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The effect of a fluoride program on white spot formation during orthodontic treatment

1988; Elsevier BV; Volume: 93; Issue: 1 Linguagem: Inglês

10.1016/0889-5406(88)90190-4

1097-6752

Arnold M. Geiger, Leonard Gorelick, A. John Gwinnett, Peter G. Griswold,

Orthodontics and Dentofacial Orthopedics

W hite spot formation (decalcification) of the labial enamel surface subsequent to orthodontic treatment has been recognized as a problem. This has been reported as a clinical observation”* and quantitative studies on the incidence and prevention of decalcification have been reported.3-i0 Equal susceptibility to white spot formation has been reported whether teeth are banded or bonded.g There has been general agreement that the development of white spots seems to be related to (1) the retention of plaque on the gingival side of brackets or bands, (2) oral hygiene efficiency, and (3) the inherent resistance of the individual. Studies have documented the beneficial effect of preventive fluoride programs during multibanded orthodontic treatment. Such studies have reported on officeapplied and self-administered programs.5*7 However, no studies have reported on the effect of a preventive fluoride protocol during orthodontic treatment with bonded appliances; nor have there been studies reporting on the severity and prevention of white spot formation on all individual teeth. This article presents the results of a clinical study in which an experimental preventive fluoride program was routinely used in the orthodontic offices of the authors. The study was designed to provide answers to the following questions. 1. Was the preventive fluoride program beneficial in reducing the incidence and severity of white spots after full-term bonded orthodontic treatment? 2. Will such preventive efforts reduce the white