Baltic Dental and Maxillofacial Journal
Main page Back issues Editorial board Information

March, 2016, Vol. 18, No. 1

CONTENTS

REVIEW

Prevention and treatment of white spot lesions during and after fixed orthodontic treatment: A systematic literature review
Egle Lapenaite, Kristina Lopatiene, Aira Ragauskaite
3-8

SCIENTIFIC ARTICLES

Hypericum perforatum L. treatment restored bone mass changes in swimming stressed rats
Nikos Seferos, Loukas Petrokokkinos, Antonia Kotsiou, George Rallis, Christine Tesseromatis
9-13

Factors influencing the caries experience of 6 and 12 year old children in Riga, Latvia
Jekaterina Gudkina, Anda Brinkmane, Stephen H. Abrams, Bennett T. Amaechi
14-20

Vertical and sagittal morphology of the facial skeleton and the pharyngeal airway
Kristina Lopatienė, Agnė Dabkutė, Viktorija Juškevičiūtė
21-25

Prevention of Occlusal Caries using a Ozone, Sealant and Fluoride Varnish in Children
Julija Kalnina, Ruta Care

26-31

CASE REPORT

Direct composite resin crown fabrication on a custom formed root canal post – EverStick®POST
Valdas Vilkinis, Juozas Žilinskas
32-36




© 2016 Stomatologija

Stomatologija 2016; 18 (1): 3-8 542 KB

Prevention and treatment of white spot lesions during and after fixed orthodontic treatment: A systematic literature review

Egle Lapenaite, Kristina Lopatiene, Aira Ragauskaite

Summary

Objective. The aim of the study is to evaluate the effectiveness of fluoride and casein topical preparations in the prevention of white spot lesions during and after fixed orthodontic treatment.

Material and methods. Information search for controlled studies on humans published in the English language between 2008 and 2013 was conducted in Medline via PubMed, ScienceDirect, and Oxford University Press: Oxford journals and The Cochrane Library, as well as the Web search Google Scholar. 177 articles were reviewed; eleven clinical studies fulfilled all inclusion criteria.

Results. In the clinical studies it was concluded that high-concentration fluoride supplements are effective in reducing white spot lesions. Results of the studies showed the same usefulness of fluoride varnish, MI Paste, and usual oral hygiene using 1100 ppm of fluoride toothpaste. Effect on the prevention and treatment of white spot lesions of oral hygiene with toothpaste containing 1450 ppm of fluoride in orthodontic patients was evaluated. The positive effect of casein phosphopeptide-amorphous calcium phosphate in white spot lesions treatment was found. Otherwise in some clinical studies use of casein derivates during fixed orthodontics for white spot lesions treatment was not effective.

Conclusions. More clinical studies conducted during last five years yielded significantly positive results about the effectiveness of fluoride and caseine supplements in ameliorating white spot lesions during and after fixed orthodontic treatment. For a higher-risk patient group, additional supplements such as high-concentrated fluoride varnish, chewing sticks, or casein derivates, are required. A good oral hygiene regimen using high-fluoride toothpaste is as effective as fluoride or casein derivates in the prevention of new white spot lesions formation.

Key words: white spot lesion, fluoride, casein phosphopeptide-amorphous calcium phosphate, fixed orthodontic treatment.

Received: 14 08 2014

Accepted for publishing: 28 03 2016


1Institute of Odontology, Faculty of Medicine, Vilnius University, Vilnius, Lithuania

2Clinic of Orthodontics, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania

3Department of Dental and Maxillary Orthopedics, Faculty of Odontology, Academy of Medicine, Lithuanian University of Health Sciences, Kaunas, Lithuania

Egle Lapenaite1 – D.D.S., postgraduate student

Kristina Lopatiene2 – D.D.S., PhD, assoc. prof.

Aira Ragauskaite3 – D.D.S.

Address correspondence to Egle Lapenaite, Institute of Odontology, Faculty of Medicine, Vilnius University, Zalgirio str. 115, 08217 Vilnius, Lithuania..

E-mail address: egle.lapenaite@gmail.com