Article Analysis & Evaluation
Rinsing with Fluoride Toothpaste Slurry may Prevent Dental Caries in Orthodontic Patients

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Article Title and Bibliographic Information

Modified fluoride toothpaste technique reduces caries in orthodontic patients: a longitudinal, randomized clinical trial.

Al Mulla AH, Kharsa SA, Birkhed D.

Am J Orthod Dentofacial Orthop 2010;138(3):285-91.

Reviewer

Joana Cunha-Cruz, PhD

Purpose/Question

What is the caries incidence of orthodontic patients using a modified oral hygiene technique compared with orthodontic patients using routine oral hygiene technique?

Source of Funding

Information not available

Type of Study/Design

Randomized controlled trial

Level of Evidence

Level 2

Strength of Recommendation Grade

Not applicable

Section snippets

Subjects

A total of 150 consecutive patients were recruited from a private orthodontic clinic in Riyadh, Saudi Arabia. Participants were quasi-randomly allocated to intervention (test) and control groups based on odd and even birth dates and followed until the end of treatment (2 years).

Both baseline and final data analysis included 51 participants in the test group (68% of those originally allocated to intervention; 41 females, mean age 16.2 years) and 49 participants in the control group (65% of those

Commentary and Analysis

Orthodontic patients are at greater risk of developing white spot lesions during orthodontic treatment.1, 2, 3, 4 Several advices and devices have been tested to prevent the development of new caries lesions during orthodontic treatment with questionable efficacy. The clinical trials on the effect of toothbrushing on preventing dental caries in orthodontic patients have mostly focused on types of toothbrushes and on surrogate outcomes such as white spot lesions, gingivitis, and dental plaque.5

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