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Fluoritos na prevenção de lesões brancas de esmalte durante a ortodontia fixa: revisão sistemática
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Abstract(s)
A presente revisão sistemática teve como objetivo verificar a eficácia dos produtos com flúor na prevenção das lesões brancas de esmalte durante o tratamento ortodôntico com sistema multibrackets e avaliar que fluoritos reduzem em maior escala a incidência destas lesões.
Foi efetuada uma pesquisa em duas bases de dados, ‘Pubmed’ e ‘B-on’. Dos artigos obtidos foram incluídos 18 ensaios clínicos randomizados. Devido às limitações na metodologia dos estudos parecem necessários mais estudos e com uma metodologia mais padronizada. No entanto, parece razoável sugerir que os vernizes de flúor poderão ser um método eficaz na prevenção das LBE e que altas concentrações de flúor poderão diminuir a incidência de manchas brancas no esmalte.
Concluiu-se que a aplicação de fluoritos deverá ser alvo de homogeneidade em futuros estudos já que os resultados sobre a sua eficácia não são conclusivos.
The present systematic review aimed to verify the efficacy of fluoride products in the prevention of white enamel lesions during orthodontic treatment with multibracket system and to evaluate which fluorides reduce to a greater extent the incidence of these lesions. A search was performed in two databases, 'Pubmed' and 'B-on'. From the obtained articles 18 randomized clinical trials were included. Due to the limitations in the methodology of the studies, more studies with a more standardised methodology seem to be necessary. However, it seems reasonable to suggest that fluoride varnishes may be an effective method to prevent SBI and that high concentrations of fluoride may decrease the incidence of white spots on enamel. It was concluded that the application of fluorides should be homogeneously targeted in future studies as the results on their efficacy are not conclusive.
The present systematic review aimed to verify the efficacy of fluoride products in the prevention of white enamel lesions during orthodontic treatment with multibracket system and to evaluate which fluorides reduce to a greater extent the incidence of these lesions. A search was performed in two databases, 'Pubmed' and 'B-on'. From the obtained articles 18 randomized clinical trials were included. Due to the limitations in the methodology of the studies, more studies with a more standardised methodology seem to be necessary. However, it seems reasonable to suggest that fluoride varnishes may be an effective method to prevent SBI and that high concentrations of fluoride may decrease the incidence of white spots on enamel. It was concluded that the application of fluorides should be homogeneously targeted in future studies as the results on their efficacy are not conclusive.
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Keywords
Tratamento ortodôntico Ortodontia fixa Lesão de mancha branca Lesão cariosa Fluoritos Orthodontic treatment Fixed appliance orthodontic treatment White spot lesion Fluorides