1993;20:307–313.
  54. Twetman S, Hallgren A, Peterson LG: Effect of an antibacterial varnish on mutans streptococci in plaque from enamel adjacent to orthodontic appliances. Caries Res 1995;29:188–191.
  55. Twetman S, Mcwilliam JS, Hallgren A, Oliveby A: Cariostatic effect of glass ionomer retained orthodontic appliances. Swed Dent J 1997;21:169–175.
  56. Underwood ML, Rawis HR, Zimmerman BF: Clinical evaluation of a fluoride-exchanging resin as an orthodontic adhesive. Am J Orthod Dentofacial Orthop 1989;96:93–99.
  57. Wenderoth CJ, Weinstein M, Borislow AJ: Effectiveness of a fluoride-releasing sealant in reducing decalcification during orthodontic treatment. Am J Orthod Dentofacial Orthop 1999;116:629–634.
  58. Wilson TG, Love B: Clinical effectiveness of fluoride-releasing elastomers. II. Enamel microhardness levels. Am J Orthod Dentofacial Orthop 1995;107:379–381.
  59. Wiltshire WA, Rensburg van SDJ: Fluoride release from four visible light-cures orthodontic adhesive resins. Am J Orthod Dentofacial Orthop 1995;108:278–283.
  60. Zimmer B: Systematic decalcification prophylaxis during treatment with fixed appliances. J Orofac Orthop 1999;60:205–214.