Fluoride-releasing elastomeric modules reduce decalcification: a randomized controlled trial.
OBJECTIVE
To determine whether fluoride releasing elastomeric modules reduced the incidence of decalcification around orthodontic brackets during a complete course of orthodontic treatment.


METHODS
A randomised controlled, split mouth design.


METHODS
The study was carried out in the orthodontic department of Newcastle-upon-Tyne Dental Hospital, UK.


METHODS
21 consecutive patients (126 teeth) undergoing fixed appliance therapy were studied. A split mouth technique was adopted to examine the upper labial segment, where one side (left or right) was randomly assigned to the experimental group, and the opposite side served as a control throughout their course of orthodontic treatment.


METHODS
The control teeth were ligated to the archwire using conventional modules. The experimental teeth were ligated to the archwire using Fluoride releasing elastomeric modules.


METHODS
Standardised photographs were taken of the upper labial segment before and after completion of orthodontic treatment, and the degree of decalcification assessed in each tooth quadrant, using a modification of the Enamel Defect Score.


RESULTS
Decalcification was found to occur in both treatment groups, though to a significantly greater degree on the control side (p = 0.002). The fluoride module side showed significantly fewer serious decalcified lesions than the control (p = 0.013). No patients withdrew from the study.


CONCLUSIONS
It would appear that the use of fluoride releasing elastomeric modules reduces the degree of decalcification experienced during orthodontic treatment.
Mattick
C R
CR
The Dental Hospital, Richardson Road, Newcastle upon Tyne NE2 4A2, UK.
Mitchell
L
L
Chadwick
S M
SM
Wright
J
J
D005459:Fluorides / Q000008:administration & dosage*; D006801:Humans; D016382:Orthodontic Appliance Design; D016910:Orthodontic Brackets / Q000009:adverse effects*; D011446:Prospective Studies; D012826:Silicone Elastomers; D018709:Statistics, Nonparametric; D017001:Tooth Demineralization / Q000209:etiology / Q000517:prevention & control*
D012826:Silicone Elastomers; D005459:Fluorides