White Spot Lesions
Conditions
Brief summary
The aim of this trial is to investigate the potential of using an adhesive bonding agent that also acts as a fluoride sealant when placing fixed orthodontic appliances in adolescent patients, as an alternative to regular bonding agents. The main question it aims to answer is: \- Does an adhesive fluoride sealant reduce the prevalence of white spot lesions in orthodontic adolescent patients after an observation period of 3 months? Participants who need orthodontic treatment and who agree to take part in this study will have their orthodontic appliance placed using regular adhesive on one side of their upper jaw and fluoride sealant on the other. White spot lesion prevalence will be assessed using the Enamel Decalcification Index (EDI) at baseline and after 3 months.
Interventions
OTHERUse of a bonding agent to place the orthodontic appliance
In this prospective study using the split-mouth design, patients will be followed for 3 months after placing the fixed orthodontic appliance. The orthodontic appliance will be placed according to the clinic's standards using an adhesive especially provided for this purpose.
OTHERUse of fluoride releasing bonding agent to place the orthodontic appliance
In this prospective study using the split-mouth design, patients will be followed for 3 months after placing the fixed orthodontic appliance. The orthodontic appliance will be placed according to the clinic's standards using an adhesive bondin agent that simultaneously works as a fluoride sealant especially provided for this purpose.
Sponsors
Sigmund Freud PrivatUniversitat
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
10 Years to 17 Years
Healthy volunteers
Yes
Inclusion criteria
* Age between 10 and 17 years * Initiation of fixed orthodontic treatment in the upper jaw * Presence of all teeth 15-25 * Written consent from patients and legal guardians
Exclusion criteria
* Pre-existing white spot lesions * Active carious lesions * Structural enamel defects * Systemic diseases affecting oral health * Vestibular restorations in the anterior region * Little Index \> 9
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prevalence of white spot lesions | 3 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Enamel Decalcification Index (EDI) | 3 months | Difference in EDI between the groups |
Contacts
CONTACTLinda Schwarz, DMD, PhD
STUDY_CHAIRMichael H Bertl, Professor
Sigmund Freud Private University, Faculty of Medicine
Outcome results
None listed