title: Treatment protocol to control Streptococcus mutans level in an orthodontic patient with high caries risk.
abstract: The purpose of this article is to report a protocol for treating an orthodontic patient with a high risk of developing caries. The salivary level of Streptococcus mutans was evaluated during various stages of orthodontic treatment. It was significantly high before professional application of 1% chlorhexidine collagen gel, daily mouth rinsing with 0.05% sodium fluoride solution, and bonding of the bands and brackets. Although there were no other changes in hygiene habits, microbiologic tests showed that the microbiota was in balance during the follow-up periods. At the end of orthodontic treatment, periodontal health was observed, and enamel surfaces showed signs of remineralization.
authors.affiliation: Department of Orthodontics, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. patricia.alves.p@gmail.com
authors.forename: Patrícia V M
authors.initials: PV
authors.lastname: Alves
authors.forename: Wagner S
authors.initials: WS
authors.lastname: Alviano
authors.forename: Ana M
authors.initials: AM
authors.lastname: Bolognese
authors.forename: Lincoln Issamu
authors.initials: LI
authors.lastname: Nojima
mesh_terms: D000293:Adolescent; D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D002327:Cariostatic Agents / Q000008:administration & dosage; D002710:Chlorhexidine / Q000008:administration & dosage*; D002985:Clinical Protocols; D003094:Collagen; D015169:Colony Count, Microbial; D003731:Dental Caries / Q000517:prevention & control*; D003773:Dental Plaque / Q000188:drug therapy / Q000382:microbiology*; D005782:Gels; D006801:Humans; D008310:Malocclusion / Q000628:therapy; D009067:Mouthwashes / Q000627:therapeutic use; D016910:Orthodontic Brackets; D009971:Orthodontics, Corrective / Q000295:instrumentation*; D012306:Risk; D012463:Saliva / Q000382:microbiology; D012969:Sodium Fluoride / Q000008:administration & dosage; D013295:Streptococcus mutans / Q000187:drug effects*
chemical_list: D000891:Anti-Infective Agents, Local; D002327:Cariostatic Agents; D005782:Gels; D009067:Mouthwashes; D012969:Sodium Fluoride; D003094:Collagen; D002710:Chlorhexidine