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Decalcification prevention around orthodontic brackets bonded to bleached enamel using different topical agents

Authors
  • Msallam, Ferial Ahmed1, 2
  • Grawish, Mohammed El-Awady3
  • Hafez, Ahmad Mohammed2
  • Abdelnaby, Yasser Lotfy2
  • 1 Tripoli University, Department of Orthodontics , Faculty of Dentistry, Tripoli, Libya , Tripoli (Libya)
  • 2 Mansoura University, Department of Orthodontic, Faculty of Dentistry, Mansoura, Egypt , Mansoura (Egypt)
  • 3 Mansoura University, Department of Oral Biology, Faculty of Dentistry, Mansoura, Egypt , Mansoura (Egypt)
Type
Published Article
Journal
Progress in Orthodontics
Publisher
Springer Berlin Heidelberg
Publication Date
Jun 12, 2017
Volume
18
Issue
1
Identifiers
DOI: 10.1186/s40510-017-0170-4
Source
Springer Nature
Keywords
License
Green

Abstract

BackgroundThe present study was conducted to evaluate the effect of different topical agents utilized for prevention of enamel decalcification around orthodontic brackets bonded to bleached and non-bleached enamel.MethodsHuman maxillary premolars (n = 120) were divided into two equal groups. Teeth in group I were left without bleaching while those in group II were bleached with Vivastyle gel. Metal brackets were bonded to all the teeth using light-cured adhesive. Each group was divided into six equal subgroups (A, B, C, D, E, and F). In subgroup A, no material was applied (control). In subgroups B, C, D, E, and F, the following materials were applied respectively: Profluorid varnish, Enamel Pro Varnish, Ortho-Choice Ortho-Coat, GC Tooth Mousse, and GC MI Paste Plus. All teeth were cycled in a demineralization solution/artificial saliva for 15 days. Laser fluorescence was used to measure the level of enamel mineralization. The data were statistically analyzed.ResultsRegarding the non-bleaching subgroups, all studied material revealed significant demineralization reduction in comparison to the control subgroup (P < 0.05). Ortho-Choice Ortho-Coat revealed the highest significant effect while GC Tooth Mousse showed the least effect. In bleached subgroups, Profluorid varnish, Enamel Pro Varnish, and Ortho-Choice Ortho-Coat significantly reduced demineralization (P < 0.05) while either GC MI Paste Plus or GC Tooth Mousse had no significant effects (P > 0.05).ConclusionsOrtho-Choice Ortho-Coat, and Profluorid and Enamel Pro varnishes could be utilized successfully to reduce enamel demineralization around brackets bonded to either bleached or non-bleached enamel. GC MI Paste Plus and GC Tooth Mousse were effective only in non-bleached enamel.

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