This review evaluating the preventive effect of regular applications of fluoride varnish (FV) on the development of white spot lesions (WSL) during orthodontic treatment included 7 RCTs. Meta-analyses demonstrated a reduction in the risk of WSL with regular FV applications but the certainty of evidence was very low.
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This review of the efficacy of chewing gum in reducing pain intensity in patients undergoing fixed orthodontic treatment included 16 RCTs. The findings suggest , chewing gum was significantly more effective than both pharmacologic agents and placebo in reducing orthodontic pain 24 hours. However the evidence is of very low certainty.
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This review of the efficacy of mouthwashes on oral microorganisms and gingivitis in orthodontic patients included 32 RCTs. While the findings suggest short-term benefits with adjunctive mouthwash use the findings should be intertpreted cautiously as only one RCT was at low risk of bias and for almost all outccomes the certainty of evidence was rated as very low to low.
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This review of periodontal health maintenance and gingival recessions development in patients undergoing an orthodontic treatment with clear aligners (CA) or fixed appliances (FA) included 12 studies. The limited amount and quality of evidence was insufficient to assess whether CA were bettern than FA at maintaining periodontal health.
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In this blog Aljeeta Kadam looks at a review of adjuncts or alternatives to mechanical retention in preserving post orthodontic treatment outcomes. Only 7 studies were included in the review providing very low quality evidence about the use of adjuncts and alternatives.
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This review of canine retraction after maxillary first premolar extraction in adolescent and adult orthodontic patients using fixed appliances included 50 RCTs. However only a small number of studies contributed to the estimate of 4.98 months (95%CI; 2.92 to 12.88 months) to complete canine retraction.
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Early detection of oral cancer and mangement of white spot lesions during orthodontic treatment were popular blogs in January , February and March of 2022.
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This review the prevalence of malocclusions and different orthodontic features in children and adolescents included 123 studies. However the broad range of approaches used in the studies to determine malocclusion and orthodontic features means that the findings need to be interpreted cautiously.
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Aoife McDougall and Carly Ross look at this trail comparing multimedia websites & printed information for their quality,ease of understanding, and impact on decision making in adolescents.
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This review of the clinical and radiographic findings of orthodontic force application on the dental pulp included 26 studies. While increase in pulpal sensibility clinical response, an immediate decrease in pulpal blood flow, changes in pulp cavity volume, and an increase in the incidence of pulp stone formation the studies were mostly small and of low quality so the certainty of the available evidence is graded as very low.
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