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Maintenance of Fixed Appliances During Treatment

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Part of the book series: BDJ Clinician’s Guides ((BDJCG))

Abstract

The length of a course of orthodontic treatment is variable and chiefly contingent on the objectives, compliance and operator parameters. However, the average duration for fixed appliance-based treatment has been estimated at 20 months (Tsichlaki et al. 2016). During this period, it is essential that there is a commitment to maintaining optimal dental health and care of fixed appliances. Suboptimal appliance care and compliance may lead to extended duration of treatment and increase risk of common iatrogenic effects of orthodontics including enamel demineralisation and adverse periodontal effects.

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References

  • Benson PE, Parkin N, Millett DT, Dyer FE, Vine S, Shah A. Fluorides for the prevention of white spots on teeth during fixed brace treatment. Cochrane Database Syst Rev. 2004;(3):CD003809. Review.

    Google Scholar 

  • Bollen AM, Cunha-Cruz J, Bakko DW, Huang GJ, Hujoel PP. The effects of orthodontic therapy on periodontal health: a systematic review of controlled evidence. J Am Dent Assoc. 2008;139(4):413–22.

    Article  Google Scholar 

  • Fleming PS, Strydom H, Katsaros C, et al. Non-pharmacological interventions for alleviating pain during orthodontic treatment. Cochrane Database Syst Rev. 2016;12:CD010263.

    PubMed  Google Scholar 

  • Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982;81(2):93–8.

    Article  Google Scholar 

  • He T, Li X, Dong Y, Zhang N, et al. Comparative assessment of fluoride varnish and fluoride film for remineralization of postorthodontic white spot lesions in adolescents and adults over a 6-month period: a single-center, randomized controlled clinical trial. Am J Orthod Dentofac Orthop. 2016;149(6):810–9.

    Article  Google Scholar 

  • Huang GJ, Roloff-Chiang B, Mills BE, et al. Effectiveness of MI Paste Plus and PreviDent fluoride varnish for treatment of white spot lesions: a randomized controlled trial. Am J Orthod Dentofac Orthop. 2013;143(1):31–41.

    Article  Google Scholar 

  • Ireland AJ, Ellis P, Jordan A, et al. Comparative assessment of chewing gum and ibuprofen in the management of orthodontic pain with fixed appliances: a pragmatic multicenter randomized controlled trial. Am J Orthod Dentofac Orthop. 2016;150(2):220–7.

    Article  Google Scholar 

  • Johal A, Abed Al Jawad F, Marcenes W, Croft N. Does orthodontic treatment harm children’s diets? J Dent. 2013;41(11):949–54.

    Article  Google Scholar 

  • Johal A, Ashari AB, Alamiri N, et al. Pain experience in adults undergoing treatment: a longitudinal evaluation. Angle Orthod. 2018;88(3):292–8.

    Article  Google Scholar 

  • Jones M, Chan C. The pain and discomfort experienced during orthodontic treatment: a randomized controlled clinical trial of two initial aligning arch wires. Am J Orthod Dentofac Orthop. 1992;102(4):373–81.

    Article  Google Scholar 

  • Kaklamanos EG, Kalfas S. Meta-analysis on the effectiveness of powered toothbrushes for orthodontic patients. Am J Orthod Dentofac Orthop. 2008;133(2):187.e1–14.

    Article  Google Scholar 

  • Monk AB, Harrison JE, Worthington HV, Teague A. Pharmacological interventions for pain relief during orthodontic treatment. Cochrane Database Syst Rev. 2017;11:CD003976. https://doi.org/10.1002/14651858.CD003976.pub2.

    Article  PubMed  Google Scholar 

  • Ogaard B, Rølla G, Arends J, ten Cate JM. Orthodontic appliances and enamel demineralization. Part 2. Prevention and treatment of lesions. Am J Orthod Dentofac Orthop. 1988;94(2):123–8.

    Article  Google Scholar 

  • Papageorgiou SN, Papadelli AA, Eliades T. Effect of orthodontic treatment on periodontal clinical attachment: a systematic review and meta-analysis. Eur J Orthod. 2018;40(2):176–94.

    Article  Google Scholar 

  • Patel V. Non-completion of active orthodontic treatment. Br J Orthod. 1992;19(1):47–54.

    Article  Google Scholar 

  • Robertson MA, Kau CH, English JD, Lee RP, Powers J, Nguyen JT. MI Paste Plus to prevent demineralization in orthodontic patients: a prospective randomized controlled trial. Am J Orthod Dentofac Orthop. 2011;140(5):660–8.

    Article  Google Scholar 

  • Skidmore KJ, Brook KJ, Thomson WM, Harding WJ. Factors influencing treatment time in orthodontic patients. Am J Orthod Dentofac Orthop. 2006;129(2):230–8.

    Article  Google Scholar 

  • Trulsson U, Strandmark M, Mohlin B, Berggren U. A qualitative study of teenagers’ decisions to undergo orthodontic treatment with fixed appliance. J Orthod. 2002;29(3):197–204.

    Article  Google Scholar 

  • Tsichlaki A, Chin SY, Pandis N, Fleming PS. How long does treatment with fixed orthodontic appliances last? A systematic review. Am J Orthod Dentofac Orthop. 2016;149(3):308–18.

    Article  Google Scholar 

  • Yaacob M, Worthington HV, Deacon SA, et al. Powered versus manual toothbrushing for oral health. Cochrane Database Syst Rev. 2014;(6):CD002281.

    Google Scholar 

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Fleming, P., Seehra, J. (2019). Maintenance of Fixed Appliances During Treatment. In: Fixed Orthodontic Appliances. BDJ Clinician’s Guides. Springer, Cham. https://doi.org/10.1007/978-3-030-12165-5_12

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  • DOI: https://doi.org/10.1007/978-3-030-12165-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-12164-8

  • Online ISBN: 978-3-030-12165-5

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