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07:32
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Published on: February 23, 2024
Caries preventive measures used in orthodontic practices: an evidence-based decision?
Aniek Derks1, Anne Marie Kuijpers-Jagtman, Jo E Frencken
1Department of Orthodontics and Oral Biology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Summary
Orthodontists rarely use evidence-based methods to prevent enamel demineralization during fixed appliance treatment. A new practice guideline is needed to align current methods with scientific evidence for better patient outcomes.
Area of Science:
- Dentistry
- Orthodontics
- Preventive Care
Background:
- Fixed orthodontic appliances increase enamel demineralization risk.
- Limited data exists on orthodontists' preventive strategies.
- This study surveyed current practices and compared them to evidence-based recommendations.
Purpose of the Study:
- To survey preventive measures used by orthodontists for decalcification during fixed appliance treatment.
- To compare these practices with existing evidence-based information.
Main Methods:
- A questionnaire was distributed to privately practicing orthodontists in the Netherlands.
- 178 out of 229 orthodontists (78%) responded.
Main Results:
- Most orthodontists have basic protocols including oral hygiene instructions.
- 99% implement extra measures when demineralization occurs.
- Evidence-based interventions like chlorhexidine or high-fluoride toothpaste are rarely used; fluoride rinses are common despite limited evidence.
- 68% believe a practice guideline is necessary.
Conclusions:
- Orthodontists are not consistently implementing evidence-based strategies for preventing enamel demineralization.
- A practice guideline is recommended to integrate scientific evidence into clinical practice for improved patient care.
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