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Fluorides, orthodontics and demineralization: a systematic review

Benson, P.E., Shah , A.A., Dyer, F., Parkin, N. and Vine , R.S. (2005) Fluorides, orthodontics and demineralization: a systematic review. Journal of Orthodontics, 32 (2). pp. 102-114. ISSN 1465-3133

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Objectives: To evaluate the effectiveness of fluoride in preventing white spot lesion (WSL) demineralization during orthodontic treatment and compare all modes of fluoride delivery.

Data sources: The search strategy for the review was carried out according to the standard Cochrane systematic review methodology. The following databases were searched for RCTs or CCTs: Cochrane Clinical Trials Register, Cochrane Oral Health Group Specialized Trials Register, MEDLINE and EMBASE. Inclusion and exclusion criteria were applied when considering studies to be included. Authors of trials were contacted for further data.

Data selection: The primary outcome of the review was the presence or absence of WSL by patient at the end of treatment. Secondary outcomes included any quantitative assessment of enamel mineral loss or lesion depth.

Data extraction: Six reviewers independently, in duplicate, extracted data, including an assessment of the methodological quality of each trial.

Data synthesis: Fifteen trials provided data for this review, although none fulfilled all the methodological quality assessment criteria. One study found that a daily NaF mouthrinse reduced the severity of demineralization surrounding an orthodontic appliance (lesion depth difference –70.0 µm; 95% CI –118.2 to –21.8 µm). One study found that use of a glass ionomer cement (GIC) for bracket bonding reduced the prevalence of WSL (Peto OR 0.35; 95% CI 0.15–0.84) compared with a composite resin. None of the studies fulfilled all of the methodological quality assessment criteria.

Conclusions: There is some evidence that the use of a daily NaF mouthrinse or a GIC for bonding brackets might reduce the occurrence and severity of WSL during orthodontic treatment. More high quality, clinical research is required into the different modes of delivering fluoride to the orthodontic patient.

Item Type: Article
Copyright, Publisher and Additional Information: © 2005 British Orthodontic Society. Reproduced in accordance with the publisher's self-archiving policy.
Keywords: Systematic review, compomer, demineralization, fluoride, glass ionomer, orthodontic
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Dentistry (Sheffield) > Department of Oral Health and Development (Sheffield)
Depositing User: Repository Officer
Date Deposited: 29 Jun 2010 16:12
Last Modified: 05 Jun 2014 13:30
Published Version: http://dx.doi.org/10.1179/146531205225021033
Status: Published
Publisher: Maney Publishing
Identification Number: 10.1179/146531205225021033
URI: http://eprints.whiterose.ac.uk/id/eprint/10979

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