Abstract
Twenty-nine subjects with a total of 218 teeth with (Diagnodent Pen) DD values > 0 were included. Subjects were divided randomly into four groups: Control [7 subjects, 54 teeth]; 5% Sodium fluoride varnish (FL-V) [8 subjects, 59 teeth]; Chlorhexidine varnish: 1% chlorhexidine diacetate and 1% thymol (CHX-V) [7 subjects, 54 teeth], and 10% Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) [7 subjects, 51 teeth]. All patients used fluoride-containing toothpaste, and the control group received fluoride gel every 3 months during the first 6 months.
Highlights
Incipient lesions (ILs) are a common iatrogenic effect seen in patients undergoing orthodontic treatment with fixed appliances [1]
Significant differences were found between the mean DD readings of the Casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and other groups at T1 and the 12-month period (T2) (p < 0.05)
The mean DD readings increased in all groups during the follow-up period (T1-T2)
Summary
Incipient lesions (ILs) are a common iatrogenic effect seen in patients undergoing orthodontic treatment with fixed appliances [1]. Despite intensive efforts to educate patients about effective oral hygiene procedures, ILs associated with fixed orthodontic appliances remain significant clinical problem. Factors such as the patient’s medical history, dental history, medication history, diet, salivary flow rate, levels of calcium, phosphate, bicarbonate in saliva, fluoride levels, bracket type, and genetic susceptibility play an important role [5,7,8]. Chlorhexidine varnish treatment was found to be beneficial in inhibiting salivary mutans streptococci (MS) levels and in reducing gingivitis, importing oral hygiene in these patients [18]. These treatments require patient compliance [19]
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
