International Journal of Clinical Pediatric Dentistry

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VOLUME 6 , ISSUE 2 ( May-August, 2013 ) > List of Articles


Effect of Fluoridated Toothpaste on White Spot Lesions in Postorthodontic Patients

Anirudh Agarwal, Harsh Pandey, Lavesh Pandey, Garima Choudhary

Keywords : White spot lesions, Prevalence, Demineralization, Dental plaque

Citation Information : Agarwal A, Pandey H, Pandey L, Choudhary G. Effect of Fluoridated Toothpaste on White Spot Lesions in Postorthodontic Patients. Int J Clin Pediatr Dent 2013; 6 (2):85-88.

DOI: 10.5005/jp-journals-10005-1195

License: CC BY-NC 4.0

Published Online: 01-12-2017

Copyright Statement:  Copyright © 2013; The Author(s).


Introduction: This article illustrates a new treatment approach and evaluates the effect of use of fluoridated toothpaste on the remineralization of white spot lesions (WSLs) diagnosed at debonding. Materials and methods: Thirty-one orthodontic patients (mean age: 19.6 years), with a minimum of four WSLs on the buccal surfaces of the maxillary and mandibular incisors, canines, premolars and first molars after orthodontic therapy, were enrolled in a double-blind, randomized, longitudinal trial lasting 8 weeks. The subjects were divided into two groups using fluoridated toothpaste (test group, n = 31) and nonfluoridated toothpaste (control group, n = 31). A custom-made mouth tray, covering the maxillary dentition, was used while brushing with the fluoridated toothpaste three times per day. Maxillary dentition acted as control and mandibular as the test. The WSLs were scored by using the International Caries Detection and Assessment System (ICDAS II) index, at baseline and 8 weeks after debonding. Results: The ICDAS II index of the WSLs decreased in the test group in the mandibular dentition but not on the maxillary dentition during the 8-week trial (p < 0.0001). There was also a slight improvement in the control group (not significant). Conclusion: The frequent use of fluoridated toothpaste had a remineralizing effect on WSLs. How to cite this article: Agarwal A, Pandey H, Pandey L, Choudhary G. Effect of Fluoridated Toothpaste on White Spot Lesions in Postorthodontic Patients. Int J Clin Pediatr Dent 2013;6(2):85-88.

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  1. Gorton J, Featherstone JD. In vivo inhibition of demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 2003 Jan;123(1):10-14.
  2. Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl-Andersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: Influencing factors. Caries Res 2005 Jan-Feb;39(1):41-47.
  3. Ogaard B, Rölla G, Arends J. Orthodontic appliances and enamel demineralization: Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988 Jul;94(1):68-73.
  4. Melrose CA, Appleton J, Lovius BB. A scanning electron microscopic study of early enamel caries formed in vivo beneath orthodontic bands. Br J Orthod 1996 Feb;23(1):43-47.
  5. Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982 Feb;81(2):93-98.
  6. Øgaard B, Rölla G, Arends J, ten Cate JM. Orthodontic appliances and enamel demineralization. Part 2. Prevention and treatment of lesions. Am J Orthod Dentofacial Orthop 1988 Aug;94(2):123-128.
  7. O'Reilly MM, Featherstone JD. Demineralization and remineralization around orthodontic appliances: An in vivo study. Am J Orthod Dentofacial Orthop 1987 Jul;92(1):33-40.
  8. Årtun J, Brobakken BO. Prevalence of carious white spots after orthodontic treatment with multibonded appliances. Eur J Orthod 1986 Nov;8(4):229-234.
  9. Basdra EK, Huber H, Komposch G. Fluoride released from orthodontic bonding agents alters the enamel surface and inhibits enamel demineralization in vitro. Am J Orthod Dentofacial Orthop 1996 May;109(5):466-472.
  10. Lussi A, Imwinkelried S, Pitts N, Longbottom C, Reich E. Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res 1999 Jul- Aug;33(4):261-266.
  11. Aljehani A, Yousif MA, Angmar-Mansson B, Shi XQ. Longitudinal quantification of incipient carious lesions in postorthodontic patients using a fluorescence method. Eur J Oral Sci 2006 Oct;114(5):430-434.
  12. Andersson A, Sköld LK, Hallgren A, Petersson LG, Twetman S. Effect of a dental cream containing amorphous cream phosphate complexes on white spot lesion regression assessed by laser fluorescence. Oral Health Prev Dent 2007;5:229-233.
  13. Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: A methodologic study. Oper Dent 2007 May-Jun;32(3):225-235.
  14. Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB. The International Caries Detection and Assessment System (ICDAS): An integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007 Jun;35(3):170- 178.
  15. Ogaard B, Ten Bosch JJ. Regression of white spot enamel lesions. A new optical method for quantitative longitudinal evaluation in vivo. Am J Orthod Dentofacial Orthop 1994 Sep;106(3):238-242.
  16. Al-Khateeb S, Forsberg CM, de Josselin de Jong E, Angmar- Månsson B. A longitudinal laser fluorescence study of white spot lesions in orthodontic patients. Am J Orthod Dentofacial Orthop 1998 Jun;113(6):595-602.
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