Methods used for prevention of white spot lesion development during orthodontic treatment with fixed appliances
Publication year
2012Source
Acta Odontologica Scandinavica, 70, 6, (2012), pp. 564-8ISSN
Publication type
Article / Letter to editor

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Organization
Dentistry
IQ Healthcare
Primary and Community Care
Journal title
Acta Odontologica Scandinavica
Volume
vol. 70
Issue
iss. 6
Page start
p. 564
Page end
p. 8
Subject
NCEBP 2: Evaluation of complex medical interventions; NCEBP 3: Implementation Science; NCEBP 7: Effective primary care and public health; NCEBP 3: Implementation ScienceAbstract
OBJECTIVES: The aim of this study was to survey methods that Dutch orthodontists use to prevent development or progression of enamel decalcifications during orthodontic treatment. MATERIALS AND METHODS: A pre-tested questionnaire was sent by post to all orthodontists in the Netherlands with a private practice (n = 189). RESULTS: The response rate was 81%. At the start of orthodontic treatment a basic practice protocol for prevention of enamel demineralization was used by 93% of the orthodontists. This included oral hygiene instructions (92%) and the advice for additional use of a fluoride mouth rinse (64%). Other preventive measures were rarely prescribed. About 85% of those who prescribed a fluoride mouth rinse advised to rinse once a day, directly after evening tooth brushing. CONCLUSIONS: The results suggest that the commonly used practice of fluoride mouth rinsing directly after evening tooth brushing by orthodontic patients during fixed appliance treatment ignores actual evidence of preventive advices. This study recommends mouth rinsing at another moment than after evening tooth brushing, thus increasing the frequency of fluoride intakes, which might enhance the effectiveness in preventing WSL development or progression during orthodontic treatment.
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- Academic publications [202652]
- Faculty of Medical Sciences [79967]
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