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In vivo effectiveness of enamel sealants around orthodontic brackets

Eine Studie zur Wirksamkeit von Bracketumfeldversiegelungslacken in vivo

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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie Aims and scope Submit manuscript

Abstract

Objective

In this randomized study, the caries-protective effect on vestibular enamel of two fluoride-containing sealants (Protecto® and Light Bond®) during multibracket treatment was investigated.

Materials and methods

In all, 40 orthodontic patients about to receive a multibracket appliance with the brackets bonded to the vestibular tooth surfaces were randomly included in this study. Each one was randomly assigned to one of four groups. A crossover design was selected in which a sealed quadrant was contralateral to an unsealed quadrant, then choosing the reverse configuration in the opposite jaw. Two sealants were, thus, tested on vestibular enamel on left and right anterior teeth and premolars in both jaws of each patient over 6 months of multibracket treatment. A DIAGNOdent® pen measuring laser fluorescence was used to analyze the relevant enamel surfaces both at baseline and after 6 months.

Results

Neither the incidence nor the characteristics of the demineralization we observed during the study differed between the 4 groups.

Conclusion

Single application of smooth-surface sealants did not protect enamel around brackets from incipient carious lesions during the first 6 months of multibracket treatment.

Zusammenfassung

Ziel

Zwei fluoridhaltige Bracketumfeldversiegelungslacke sollten in einer randomisierten Studie auf kariesprotektive Wirkung im klinischen Einsatz untersucht werden.

Material und Methode

Für diese Studie wurden per Zufall 40 kieferorthopädische Patienten ausgewählt, die kurz vor dem Einsetzen einer vestibulär befestigten Multibracket-Apparatur standen. Ebenfalls zufällig wurden diese Patienten in vier Gruppen eingeteilt, wobei nach dem Crossover-Prinzip gegenläufig zum Gegenkiefer immer eine unversiegelte Kieferhälfte einer versiegelten gegenüber lag. Je Proband wurden zwei Versiegelungslacke jeweils einmal auf der linken und einmal auf der rechten Kieferseite an Frontzähnen und Prämolaren über einen Zeitraum von 6 Monaten getestet. Zu Beginn und zum Abschluss der Untersuchung wurden die Schmelzoberflächen der betreffenden Zähne durch Laserfluoreszenzmessung mit dem DIAGNOdent®-Pen auf Demineralisationen untersucht.

Ergebnisse

In allen Gruppen traten innerhalb des Untersuchungszeitraumes Demineralisationen in gleicher Häufigkeit auf. Auch die Qualität der entstandenen Läsionen war in allen Gruppen gleich.

Schlussfolgerung

Nach einmaliger Anwendung der untersuchten Glattflächen-Versiegelungslacke konnte über eine Multibracketbehandlungszeit von 6 Monaten keine protektive Wirkung gegenüber initialkariösen Läsionen nachgewiesen werden.

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References

  1. Bechtold TE, Briegleb HK (2010) Periodontal and gingival incisor findings in patients with anterior open bite in the mixed dentition. J Orofac Orthop 71:199–206

    Article  PubMed  Google Scholar 

  2. Benham AW, Campbell PM, Buschang PH (2009) Effectiveness of pit and fissure sealants in reducing white spot lesions during orthodontic treatment. A pilot study. Angle Orthod 79:338–345

    Article  PubMed  Google Scholar 

  3. Brown WE, Gregory TM, Chow LC (1977) Effects of fluoride on enamel solubility and cariostasis. Caries Res 11(Suppl 1):118–141

    Article  PubMed  Google Scholar 

  4. Demito CF, Vivaldi-Rodrigues G, Ramos AL, Bowman SJ (2004) The efficacy of a fluoride varnish in reducing enamel demineralization adjacent to orthodontic brackets: an in vitro study. Orthod Craniofac Res 7:205–210

