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Informationen aus Orthodontie & Kieferorthopädie 2016; 48(02): 121-126
DOI: 10.1055/s-0042-110013
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© Georg Thieme Verlag KG Stuttgart · New York

Kariesprävention in der Kieferorthopädie

Caries Prevention in Orthodontics
R. Attin
1   Zentrum für Zahnmedizin, Klinik für Kieferorthopädie und Kinderzahnmedizin, Universität Zürich
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Publication History

Publication Date:
20 July 2016 (online)

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Zusammenfassung

Karies ist eine häufige Nebenwirkung der kieferorthopädischen Therapie und führt oftmals zu irreversiblen Zahnhartsubstanz-Schäden. Die Prävention von neuen Läsionen während einer kieferorthopädischen Behandlung ist komplex und bei einem sehr hohen Kariesrisiko nur sehr eingeschränkt möglich. Deshalb sollte die Entscheidung für einen Behandlungsbeginn immer gründlich abgewogen werden und entsprechend des Kariesrisikos entschieden werden, ob die kieferorthopädische Therapie grundsätzlich umgesetzt werden kann.

Abstract

Tooth decay is a common side effect of orthodontic therapy and often leads to irreversible dental hard tissue damage. The prevention of new carious lesions during orthodontic treatment is very complex and has limited effect with high risk.. Therefore, the decision for a therapy should be pondered very carefully and based on the caries risk.

