Laser fluorescence in monitoring the influence of targeted tooth brushing on remineralization of initial caries lesions on newly erupted molar teeth : RCT
Laitala, M‐L.; Jaanti, E.; Vähänikkilä, H.; Määttä, T.; Heikka, H.; Hausen, H.; Anttonen, V. (2016-01-29)
Int J Dent Hygiene 15, 2017; e78– e84 DOI: 10.1111/idh.12205 Laitala, M‐L, Jaanti, E, Vähänikkilä, H, Määttä, T, Heikka, H, Hausen, H, Anttonen, V. Laser fluorescence in monitoring the influence of targeted tooth brushing on remineralization of initial caries lesions on newly erupted molar teeth – RCT
© 2016 John Wiley & Sons A/S. Published byJohn Wiley & Sons Ltd. This is the peer reviewed version of the following article: Int J Dent Hygiene 15, 2017; e78– e84 DOI: 10.1111/idh.12205 Laitala, M‐L, Jaanti, E, Vähänikkilä, H, Määttä, T, Heikka, H, Hausen, H, Anttonen, V. Laser fluorescence in monitoring the influence of targeted tooth brushing on remineralization of initial caries lesions on newly erupted molar teeth – RCT, which has been published in final form at https://doi.org/10.1111/idh.12205. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
https://rightsstatements.org/vocab/InC/1.0/
https://urn.fi/URN:NBN:fi-fe2019102835188
Tiivistelmä
Abstract
Objective: This study aimed to monitor mineralization changes in initial caries lesions on newly erupted second molars using laser fluorescence (LF) scanning after a 1‐month targeted tooth brushing intervention.
Methods: Altogether, 124 13‐ to 14‐year‐old school children were invited to participate. Of those who fulfilled the clinical criteria (at least one initial lesion with LF value >10 in second molars), 51 gave their written consent to participate. Laser fluorescence values were registered at baseline and after 1‐month follow‐up period. All participants were individually taught targeted tooth brushing of their second molars and randomly provided tooth paste with 0 or 1500 ppm fluoride. Brushing frequency was investigated at baseline and after the follow‐up. Change in LF values was compared considering the tooth, content of fluoride in the paste and brushing frequency.
Results: In lesions with LF values ≤30 at baseline, change in LF values demonstrated improvement. Improvement was detected especially in upper molars. In lesions with LF values >30 at baseline, improvement was least detected. Brushing frequency increased slightly during the intervention.
Conclusions: Laser fluorescence is a simple method and useful in monitoring remineralization of incipient lesions even in weeks. Targeted tooth brushing seems to induce remineralization even in weeks. Laser fluorescence could be a valuable motivating tool in promoting patients’ self‐care.
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