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Quintessence Publishing: Journals: ORTHODONTICS
ORTHODONTICS
The Art and Practice of Dentofacial Enhancement

Formerly World Journal of Orthodontics

Edited by
Rafi Romano, DMD, MSc (Editor-in-Chief)

ISSN 2160-2999 (print) / ISSN 2160-3006 (online)

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Publication:
Yearbook 2013
Volume 14 , Issue 1

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Prevention of enamel demineralization during orthodontic treatment:
An in vitro comparative study

Yashodhan M. Bichu, MDS/Nandini Kamat, MDS/Pavan Kumar Chandra, MDS, MDSc/Aditi Kapoor, MDS/N.K.S. Aravind, MDS


DOI: 10.11607/ortho.870

Aim: Enamel demineralization is considered to be the most prevalent and significant iatrogenic effect associated with fixed orthodontic treatment and can seriously jeopardize both tooth longevity and dental esthetics. This in vitro study was undertaken to compare the effectiveness of four different commercially available surface treatment medicaments for the inhibition of enamel demineralization. Methods: Seventy-five intact maxillary premolars extracted from patients undergoing orthodontic treatment were divided into five equal groups and were subjected to one of the following protocols: no treatment (control group) or treatment with one of the following four medicaments: fluoride varnish (Fluor Protector [FP]), casein phosphopeptide–amorphous calcium phosphate (GC Tooth Mousse [TM]), calcium sodium phosphosilicate (SHY-NM), and casein phosphopeptide–amorphous calcium phosphate with fluoride (GC Tooth Mousse Plus [TMP]). All the teeth were subjected to ten Cate demineralization solution
for 96 hours and subsequently evaluated under polarized light microscopy
to obtain the mean depths of enamel demineralization. One-way analysis of variance and Bonferroni comparison tests were used to obtain statistically significant differences between the five different groups at P < .05. Results: All four surface treatment medicaments provided statistically significant reduction
in the depths of enamel demineralization as compared with the control group.
FP provided the greatest protection of enamel surface in terms of reduction of lesion depth, followed by TMP, SHY-NM, and TM. Conclusions: The use of these commercially available medicaments could prove to be beneficial for patients undergoing orthodontic treatment and who are at a risk for developing enamel decalcification. ORTHODONTICS (CHIC) 2013;14:e22–e29. doi: 10.11607/ortho.870

Key words: prevention, enamel demineralization, surface treatment medicaments, orthodontic treatment

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