Control of White Spot Lesions with Use of Fluoride Varnish or Chlorhexidine Gel During Orthodontic Treatment A Randomized Clinical Trial

Autor(es)

Restrepo, M. ^[1] ; Bussaneli, D. G. ^[1] ; Jeremias, F. ^[1] ; Cordeiro, R. C. L. ^[1] ; Raveli, D. B. ^[1] ; Magalhaes, A. C. ^[2] ; Candolo, C. ^[3] ; Santos-Pinto, L. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Estadual Paulista, Araraquara Dent Sch, Dept Orthodont & Pediat Dent, Rua Humaita 1680, BR-14801903 Araraquara, SP - Brazil

^[2] Univ Sao Paulo, Bauru Sch Dent, Dept Biol Sci, Baurn, SP - Brazil

^[3] Univ Fed Sao Carlos, Dept Stat, Sao Carlos, SP - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Journal of Clinical Pediatric Dentistry; v. 40, n. 4, p. 274-280, SUM 2016.
• Citações Web of Science: 5

Resumo

Objective: To compare the effectiveness of fluoride varnish and 2% chlorhexidine gel for controlling active white spot lesions (WSLs) adjacent to orthodontic brackets. Study design: Thirty-five orthodontic patients (17.2+/-2.3 years old) presenting 60 WSLs adjacent to orthodontic brackets were enrolled in this randomized, blind, 3-armed and controlled clinical trial. The patients were randomly allocated to 1 of 3 arms: (1) two applications of 5% NaF varnish- F, with one-week interval, (2) two applications of 2% chlorhexidine gel-CHX, with one-week interval and (3) usual home care-control (CO). The WSLs were scored by using a DIAGNOdent pen. An independent examiner scored the surfaces using Nyvad criteria for caries assessment. Results: A total of thirty patients presenting 51 lesions completed the study. All treatments reduced the fluorescence values during the experimental period; however, F induced faster remineralization than CHX. After 3 months, 70.58 % were inactive considering all groups. DIAGNOdent pen and Nyvad presented a significant correlation. Conclusion: After 3 months of treatment, F, CHX and CO were capable of controlling the WSLs adjacent to the orthodontic brackets. However, the treatment with F was capable of controlling the progression of the WSLs in a shorter period of time. (AU)

• Processo FAPESP: 11/21012-1 - Quantificação in vivo e in vitro da remineralização de lesões de mancha branca adjacentes ao bráquete ortodôntico
• Beneficiário: Lourdes Aparecida Martins dos Santos-Pinto
• Modalidade de apoio: Auxílio à Pesquisa - Regular