Top

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

Published in:

01-11-2013 | Original article

In vivo effectiveness of enamel sealants around orthodontic brackets

Authors: T.E. Bechtold, A. Sobiegalla, M. Markovic, PD Dr. M. Berneburg, G.R. Göz

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 6/2013

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.

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

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 79:338–345PubMedCrossRef

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

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 7:205–210PubMedCrossRef

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

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.e6PubMedCrossRef

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 93:29–37PubMedCrossRef

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

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

10.

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

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 69:154–167PubMedCrossRef

12.

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

13.

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

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 134:291–295PubMedCrossRef

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 109:14–19PubMedCrossRef

16.

Lussi A, Hibst R, Paulus R (2004) DIAGNOdent: an optical method for caries detection. J Dent Res 83(Spec No C):C80–C83PubMedCrossRef

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 40:493–499PubMedCrossRef

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 92:190–197PubMed

19.

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

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 11:116–119PubMed

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 96:423–427PubMedCrossRef

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 104:378–383PubMedCrossRef

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 120:28–35PubMedCrossRef

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 135:603–612PubMedCrossRef

25.

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

26.

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

27.

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

28.

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

29.

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

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 122:125–134PubMedCrossRef

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 112:237–243PubMedCrossRef

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 116:159–167PubMedCrossRef

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 116:629–634PubMedCrossRef

34.

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

Title: In vivo effectiveness of enamel sealants around orthodontic brackets
Authors: T.E. Bechtold
A. Sobiegalla
M. Markovic
PD Dr. M. Berneburg
G.R. Göz
Publication date: 01-11-2013
Publisher: Springer Berlin Heidelberg
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 6/2013
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-013-0178-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

In vivo effectiveness of enamel sealants around orthodontic brackets

Abstract

Objective

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Materials and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2013

DGKFO-Mitteilungen

In vivo differentiation of human periodontal ligament cells leads to formation of dental hard tissue

Radiographic assessment of maxillary incisor position after rapid maxillary expansion in children with clinical signs of eruption disorder

Numerical simulation and biomechanical analysis of an orthodontically treated periodontally damaged dentition

Classification of temporomandibular joint erosion, arthritis, and inflammation in patients with juvenile idiopathic arthritis

Three-dimensional analysis of initial biofilm formation on polytetrafluoroethylene in the oral cavity