    Article  PubMed  Google Scholar 

  5. Diedrich P (1981) Klinische Bruchhäufigkeit, Plaquebildung und Schmelzläsionen bei der Bracketadhäsivtechnik. Fortschr Kieferorthop 42:195–208

    Article  Google Scholar 

  6. Farrow ML, Newman SM, Oesterle LJ, Shellhart WC (2007) Filled and unfilled restorative materials to reduce enamel decalcification during fixed-appliance orthodontic treatment. Am J Orthod Dentofacial Orthop 132:578.e1–578.e6

    Article  PubMed  Google Scholar 

  7. Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG (1988) The effect of a fluoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop 93:29–37

    Article  PubMed  Google Scholar 

  8. Geiger AM, Gorelick L, Gwinnett AJ, Benson BJ (1992) Reducing white spot lesions in orthodontic populations with fluoride rinsing. Am J Orthod Dentofacial Orthop 101:403–407

    Article  PubMed  Google Scholar 

  9. Gorelick L, Geiger AM, Gwinnett AJ (1982) Incidence of white spot formation after bonding and banding. Am J Orthod 81:93–98

    Article  PubMed  Google Scholar 

  10. Gorton J, Featherstone JD (2003) In vivo inhibition of demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 123:10–14

    Article  PubMed  Google Scholar 

  11. Heinig N, Hartmann A (2008) Efficacy of a sealant: study on the efficacy of a sealant (Light Bond) in preventing decalcification during multibracket therapy. J Orofac Orthop 69:154–167

    Article  PubMed  Google Scholar 

  12. Hess E, Campbell PM, Honeyman AL, Buschang PH (2011) Determinants of enamel decalcification during simulated orthodontic treatment. Angle Orthod 81:836–842

    Article  PubMed  Google Scholar 

  13. Joseph VP, Rossouw PE, Basson NJ (1994) Some “sealants” seal—a scanning electron microscopy (SEM) investigation. Am J Orthod Dentofacial Orthop 105:362–368

    Article  PubMed  Google Scholar 

  14. Lowder PD, Foley T, Banting DW (2008) Bond strength of 4 orthodontic adhesives used with a caries-protective resin sealant. Am J Orthod Dentofacial Orthop 134:291–295

    Article  PubMed  Google Scholar 

  15. Lussi A, Megert B, Longbottom C et al (2001) Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci 109:14–19

    Article  PubMed  Google Scholar 

  16. Lussi A, Hibst R, Paulus R (2004) DIAGNOdent: an optical method for caries detection. J Dent Res 83(Spec No C):C80–C83

    Article  PubMed  Google Scholar 

  17. Neuhaus KW, Rodrigues JA, Seemann R, Lussi A (2012) Detection of proximal secondary caries at cervical class II-amalgam restoration margins in vitro. J Dent 40:493–499

    Article  PubMed  Google Scholar 

  18. Øgaard B, Rølla G, Helgeland K (1984) Fluoride retention in sound and demineralized enamel in vivo after treatment with a fluoride varnish (Duraphat). Scand J Dent Res 92:190–197

    PubMed  Google Scholar 

  19. Øgaard B, Rølla G, Arends J (1988) Orthodontic appliances and enamel demineralization. Part 1. lesion development. Am J Orthod Dentofacial Orthop 94:68–73

    Article  PubMed  Google Scholar 

  20. Øgaard B (1989) Incidence of filled surfaces from 10–18 years of age in an orthodontically treated and untreated group in Norway. Eur J Orthod 11:116–119

    PubMed  Google Scholar 

  21. Øgaard B (1989) Prevalence of white spot lesions in 19-years-olds: a study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop 96:423–427

    Article  PubMed  Google Scholar 

  22. Øgaard B, Duschner H, Ruben J, Arends J (1996) Microradiography and confocal laser scanning microscopy applied to enamel lesions formed in vivo with and without fluoride varnish treatment. Eur J Oral Sci 104:378–383

