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Preventing white spot lesions with fluoride pastes
Robert S D Smyth1, Joseph H Noar1
1Eastman Dental Hospital, London, UK.
Evidence-Based Dentistry
|September 29, 2019
Summary
Clinpro 5000 demonstrated superior protection against enamel decalcification compared to Clinpro Tooth Crème and showed comparable results to MI Paste Plus in orthodontic patients. All tested toothpastes reduced white spot lesions.
Area of Science:
- Dental Research
- Caries Prevention
Background:
- White spot lesions are a common concern during orthodontic treatment.
- Preventive dental treatments are crucial for managing enamel demineralization in orthodontics.
Purpose of the Study:
- To compare the efficacy of three topical agents in preventing enamel decalcification.
- To evaluate Clinpro 5000, Clinpro Tooth Crème, and MI Paste Plus in orthodontic patients.
Main Methods:
- Randomized controlled trial involving 100 orthodontic patients (aged 12+).
- Participants used Clinpro 5000, Clinpro Tooth Crème, or MI Paste Plus for 4 months.
- Enamel Decalcification Index (EDI) scores were analyzed using ANOVA and regression models.
Main Results:
- Clinpro 5000 showed superior protection against enamel decalcification versus Clinpro Tooth Crème.
- Clinpro 5000 demonstrated comparable efficacy to MI Paste Plus.
- All tested products reduced white spot lesions compared to previous studies.
Conclusions:
- Clinpro 5000 offers significant benefits in preventing enamel decalcification during orthodontic treatment.
- Clinpro 5000 may be marginally more effective than Clinpro Tooth Crème and MI Paste Plus.
- Topical fluoride agents effectively reduce white spot lesions in orthodontic patients.
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