Poortodontinių baltų emalio dėmių gydymas ir prevencija: sisteminė apžvalga.

Abstract

Background: WSLs are a common, hardly manageable phenomenon with a consistent high prevalence among patients, especially those admitted of inadequate routine of oral hygiene, that submitted to orthodontic care. Objective: this review aims evaluating and updating the remineralization potential of today’s available popular remineralization preparations and methods, and their efficacy to provide a means of control or prevention of WSLs. Search methods: Relevant randomized in-vivo clinical trials information search was conducted from December 2018 till February 2019 and was performed on PubMed and PMC electronic databases which were chosen to be most adequate. Type of studies: English languish studies, constructed on humans. Selection criteria: Clinical trials, consist 30 and above participating patients, investigating: ccp-acfp or MI paste plus (ccp-acfp) or fluoride varnish or of any combinations, in order to treat Patients of any age, just completed or are undergoing orthodontic treatment with fixed appliances and are experiencing WSLs appearance on teeth surface. Data collection and analysis: Qualitative assessment was chosen due to study heterogeneity, and it was accordingly performed across 9 clinical studies were study selection, data extraction and risk of bias assessment according Cochrane. Results: a total of 295 articles were reviewed after duplicates removal. Of which 9 selected studies met the inclusion criteria. Conclusions: Comparing to baseline, interventions mostly capable of WSLs remineralization of some level, yet without reliable evidence of efficacy extent. Comparative results shown for synergy or dominant proficiency among interventions.