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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Nano-hydroxyapatite for caries prevention

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This review of the efficacy of fluoride-free nano-hydroxyapatite agents (nHA) to enhance remineralisation or hamper demineralisation of enamel caries included 10 small studies. 5 studies were in-vivo and 5 in-situ but they were of short duration with 7 being at high risk of bias so provide very low certainty evidence. Additional high quality well reported studies are needed to assess nHA.

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White spot lesions and masking with resin infiltration

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This review of the long-term efficacy of resin infiltration therapy for white sport lesions with regard to aesthetic appearance and long-term stability included 11 studies 9 of which were RCTs. The findings suggest a benefit but the amount of evidence is limited.

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White spot lesions: Topical fluoride for prevention during fixed orthodontic treatment

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This Cochrane review update evaluates whether topical fluoride reduces the proportion of orthodontic patients with new demineralised lesions (white spot lesions). In included 10 studies finding some low certainty evidence that some topical fluorides reduced white spot lesions.

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Enamel white spot lesions: self-application of topical fluorides for prevention and reversal

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This review of self-applied topical fluorides for the prevention reversal of enamel white spot lesions during fixed orthodontic treatment included 3 RCTs two of which were at high risk of bias.

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Oral hygiene advice: Use of mobile phone applications in children and adolescents

There's huge potential for smartphones to be used in this kind of research

This review of the effectiveness of interventions delivered by mobile phones in improving adherence to oral hygiene advice for children and adolescents included just 2 small RCTs involving a total of 130 patients. The findings suggest that mobile phones are effective in improving adherence to oral hygiene advice in orthodontic patients.

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White spot lesion prevention during orthodontic treatment

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This review of the efficacy of preventive interventions against the development of white spot lesions (WSLs) during fixed appliance orthodontic treatment included 23 RCTs tha majority of which were at high risk of bias. The findings suggest some benefit from sealants and fluoride varnishes but more high quality research is neeeded.

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Fluoride for white spot lesion prevention during orthodontic treatment

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This review of professional topical fluoride application to prevent/reverse enamel white spot lesions during orthdontic treatment included 11 RCTs suggesting a reduction of in incidence of between 25–30% .

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Orthodontic patients: Reminders improved oral hygiene and compliance

Recent research has shown how behavioural activation can be delivered via smartphones.

14 RCTs were included in this review of the effect of different reminders on oral hygiene and compliance in orthodontic patients. For most outcomes measured beneficial effects were seen in the patients receiving reminders.

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White spot lesions: available treatments may provide improvements

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This review of treatments for post orthodontic white spot lesions included 20 studies examining a wide variety of approaches. Modest benefits were seen in addition to daily use of fluoride toothpaste and furhter high quality studies are needed to identify the best approaches.

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