DOI:

10.37988/1811-153X_2023_2_106

The effectiveness of professional fluoride prevention and remineralizing therapy for the initial forms of dental caries in children after orthodontic treatment

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Authors

  • E.A. Satygo 1, PhD in Medical Sciences, full professor of the Pediatric dentistry Department
    ORCID: 0000-0001-9801-503X
  • O.V. Shalak 1, PhD in Medical Sciences, associate professor of the Clinical dentistry Department
    ORCID: 0000-0001-6851-7557
  • A.P. Limina 1, dentist, resident in the Pediatric dentistry Department
    ORCID: 0000-0001-8471-6193
  • 1 Mechnikov North-West State Medical University, 191015, Saint-Petersburg, Russia

Abstract

The literature presents conflicting data on the potential of various initial caries remineralizers. The aim of this study was to determine the effectiveness of the professional use of 1.23% acidified phosphate fluoride gel (APF) and calcium phosphorus gel (R.O.C.S. mineral) in the treatment of early caries in patients after orthodontic treatment.
Materials and methods.
The study included 75 adolescents aged 13—18 years (mean age — 15.6 years) with early caries (DMF from 4 to 15). They had completed orthodontic treatment with fixed appliances (braces). Group I (28 subjects) received APF every week for 3 months. They used fluoride toothpaste. Group II (26 patients) received weekly R.O.C.S. mineral gel on all teeth for 3 months. They used a paste containing calcium glycerin phosphate to clean their teeth. Adolescents (21 people) who refused professional preventive measures formed the control group III. They used fluoride toothpaste to brush their teeth. The Hygiene Performance Index and enamel resistance test were performed at each visit. Enamel mineral loss and lesion depth were analyzed by measuring mean (ΔF) and maximum (Fmax) fluorescence loss with a Q-RAY Qraypen C camera.
Results.
A reliable reduction in the depth of demineralization of early caries and an improvement in the enamel resistance of intact teeth were observed after professional remineralization therapy with R.O.C.S. mineral gel and home care with calcium glycerophosphate toothpaste. Increase of enamel resistance of intact teeth without positive dynamics in the area of primary caries foci was observed after application of APF and home care with fluoride toothpaste.
Conclusion.
In patients aged between 12 and 18 years with early forms of tooth decay after the removal of braces, professional remineralization with calcium and phosphorus containing products (R.O.C.S. minerals gel) allows to reduce the depth of demineralization of early tooth decay from 22.34% to 16.28% within 3 months. This method allows complete restoration of the enamel structure in some cases. Professional remineralization (R.O.C.S. minerals gel) and fluoride prophylaxis (APF gel) improve the enamel resistance of intact teeth in adolescents within 3 months after bracket removal.

Key words:

dental caries, orthodontic treatment, enamel remineralization

For Citation

[1]
Satygo E.A., Shalak O.V., Limina A.P. The effectiveness of professional fluoride prevention and remineralizing therapy for the initial forms of dental caries in children after orthodontic treatment. Clinical Dentistry (Russia).  2023; 26 (2): 106—110. DOI: 10.37988/1811-153X_2023_2_106

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Received

March 19, 2023

Accepted

May 19, 2023

Published on

July 6, 2023