Effects of amine and stannous fluorides on plaque accumulation and gingival health in orthodontic patients treated with fixed appliances: a pilot study.
OBJECTIVE
The aim of this pilot study was to evaluate the effects of different use of amine and stannous fluoride (AmF/SnF2)- containing toothpaste with and without a mouthrinse (MeridolÂ®) on plaque accumulation and gingival health after four weeks' use in patients wearing fixed orthodontic appliances.


METHODS
Plaque accumulation and periodontal variables were recorded in 40 volunteers (mean age: 20.1Â±5.6 years), who were randomly divided into two groups. They refrained from oral hygiene two days before each assessment. The test group brushed with AmF/SnF2 toothpaste twice daily for three minutes and rinsed with an AmF/SnF2 mouthrinse for 30 seconds. The control group used only the AmF/SnF2 toothpaste twice daily, toothbrushing for three minutes.


RESULTS
Baseline values for plaque index (PI) and gingival index (GI) were 2.21Â±0.52 and 1.98Â±0.58 (meanÂ±SD) in the test group, 2.29Â±0.42 and 2.02Â±0.44 in the control group. After four weeks, PI and GI were 1.32Â±0.42 and 0.93Â±0.59 in the test group, and 1.27Â±0.52 and 1.09Â±0.51 in the control group, respectively. Bleeding on probing at baseline was 40% in the test group and 37.5% for the controls; at the final evaluation, these values were 10.1% and 12.7%, respectively. All of the indices were reduced significantly in both groups. There was no statistically significant difference between the groups (P<0.05).


CONCLUSIONS
Based on the findings of this pilot study, it is suggested that the use of AmF/SnF2-containing products resulted in beneficial clinical effects on plaque accumulation and gingival health after placement of fixed orthodontic appliances. These beneficial effects may be more pronounced after long-term and combined use of these products. A six-month duration study with a larger sample of participants is needed to confirm the promising results from this pilot.
Department of Paedodontics and Orthodontics, Semmelweis University, Budapest, Hungary. madlena.melinda@dent.semmelweis-univ.hu
Melinda
M
Madlena
Jolan
J
Banoczy
Gergely
G
Gotz
Sandor
S
Marton
Miklos
M
Kaan
Gabor
G
Nagy
D000293:Adolescent; D000328:Adult; D000588:Amines / Q000627:therapeutic use; D003773:Dental Plaque / Q000517:prevention & control*; D003774:Dental Plaque Index; D004338:Drug Combinations; D005260:Female; D005460:Fluorides, Topical / Q000627:therapeutic use; D005891:Gingivitis / Q000517:prevention & control*; D006801:Humans; D008297:Male; D009067:Mouthwashes / Q000737:chemistry / Q000627:therapeutic use*; D009967:Orthodontic Appliances; D010512:Periodontal Index; D010865:Pilot Projects; D018709:Statistics, Nonparametric; D014002:Tin Fluorides / Q000627:therapeutic use; D014100:Toothpastes / Q000737:chemistry / Q000627:therapeutic use*; D055815:Young Adult
D000588:Amines; D004338:Drug Combinations; D005460:Fluorides, Topical; D009067:Mouthwashes; D014002:Tin Fluorides; D014100:Toothpastes; C094808:amine fluoride solution; C059813:Meridol; C075174:amine fluoride gel