Schlüsselwörter

Kariesprävention - festsitzende Apparaturen

Key words

caries prevention - fixed appliances
 

  • Literatur

  • 1 Batoni G, Pardini M, Giannotti A et al. Effect of removable orthodontic appliances on oral colonisation by mutans streptococci in children. Eur J Oral Sci 2001; 109: 388-392
    CrossrefPubMedGoogle Scholar
  • 2 Sundararaj D, Venkatachalapathy S, Tandon A, Pereira A. Critical evaluation of incidence and prevalence of white spot lesions during fixed orthodontic appliance treatment: A meta-analysis. J Int Soc Prev Community Dent 2015; 5: 433-439
    CrossrefPubMedGoogle Scholar
  • 3 Kahn J, Tallents RH, Katzberg RW et al. Prevalence of dental occlusal variables and intraarticular temporomandibular disorders. J Prosthet Dent 1999; 82: 410-415
    CrossrefPubMedGoogle Scholar
  • 4 Pullinger AG, Seligman DA, Gornbein JA. A multiple logistic regressions analysis of the risk and relative odds of temporomandibular disorders as a function of common occlusal features. J Dent Res 1993; 81: 164-169
    PubMedGoogle Scholar
  • 5 John MT, Hirsch C, Drangsholt MT et al. Overbite and Overjet are not related to self-report of temporomandibular disorder symptoms. J Dent Res 2002; 81: 164-169
    CrossrefPubMedGoogle Scholar
  • 6 Gesch D, Bernhardt O, Mack F et al. Asociation of malocclusion and functional occlusion with subjective symptoms of TMD in adults. Angle Orthod 2005; 75: 183-190
    PubMedGoogle Scholar
  • 7 Ng’ang’a PM, Karongo PK, Chindia ML et al. Dental caries, malocclusion and fractured incisors in children from a pastoral community in Kenya. East Afr Med J 1993; 70: 175-178
    PubMedGoogle Scholar
  • 8 Migale D, Barbato E, Bossù M et al. Oral health and malocclusion in 10- to 11- year-old children in southern Italy. Eur J Paediatr Dent 2009; 10: 13-18
    PubMedGoogle Scholar
  • 9 Helm Petersen Causal relation between malocclusion and caries. Acta Odont Scand 1989; 47: 217-221
    CrossrefPubMedGoogle Scholar
  • 10 Ashley FP, Usiskin LA, Wilson RF et al. The relationship between irregularity of the teeth, plaque and gingivitis. Eur J Orthod 1998; 20: 65-72
    CrossrefPubMedGoogle Scholar
  • 11 Ainamo J. Relationship between malalignment of the teeth and periodontal disease. Scand J Dent Res 1972; 80: 104-110
    PubMedGoogle Scholar
  • 12 Ingervall B, Jacobsson U, Nyman S. A clinical study of the Relationship between crowding of teeth, plaque and gingival conditions. J Clin Periodontol 1977; 214-222
    PubMedGoogle Scholar
  • 13 Dikson C, Jefferson T. Malocclusion, dental aesthetic self-perception and quality of life in a 18 to 21 year-old population: a cross section study. BMC Oral Health 2013; 13: 3 Published online January 7 DOI: 10.1186/1472-6831-13-3.
    CrossrefPubMedGoogle Scholar
  • 14 Kukleva MP, Shetkova DG, Beev VH. Comparative age study of the risk of demineralization during orthodontic treatment with brackets. Folia Med (Plovdiv) 2002; 44: 56-59
    PubMedGoogle Scholar
  • 15 Chesters RK, Huntington E, Burchell CK et al. Effect of oral care habits on caries in adolescents. Caries Res 1992; 26: 299-304
    CrossrefPubMedGoogle Scholar
  • 16 Al Mulla AH, Kharsa SA, Birkhed D. Modified fluoride toothpaste technique reduces caries in orthodontic patients: A longitudinal, randomized clinical trial. Am J Orthod Dentofacial Orthop 2010; 138: 285-291
    CrossrefPubMedGoogle Scholar
  • 17 Attin T, Hellwig E. Salivary fluoride content after toothbrushing with a sodium fluoride and an amine fluoride dentifrice followed by different mouthrinsing procedures. J Clin Dent 1996; 7: 6-8
    PubMedGoogle Scholar
  • 18 Marinho VC, Higgins JP, Logan S et al. Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003; 4 CD002782
    PubMedGoogle Scholar
  • 19 Kosen LA. Caries diagnosis and risk assessment. A review of preventive strategies and management. J Am Dent Assoc 1995; 126 Suppl 1S-24S
    CrossrefPubMedGoogle Scholar
  • 20 Zimmer B, Rottwinkel Y. Assessing patient-specific decalcification risk in fixed orthodontic treatment and its impact on prophylactic procedures. Am J Orthod Dentofacial Orthop 2004; 126: 318-324
    CrossrefPubMedGoogle Scholar
  • 21 Attin R. Vorstellung eines neuen Plaqueindex zur Kontrolle und Motivation kieferorthopädischer Patienten. Introduction of a New Plaque Index Designed for Control and Motivation of Orthodontic Patients. Inf Orthod Kieferorthop 2005; 37: 271-273
    Article in Thieme ConnectPubMedGoogle Scholar
  • 22 Paschos 1 E, Bücher K, Huth KC, Crispin A, Wichelhaus A, Dietl T. Is there a need for orthodontic plaque indices? – diagnostic accuracy of four plaque indices. Clinical Oral Investigations 2014; 18: 1351-1358
    CrossrefPubMedGoogle Scholar
  • 23 Ando M, Hall AF, Eckert GJ et al. Relative ability of laser fluorescence techniques to quantitate early mineral loss in vitro. Caries Res 1997; 31: 125-131
    CrossrefPubMedGoogle Scholar
  • 24 Fereirá-Zandona AG, Isaacs RL, van der Veen MH et al. Indiana pilot clinical study of quantitative light fluorescence. in: Stookey GK. (ed.). Early Detection of Dental Caries II: Proceedings of the 4th Annual Indiana Conference. Indiana University School of Dentistry; Indianapolis: 2000: 219-230
    Google Scholar
  • 25 Tranaeus S, Al Khateeb S, Bjorkman S et al. Application of quantitative light-induced fluorescence to monitor incipient lesions in caries-active children. A comparative study of remineralisation by fluoride varnish and professional cleaning. Eur J Oral Sci 2001; 109: 71-75
    CrossrefPubMedGoogle Scholar
  • 26 Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982; 81: 93-98
    CrossrefPubMedGoogle Scholar
  • 27 Mitchell L. Decalcification during orthodontic treatment with fixed appliances – an overview. Br J Orthod 1992; 19: 199-205
    PubMedGoogle Scholar
  • 28 Nordström A, Birkhed D. Preventive effect of high-fluoride dentifrice (5,000 ppm) in caries-active adolescents: a 2-year clinical trial. Caries Res 2010; 44: 323-331
