Enamel demineralisation during multi-bracketed fixed orthodontic treatment

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This overview of systematic reviews of evidence for the prevention of enamel demineralization during fixed appliance orthodontic treatment included 29 reviews. Most of the reviews were considered to have methodological issues with the findings suggesting that professional fluorides, sealants, reminders, and lasers might be useful interventions to prevent enamel demineralization.

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Tooth crowding in children: Which orthodontic intervention?

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This Cochrane review of the effects of orthodontic interventions for preventing or correcting crowded teeth in children included 24 RCTs. A wide range of interventions were assessed typically is small single studies so the available evidence is of very low certainty.

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Orthodontic treatment with fixed appliances – How long does it take?

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This review of the the treatment duration required to achieve whole-arch alignment of the mandibular dentition using fixed appliances included 35 RCTs. The pooled duration for whole-arch alignment in the mandible was 263.0 days/8.8 months (95%CI: 6.2 to11.3 months). Mandibular incisor alignment was achieved in 100.7 days/3.4 months (95%CI: 2.8 to 3.9 months).

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Pulp necrosis: Is it induced by orthodontic tooth movement?

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This review evaluating the evidence to support the possibility that orthodontic tooth movements could induce pulp necrosis included 12 studies. While the findings indicate there is evidence that these treatments do not induce pulp necrosis it has low to very low quality.

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Top Dental Elf Blogs: Oct – Dec 2020

The Dental Elf

Blogs on Hyposalivation in the elderly, powered toothbrushes for patients undergoing orthodontic treatment and the impact of smoking on the outcomes of non-surgical periodontal treatment were our most popular blogs.

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Powered toothbrushes and plaque control in orthodontic patients

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Typically, fixed appliance orthodontic treatment can last 18-24 months. As the presence of orthodontic appliance encourages plaque accumulation the maintenance of good oral hygiene is important is prevent adverse oral health outcomes.  The small head sizes of powered toothbrushes are considered to assist effective oral hygiene and have been sown to benefit oral health. The [read the full story…]

Powered toothbrushes for patients undergoing fixed orthodontic appliance treatment?

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This review of the effect of powered and manual toothbrushes on oral health during fixed applinace orthodontic treatment included 7 RCTs. The findings suggest no diference between the toothbrush types. However the quality of the evidence is low and the studies are of short duration.

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Orthodontic treatment: Does it take longer in adult patients?

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This review comparing the duration of fixed orthodontic treatment between adults and adolescents included 11 studies the majority of which were retrospective. Meta-analyses indicated no statisticall or clinical differences in duration although the quality of the available evidence was low to very low.

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Orthodontics: How much force is needed to move teeth with fixed appliances?

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This review looking at the optimal force magnitude for achieving orthodontic tooth movement included 12 studies suggesting there is weak to moderate evidence showing that forces ranging between 50 cN and 100 cN are optimal for the rate of orthodontic tooth movement.

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Clear aligner orthodontic treatment

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This review assessing the predictability of clear aligners and treatment outcomes of clear aligner therapy compared with fixed appliance therapy included 7 small studies of limited quality.

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