Comparative Efficacy of High-Fluoride Toothpaste and Mouth Rinse in Preventing Demineralized Lesions during Orthodontic Treatment

Syed Suleman Shah; Muhammad Saood; Palwasha Gul

doi:10.65293/jbkcd.v1i01.5

Authors

Syed Suleman Shah Department of Orthodontics, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Muhammad Saood Department of Orthodontics, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.
Palwasha Gul Department of Orthodontics, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.

DOI:

https://doi.org/10.65293/jbkcd.v1i01.5

Keywords:

Demineralized Lesions, Fluoride Toothpaste, Mouth Rinse, Orthodontics, White Spot Lesions, Risk Ratio

Abstract

Objective: This study compared the effectiveness of high-fluoride mouth rinse (FMR) and high-fluoride toothpaste (HFT) in preventing demineralized lesions (DLs) during orthodontic treatment.

Study Design: Cross-sectional study

Place and Duration of Study: The study was conducted in the Department of Orthodontics, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan, from June to December 2022.

Methodology: A cross-sectional study was conducted from June to December 2022 at Bacha Khan Medical College, Mardan. A total of 350 orthodontic patients were divided into three groups: Group A (FMR, n=115), Group B (HFT, n=120), and Group C (standard fluoride toothpaste, FT, n=115). Demographic data, oral hygiene habits, fluoride exposure, and DL prevalence were recorded. Risk ratios (RR) and 95% confidence intervals (CIs) were calculated to compare groups.

Results: The prevalence of DLs was significantly lower in Group A (34.8%) and Group B (45.8%) compared to Group C (62.6%) (p<0.001). The mean number of DLs per patient was 1.8 ± 0.9 in Group A, 2.3 ± 1.1 in Group B, and 3.0 ± 1.3 in Group C. Group C had a 1.50 times higher risk of DLs compared to Group A (RR: 1.50, 95% CI: 1.28–1.76). The highest proportion of DLs in the aesthetic zone was in Group C (43.5%).

Conclusion: High-fluoride mouth rinse was more effective in preventing DLs during orthodontic treatment compared to high-fluoride toothpaste and standard fluoride toothpaste.

Author Biography

Muhammad Saood, Department of Orthodontics, Khyber College of Dentistry, Peshawar, Khyber Pakhtunkhwa, Pakistan.

Corresponding Author: saudroomi9@gmail.com

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