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An Update on Demineralization/Remineralization

Mark E. Jensen, MS, DDS, PhD; Robert V. Faller, BS

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A Second Cochrane Review: Fluorides in Orthodontic Patients37

 

This review was done in May of 2004 and evaluated fluoride for the prevention of white spot lesions during orthodontic treatment. This review included 15 trials with 723 participants and had less strength to their conclusions which were, "There is some evidence that the use of topical fluoride or fluoride-containing bonding materials during orthodontic treatment reduces the occurrence and severity of white spot lesions, however there is little evidence as to which method or combination of methods to deliver the fluoride is the most effective. Based on current best practice in other areas of dentistry, for which there is evidence, we recommend that patients with fixed braces rinse daily with a 0.05% sodium fluoride mouthrinse. More high quality, clinical research is required into the different modes of delivering fluoride to the orthodontic patient." In other words we should continue to recommend that all orthodontic patients use daily rinses of 0.05% sodium fluoride but the evidence is somewhat less than desired.

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