Effectiveness of different preventive agents on initial occlusal and proximal caries lesions: A follow-up study

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dc.contributor.authorKarabekiroglu, Said
dc.contributor.authorKahraman, Fatma Betul
dc.contributor.authorUnlu, Nimet
dc.date.accessioned2024-02-23T14:12:46Z
dc.date.available2024-02-23T14:12:46Z
dc.date.issued2018
dc.departmentNEÜen_US
dc.description.abstractBackground/purpose: Monitoring the effects of different caries-preventive agents on initial caries lesions in orthodontic patients is important. Therefore, the purpose of this study is to investigate the efficacy of different preventive methods in preventing occlusal and proximal incipient lesions (ILs) during fixed orthodontic treatment. Materials and methods: Forty-eight subjects at the beginning of fixed orthodontic treatment were included. All subjects were well educated and motivated to use the fluoride toothpaste (Colgate Total, 1450 ppm F) three times a day during the study period. Four different groups were created with a split-mouth design: placebo, fluoride gel, fluoride varnish, and chlorhexidine varnish. The occlusal surfaces of the second molar teeth were assessed with DIAGNOdent pen (DD) during the first 12 months (6th and 12th), and the proximal surfaces of each quadrant were monitored using bitewing radiographs until the 24th month (baseline and 24th month). Results: The mean DD values increased in each group during the first 6 months compared to the baseline, but a significant increment was only obtained in the control and fluoride gel groups (p < 0.05). Fluoride and chlorhexidine varnish had significantly more preventive effects than the control and the fluoride gel for occlusal surfaces at the 6th and 12th month and for intact proximal surfaces at the 24th month, but no significant differences were found between the two varnish groups (p > 0.05). No significant differences were found between the four methods in terms of caries progression for proximal ILs after 24 months. Conclusion: Effective toothbrushing with 1450 ppm fluoridated toothpaste and topical fluoride gel application seems to be inadequate for prevention of new proximal ILs during fixed orthodontic treatment. Fluoride and chlorhexidine varnish showed more protection in relation to occlusal surfaces. (C) 2018 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V.en_US
dc.identifier.doi10.1016/j.jds.2017.05.005
dc.identifier.endpage115en_US
dc.identifier.issn1991-7902
dc.identifier.issn2213-8862
dc.identifier.issue2en_US
dc.identifier.pmid30895105en_US
dc.identifier.scopus2-s2.0-85033597819en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage109en_US
dc.identifier.urihttps://doi.org/10.1016/j.jds.2017.05.005
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12167
dc.identifier.volume13en_US
dc.identifier.wosWOS:000435152100004en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Taiwanen_US
dc.relation.ispartofJournal Of Dental Sciencesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectCaries Lesionen_US
dc.subjectFluorideen_US
dc.subjectChlorhexidineen_US
dc.titleEffectiveness of different preventive agents on initial occlusal and proximal caries lesions: A follow-up studyen_US
dc.typeArticleen_US

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