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Journal of Oral Medicine, Oral Surgery, Oral Pathology and Oral Radiology

Effectiveness of sodium fluoride mouth rinse after brushing with fluoride toothpaste for the prevention of white spots on teeth during fixed orthodontic treatment: A systematic review

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Author Details: Priti Yadav, Ravindra Manerikar, Sonali Deshmukh, Sandeep Jethe, Jayesh Rahalkar

Volume : 3

Issue : 3

Online ISSN : 2395-6194

Print ISSN : 2395-6186

Article First Page : 139

Article End Page : 141


Objective: To evaluate the effectiveness of sodium fluoride mouth rinse after brushing with fluoride containing toothpaste in preventing the occurrence of white spots on the teeth during orthodontic treatment

Materials and Method

Inclusion Criteria: Articles in English or those having detailed summary in English were included. Studies published between May 1992 to 2017 were included. Study design must be a randomized control trial or clinical trials. It involved the use of a sodium fluoride mouth rinse with no use or use of a non-fluoride rinse Development of WSLs in patients using fixed orthodontic appliances. In this, only human studies were included.

Exclusion Criteria: Studies with inadequate statistics. In vitro studies and studies in which the main outcome of interest was enamel hardness rather than WSL development. Reviews, case reports, abstracts, editorials, letters and historical reviews were not included.

Results: The outcome of the review was the presence or absence of white spot lesion by patients at the end of the treatment. 89 articles were identified through electronic database searching. 1 full article was accessed for the eligibility criteria. There is some evidence that a daily use of sodium fluoride mouth rinse reduces the white spots surrounding a fixed brace.

Conclusion: The review recommends sodium fluoride mouth rinsing after tooth brushing, to prevent WSL development or progression during orthodontic treatment.

Limitations: Only full-text articles in English were included. Only 1 article was included and the majority are of limited sample size, and have short follow- ups.