Evaluation of the effects of different types of adhesives on enamel demineralization during fixed orthodontic treatment
Esra Bolat Gümüş¹ 
, Zehra Damla Dalmış Demirağ2 
, Zülfikar Zahit Çiftçi3
Highlights
It is aimed to the effect of the fluoride-containing adhesives, on the formation of WSL during orthodontic treatment, determining approach to subsequent cases or learning.
The effect of fluoride-containing adhesive on enamel demineralization was found to be no different than the conventional adhesive.
Oral hygiene habits of individuals and especially their hands which they used were effective on the results of the study.
Abstract
Aim: This randomised controlled split-mouth study was aimed to evaluate and compare the efficacy of a fluoride-containing adhesive (Clearfil Tri-S Bond Plus, Kuraray Noritake, Otemachi, Japan) and a conventional adhesive (3M Unitek Transbond XT, Maplewood, USA) on enamel demineralisation in orthodontically treated patients. Methods: Sixteen healthy patients who had need for correction of dental crowding were included in the study. Bracket bonding was performed using different adhesives (fluoride-containing and conventional) at random for opposite half jaw in a split-mouth design. 190 control, 190 experimental teeth were examined for bracket failure, gingival index, plaque index and enamel mineralisation parameters. Enamel mineralisation levels for each tooth for pre- and post-treatment time periods were examined using ICDASII (International Caries Detection and Assessment System) criteria and the DIAGNOdent Pen (KaVo, Biberach, Germany). Results: DIAGNOdent scores were statistically higher in the left half jaw which were control group (C) in left handed patients (p=0.038), while the scores were found to be significantly higher in the right handed patient which ipsilateral jaw were experimental group (E) (p=0.003). Conclusions: The effect of fluoride-containing adhesive on enamel demineralization and WSL (white spot lesion) formation was found to be no different than the conventional adhesive.
Keywords: Adhesive; Demineralization; Periodontal Index; Dental White Spots
Author Affiliations
- DDS, PhD, Asst. Prof., Akdeniz University, Faculty of Dentistry, Department of Orthodontics, Antalya/Türkiye
- DDS, Doctorate student, Akdeniz University, Faculty of Dentistry, Department of Orthodontics, Antalya/Türkiye (Correspondence: damladalmis@gmail.com)
- DDS, PhD, Asst. Prof., Akdeniz University, Faculty of Dentistry, Department of Pedodontics, Antalya/Türkiye
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Article Info
Contemp Pediatr Dent 2023:4(1):1-14
Received: 26 January 2023
Accepted: 04 April 2023
Online First: 19 April 2023
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Esra Bolat Gümüş, Zehra Damla Dalmış Demirağ, Zülfikar Zahit Çiftçi. Evaluation of the effects of different types of adhesives on enamel demineralization during fixed orthodontic treatment. Contemp Pediatr Dent 2023:4(1):1-14.
