Remineralization of Enamel Using Topical Agents among Patients with Orthodontic Brackets: In Vivo and In Vitro Randomized Control Trial.

Abstract

Aim and background: To evaluate the in vivo and in vitro effects of three topical agents in reducing enamel demineralization around orthodontic brackets. Postorthodontic enamel demineralization persists to be undesirable and common complication.

Materials and methods: Twenty patients, who consented, were included into three experimental and a control group, following screening for inclusion, exclusion, and randomization. The experimental group was intervened with either GC Tooth Mousse Plus®, Clinpro® Tooth Cream, or Amflor® toothpaste. The baseline values were recorded using DIAGNOdent® following oral prophylaxis and brackets were bonded. The intervention group received the respective topical application of agents. Posttreatment values were recorded after 90 seconds of intervention and 20th day postintervention. Extraction of respective tooth was done on the 21st day to evaluate the microhardness using the Vickers hardness test.

Results: The results show the effectiveness of GC Tooth Mousse Plus® over Amflor® toothpaste followed by Clinpro® Tooth Cream for remineralization among patients undergoing orthodontic treatment and microhardness was highest for GC Tooth Mousse Plus®.

Conclusion: Topical agents can be used effectively as remineralizing agents in patients undergoing orthodontic treatment.

Clinical significance: Advanced diagnostic tools like the DIAGNOdent Pen® and remineralizing agents contribute to a comprehensive and proactive approach to dental care, particularly in populations with specific risk factors like children with high sucrose consumption.

How to cite this article: Sain S, Hegde SK, Bhat SS, et al. Remineralization of Enamel Using Topical Agents among Patients with Orthodontic Brackets: In Vivo and In Vitro Randomized Control Trial. Int J Clin Pediatr Dent 2024;17(10):1093-1098.