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Fluoridated elastomers: effect on disclosed plaque.

P E Benson1, A A Shah, I F Campbell

  • 1Department of Oral Health and Development, School of Clinical Dentistry, University of Sheffield, UK. p.benson@sheffield.ac.uk

Journal of Orthodontics
|April 9, 2004
PubMed
Summary
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Fluoridated elastomers did not reduce dental plaque levels around orthodontic brackets in a clinical trial. This study found no significant difference in plaque quantity when using fluoridated versus non-fluoridated materials.

Area of Science:

  • Dental Materials Science
  • Orthodontics
  • Preventive Dentistry

Background:

  • Orthodontic treatment involves fixed appliances that can accumulate dental plaque.
  • Fluoride-releasing materials are explored for their potential cariostatic and anti-plaque effects in orthodontic patients.

Purpose of the Study:

  • To evaluate the in vivo efficacy of fluoridated elastomers in reducing dental plaque accumulation around orthodontic brackets.

Main Methods:

  • A randomized, prospective, split-mouth, crossover clinical trial involving 30 orthodontic patients.
  • Patients received either fluoridated or non-fluoridated elastomers around brackets for 6-week periods, with a washout phase in between.
  • Disclosed plaque was quantified using computerized image analysis of photographs taken after each experimental period.

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Main Results:

  • No statistically significant difference was observed in the area or proportion of disclosed plaque between fluoridated and non-fluoridated elastomers.
  • Individual patient factors and tooth type were significant variables influencing plaque levels, but elastomer type was not.

Conclusions:

  • Fluoridated elastomers, under the conditions of this study, do not demonstrably reduce the quantity of dental plaque around orthodontic brackets.
  • Further research may be needed to explore alternative fluoride delivery systems or different elastomer formulations for orthodontic plaque control.