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Efficacy of fluoride varnish in treating orthodontically-induced white spot lesions: a systematic review and meta-analysis


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Figure 1.

Flow-chart of search and study selection.
Flow-chart of search and study selection.

Figure 2.

Risk of bias for included studies.
Risk of bias for included studies.

Figure 3.

Forest-plot presenting the effect of FV applications on the mean DIAGNOdent scores of white-spot lesions occurring after orthodontic treatment at 3 months (A) and at 6 months (B).
Forest-plot presenting the effect of FV applications on the mean DIAGNOdent scores of white-spot lesions occurring after orthodontic treatment at 3 months (A) and at 6 months (B).

Critical Appraisal Skills Program quality assessment of the included studies.

Items
Authors 1 2 3 4 5 6 7 8 9 10 11 Total (Range: 0 to 11)
Singh et al.26 7
Du et al.27 9
He et al.28 10
Restrepo et al.29 9

Characteristics of the included studies.

Study Study design Study participants Results
Author, year (Ref) Country Study duration (months) Dental hygiene Outcome assessment criteria Treatment assigned to main intervention group Treatment assigned to control group Frequency of application during the study duration Age Range (years) Number of participants I/C Teeth analyzed Outcome measure Author’s conclusion
Singh et al.26 India 6 1,000 ppm F toothpaste twice daily Visual DD F varnish (22,600 ppm NaF) Placebo varnish Once at baseline 16‒25 13/14 Each tooth from central incisor to first molar Visual score DD score F varnish did not improve the progression of WSL
Du et al.27 China 6 F toothpaste twice daily DD F varnish (22,600 ppm NaF Duraphat) Saline solution 6-times (Once every month) 12‒22 47/49 All the teeth DD score Regular F varnish application may be effective in reducing the development of WSL
He et al.28 China 6 F free toothpaste twice daily (control group); F toothpaste twice daily (intervention group) Quantitative light-induced fluorescence (QLF) F varnish (22,600 ppm NaF Duraphat) Placebo varnish 6-times (Once every month) 12 ‒25 69/72 Maxillary anterior teeth QLF Regular F varnish application may be effective in reducing the development of WSL
Restrepo et al.29 Brazil 3 1,450 ppm F toothpaste twice daily Visual (Nyvad criteria) DD F varnish (22,600 ppm NaF Duraphat) Saline solution Twice (Two applications with one-week interval) 13‒20 10/10 Anterior teeth and pre-molars Visual (Nyvad criteria) score DD score F varnish improved the progression of WSL
eISSN:
2207-7480
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
Volume Open
Fachgebiete der Zeitschrift:
Medizin, Vorklinische Medizin, Grundlagenmedizin, andere