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Effectiveness of caries-preventing agents on initial carious lesions within the scope of orthodontic therapy

Korean Journal of Orthodontics 2019³â 49±Ç 4È£ p.246 ~ 253
¹Ú°æÁø, Kroker Tessa, GroB Uwe, Krause Felix, Haak Rainer, Ziebolz Dirk,
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¹Ú°æÁø ( Park Kyung-Jin ) - University of Leipzig Department of Cariology, Endodontology and Periodontology
 ( Kroker Tessa ) - University Medical Center Gottingen Department of Preventive Dentistry, Periodontology and Cariology
 ( GroB Uwe ) - University Medical Center Gottingen Center for Hygiene and Human Genetics Institute for Medical Microbiology
 ( Krause Felix ) - University of Leipzig Department of Cariology, Endodontology and Periodontology
 ( Haak Rainer ) - University of Leipzig Department of Cariology, Endodontology and Periodontology
 ( Ziebolz Dirk ) - University of Leipzig Department of Cariology, Endodontology and Periodontology

Abstract


Objective: To evaluate the effectiveness of three different caries-preventing agents on artificial caries in a Streptococcus mutans-based caries model.

Methods: Sixty-five caries-free human molar enamel blocks were treated with a demineralization solution and a remineralization solution. The specimens were assigned to the following groups according to the caries-protective product applied: group A, chlorhexidine varnish; group B, fluoride-releasing chemically cured sealant; group C, fluoride-releasing lightcured sealant; group D, positive control (specimens that were subjected to de- and remineralization cycles without treatment with any caries-protective agents); and group E, negative control (specimens that were not subjected to de- and remineralization cycles). Samples in groups A?D were stored in demineralization solution with S. mutans and thereafter in artificial saliva. This procedure was performed for 30 days. Average fluorescence loss (¥ÄF) and surface size of the lesions were measured using quantitative light-induced fluorescence at baseline and on the 7th, 14th, and 30th days.

Results: After 30 days, group A demonstrated a significant increase in ¥ÄF and the surface size of the lesions, no significant difference in comparison with the positive control group, and a significant difference in comparison with the negative control group. Group B showed no significant changes in both parameters at any of the measurement points. While group C showed increased ¥ÄF after 14 days, no significant fluorescence change was observed after 30 days.

Conclusions: Both fluoride-releasing sealants (chemically or light-cured) show anti-cariogenic effects, but the use of chlorhexidine varnish for the purpose of caries protection needs to be reconsidered.

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Cervitec Plus; Maximum Cure; Pro Seal; Quantitative light-induced fluorescence

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SCI(E)
KCI
KoreaMed