    Article  PubMed  Google Scholar 

  23. Øgaard B, Larsson E, Henriksson T et al (2001) Effects of combined application of antimicrobial and fluoride varnishes in orthodontic patients. Am J Orthod Dentofacial Orthop 120:28–35

    Article  PubMed  Google Scholar 

  24. Paschos E, Kleinschrodt T, Clementino-Luedemann T et al (2009) Effect of different bonding agents on prevention of enamel demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 135:603–612

    Article  PubMed  Google Scholar 

  25. Quigley GA, Hein JW (1962) Comparative cleansing efficiency of manual and power brushing. J Am Dent Assoc 65:26–29

    PubMed  Google Scholar 

  26. Rodrigues JA, Diniz MB, Hug I et al (2010) Relationship between DIAGNOdent values and sealant penetration depth on occlusal fissures. Clin Oral Investig 14:707–711

    Article  PubMed  Google Scholar 

  27. Rosenbloom RG, Tinanoff N (1991) Salivary streptococcus mutans levels in patients before, during, and after orthodontic treatment. Am J Orthod Dentofacial Orthop 100:35–37

    Article  PubMed  Google Scholar 

  28. Saxer UP, Mühlemann HR (1975) Motivation and education. SSO Schweiz Monatsschr Zahnheilkd 85:905–919

    PubMed  Google Scholar 

  29. Schlagenhauf U, Tobien P, Engelfried P (1989) Effects of orthodontic treatment on individual caries risk parameters. Dtsch Zahnarztl Z 44:758–760

    PubMed  Google Scholar 

  30. Schmit JL, Staley RN, Wefel JS et al (2002) Effect of fluoride varnish on demineralization adjacent to brackets bonded with RMGI cement. Am J Orthod Dentofacial Orthop 122:125–134

    Article  PubMed  Google Scholar 

  31. Staudt CB, Lussi A, Jacquet J, Kiliardis S (2004) White spot lesions around brackets: in vitro detection by laser fluorescence. Eur J Oral Sci 112:237–243

    Article  PubMed  Google Scholar 

  32. Todd MA, Staley RN, Kanellis MJ et al (1999) Effect of a fluoride varnish on demineralization adjacent to orthodontic brackets. Am J Orthod Dentofacial Orthop 116:159–167

    Article  PubMed  Google Scholar 

  33. Wenderoth CJ, Weinstein M, Borislow AJ (1999) Effectiveness of a fluoride-releasing sealant in reducing decalcification during orthodontic treatment. Am J Orthod Dentofacial Orthop 116:629–634

    Article  PubMed  Google Scholar 

  34. Zimmer B (1999) Systematic decalcification prophylaxis during treatment with fixed appliances. J Orofac Orthop 60:205–214

    Article  PubMed  Google Scholar 

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Conflict of interest

On behalf of all authors, the corresponding author states that there are no conflicts of interest.

Interessenkonflikt

Die korrespondierende Autorin gibt für sich und ihre Koautoren an, dass keine Interessenkonflikte bestehen.

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Authors and Affiliations

  1. Department of Orthodontics, Center of Dentistry, Oral Medicine, and Maxillofacial Surgery, Eberhard-Karls University Tübingen, Osianderstr. 2−8, 72076, Tübingen, Germany

    T.E. Bechtold,  M. Berneburg & G.R. Göz

  2. Private Practice, Hemsbach, Germany

    A. Sobiegalla

  3. Private Practice, Stuttgart, Germany

    M. Markovic

Authors
  1. T.E. Bechtold
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  2. A. Sobiegalla
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  3. M. Markovic
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  4. M. Berneburg
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  5. G.R. Göz
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Corresponding author

Correspondence to M. Berneburg.

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Bechtold, T., Sobiegalla, A., Markovic, M. et al. In vivo effectiveness of enamel sealants around orthodontic brackets. J Orofac Orthop 74, 447–457 (2013). https://doi.org/10.1007/s00056-013-0178-4

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  • DOI: https://doi.org/10.1007/s00056-013-0178-4

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