    CrossrefPubMedGoogle Scholar
  • 29 Duane B. 5,000 ppm F dentifrice for caries prevention in adolescents. Evid Based Dent 2012; 13: 43-44
    CrossrefPubMedGoogle Scholar
  • 30 Kossack C, Jost-Brinkmann P. Plaque and gingivitis reduction in patients undergoing orthodontic treatment with fixed appliances – comparison of toothbrushes and interdental cleaning aids. A 6-month clinical single-blind trial. J Orofac Orthop 2005; 66: 20-38
    CrossrefPubMedGoogle Scholar
  • 31 Boyd R, Rose C. Effect of rotary electric toothbrush versus manual toothbrush on decalcification during orthodontic treatment. Am J Orthod Dentofacial Orthop 1994; 105: 450-456
    CrossrefPubMedGoogle Scholar
  • 32 Hickman J, Millett D, Sander L et al. Powered vs manual tooth brushing in fixed appliance patients: a short term randomized clinical trial. Angle Orthod 2002; 72: 135-140
    PubMedGoogle Scholar
  • 33 Thienpont V, Dermaut L, Van Maele G. Comparative study of 2 electric and 2 manual toothbrushes in patients with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2001; 120: 353-360
    CrossrefPubMedGoogle Scholar
  • 34 Wilcoxon D, Ackerman R, Killoy W et al. The effectivness of a counterrotational-action power toothbrush on plaque control in orthodontic patients. Am J Orthod Dentofacial Orthop 1991; 99: 7-14
    CrossrefPubMedGoogle Scholar
  • 35 Hickman J, Millett D, Sander L et al. Powered vs manual tooth brushing in fixed appliance patients: a short term randomized clinical trial. Angle Orthod 2002; 72: 135-140
    PubMedGoogle Scholar
  • 36 Jackson C. Comparison between electric toothbrushing and manual toothbrushing, with and without oral irrigation, for oral hygiene of orthodontic patients. Am J Orthod Dentofacial Orthop 1991; 99: 15-20
    CrossrefPubMedGoogle Scholar
  • 37 Kossack C, Jost-Brinkmann P. Plaque and gingivitis reduction in patients undergoing orthodontic treatment with fixed appliances – comparison of toothbrushes and interdental cleaning aids. A 6-month clinical single-blind trial. J Orofac Orthop 2005; 66: 20-38
    CrossrefPubMedGoogle Scholar
  • 38 Heintze S, Jost-Brinkmann P, Loundos J. Effectiveness of three different types of electric toothbrushes compared with a manual technique in orthodontic patients. Am J Orthod Dentofacial Orthop 1996; 110: 630-638
    CrossrefPubMedGoogle Scholar
  • 39 Ogaard B, Rlla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1988; 94: 68-73
    CrossrefPubMedGoogle Scholar
  • 40 Albandar JM, Buischi YA, Mayer MP et al. Long-term effect of two preventive programs on the incidence of plaque and gingivitis in adolescents. J Periodontol 1994; 65: 605-610
    CrossrefPubMedGoogle Scholar
  • 41 Borutta A, Kneist S, Chemnitius P, Hufnagl S. Veränderungen im Ernährungsverhalten und in der Mundgesundheit bei Vorschulkindern. Oralprophylaxe und Kinderzahnheilkunde 2005;
    PubMedGoogle Scholar
  • 42 Attin T, Weiss K, Becker K et al. Impact of modified acidic soft drinks on enamel erosion. 2005; Oral Dis 11: 7-12
    PubMedGoogle Scholar
  • 43 Marinho VCC, Higgins JPT, Logan S et al. Fluoride mouthrinses for peventing dental caries in children and adolescents (Cochrane Review). In: The Cochrane Library. John Wiley & Sons; Chichester, UK: 2004
    Google Scholar
  • 44 Geiger AM, Gorelick L, Gwinnett AJ et al. Reducing white spot lesions in orthodontic populations with fluoride rinsing. Am J Orthod Dentofacial Orthop 1992; 101: 403-407
    CrossrefPubMedGoogle Scholar
  • 45 Stecksen-Blicks C, Renfors G, Oscarson N et al. Cariespreventive effectivness of a fluoride varnish: a randomized controlled trail in adolescents with fixed orthodontic appliances. Caries Res 2007; 41: 455-459
    CrossrefPubMedGoogle Scholar
  • 46 Øgaard B. J Oral Orthod 58: 206-213, 1994, Klimek J et al. Dtsch Zahnärztl Z 1992; 47: 761-763
    PubMedGoogle Scholar
  • 47 Attin R, Thon C, Schlagenhauf U et al. Recolonization of mutans steptococci on teeth with orthodontic appliances after antimicrobial therapy. Eur J Orthod 2005; 27: 489-493
    CrossrefPubMedGoogle Scholar
  • 48 Sari E, Birinci I. Microbiological evaluation of 0.2% chlorhexidine gluconate mouth rinse in orthodontic patients. Angle Orthod 2007; 77: 881-884
    CrossrefPubMedGoogle Scholar
  • 49 Derks A, Kuijpers-Jagtman AM, Frencken JE et al. Caries preventive measures used in orthodontic practices: an evidence-based decision?. Am J Orthod Dentofacial Orthop 2007; 132: 165-170
    CrossrefPubMedGoogle Scholar
  • 50 Pithon MM, Sant’Anna LI, Baião FC et al. Assessment of the effectiveness of mouthwashes in reducing cariogenic biofilm in orthodontic patients: a systematic review. J Dent 2015; 43: 297-308
    CrossrefPubMedGoogle Scholar
  • 51 Derks 1 A, Katsaros C, Frencken JE, van’t Hof MA, Kuijpers-Jagtman AM. Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. A systematic review. Caries Res 2004; 38: 413-420
    CrossrefPubMedGoogle Scholar
  • 52 Farrow ML, Newman SM, Oesterle LJ et al. Filled and unfilled restorative materials to reduce enamel decalcification during fixed-appliance orthodontic treatment. Am J Orthod Dentofacial Orthop 2007; 132: 578.e1-578.e6
    PubMedGoogle Scholar
  • 53 Derks A, Katsaros C, Frencken JE, van’t Hof MA, Kuijpers-Jagtman AM. Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. A systematic review. Caries Res 2004; 38: 413-420
    CrossrefPubMedGoogle Scholar
  • 54 Knösel M, Klang E, Helms HJ et al. Occurrence and severity of enamel decalcification adjacent to bracket bases and sub-bracket lesions during orthodontic treatment with two different lingual appliances. Eur J Orthod 2015; Sep 29 pii: cjv069. [Epub ahead of print]
    PubMedGoogle Scholar
  • 55 van der Veen MH, Attin R, Schwestka-Polly R et al. Caries outcomes after orthodontic treatment with fixed appliances: do lingual brackets make a difference?. Eur J Oral Sci 2010; 118: 298-303
    Google Scholar