Prevention and treatment of demineralisation during fixed appliance therapy: a review of current methods and future applications
- PMID:24264666
- DOI: 10.1038/sj.bdj.2013.1094
Prevention and treatment of demineralisation during fixed appliance therapy: a review of current methods and future applications
Abstract
Orthodontic treatment, like all aspects of dentistry, exposes the clinician to the risk of malpractice and litigation. Demineralisation of tooth enamel is still one of the main complications of orthodontic treatment and it is essential patients are made aware of this risk during the consent process. There are a variety of fluoride delivery systems (mouthrinse, varnish, bonding system, and elastics), which can be used to prevent white spot lesion (WSL) formation. Glass-ionomer bonding cements (GIC) have also been shown to reduce WSL formation and have the benefit of not relying on patient compliance. However, these materials have not found widespread acceptance, possibly due to handling characteristics. A number of new technologies, principally fillers and coatings, have recently become available with potential antimicrobial and antibiofilm properties. Coatings can be applied to brackets and wires, which prevent bacterial adhesion. However, the longevity of these coatings is questionable. There are a number of methods available aimed at reducing the incidence of WSL, but they all have limitations. Capitalising on technological advances will enable the production of tailor made orthodontic brackets and adhesive systems, which provide long-term protection against WSL without relying on patient compliance.
Comment in
- Orthodontics: Not a causative agent.Lovel S.Lovel S.Br Dent J. 2014 Mar;216(5):210. doi: 10.1038/sj.bdj.2014.151.Br Dent J. 2014.PMID:24603221No abstract available.
- Author responds.Chambers C.Chambers C.Br Dent J. 2014 Mar;216(5):210.Br Dent J. 2014.PMID:24749185No abstract available.
Similar articles
- Cariostatic effect of glass ionomer retained orthodontic appliances. An in vivo study.Twetman S, McWilliam JS, Hallgren A, Oliveby A.Twetman S, et al.Swed Dent J. 1997;21(5):169-75.Swed Dent J. 1997.PMID:9472145
- Fluorides, orthodontics and demineralization: a systematic review.Benson PE, Shah AA, Millett DT, Dyer F, Parkin N, Vine RS.Benson PE, et al.J Orthod. 2005 Jun;32(2):102-14. doi: 10.1179/146531205225021033.J Orthod. 2005.PMID:15994984Review.
- In vivo inhibition of demineralization around orthodontic brackets.Gorton J, Featherstone JD.Gorton J, et al.Am J Orthod Dentofacial Orthop. 2003 Jan;123(1):10-4. doi: 10.1067/mod.2003.47.Am J Orthod Dentofacial Orthop. 2003.PMID:12532056Clinical Trial.
- Orthodontic treatment-related white spot lesions: a 14-year prospective quantitative follow-up, including bonding material assessment.Shungin D, Olsson AI, Persson M.Shungin D, et al.Am J Orthod Dentofacial Orthop. 2010 Aug;138(2):136.e1-8; discussion 136-7. doi: 10.1016/j.ajodo.2009.05.020.Am J Orthod Dentofacial Orthop. 2010.PMID:20691346
- The role of fluoride mouthrinses in the control of dental caries: a brief review.Adair SM.Adair SM.Pediatr Dent. 1998 Mar-Apr;20(2):101-4.Pediatr Dent. 1998.PMID:9566013Review.
Cited by
- Antibacterial effect and shear bond strength of an orthodontic adhesive cement containingGalla chinensis extract.Wang LF, Luo F, Xue CR, Deng M, Chen C, Wu H.Wang LF, et al.Biomed Rep. 2016 Apr;4(4):507-511. doi: 10.3892/br.2016.603. Epub 2016 Feb 17.Biomed Rep. 2016.PMID:27073642Free PMC article.
- Fluorinated Bioactive Glass Nanoparticles: Enamel Demineralization Prevention and Antibacterial Effect of Orthodontic Bonding Resin.Nam HJ, Kim YM, Kwon YH, Yoo KH, Yoon SY, Kim IR, Park BS, Son WS, Lee SM, Kim YI.Nam HJ, et al.Materials (Basel). 2019 Jun 4;12(11):1813. doi: 10.3390/ma12111813.Materials (Basel). 2019.PMID:31167432Free PMC article.
- Evaluation of the Shear Bond Strength and Antibacterial Activity of Orthodontic Adhesive Containing Silver Nanoparticle, an In-Vitro Study.Eslamian L, Borzabadi-Farahani A, Karimi S, Saadat S, Badiee MR.Eslamian L, et al.Nanomaterials (Basel). 2020 Jul 27;10(8):1466. doi: 10.3390/nano10081466.Nanomaterials (Basel). 2020.PMID:32727028Free PMC article.
- The Impact of Orthodontic Adhesive Containing Resveratrol, Silver, and Zinc Oxide Nanoparticles on Shear Bond Strength: An In Vitro Study.Prasad T, Pawar R, Ganiger C, Ronad Y, Phaphe S, Mane P, Patil S.Prasad T, et al.Cureus. 2024 Aug 31;16(8):e68346. doi: 10.7759/cureus.68346. eCollection 2024 Aug.Cureus. 2024.PMID:39355084Free PMC article.
- Enamel Surface Remineralization Effect by Fluorinated Graphite and Bioactive Glass-Containing Orthodontic Bonding Resin.Nam HJ, Kim YM, Kwon YH, Kim IR, Park BS, Son WS, Lee SM, Kim YI.Nam HJ, et al.Materials (Basel). 2019 Apr 22;12(8):1308. doi: 10.3390/ma12081308.Materials (Basel). 2019.PMID:31013602Free PMC article.
Publication types
MeSH terms
Substances
Related information
LinkOut - more resources
Full Text Sources
Other Literature Sources