The effectiveness of amine fluoride mouthwash in preventing white spot lesions during fixed orthodontic therapy: A randomized control trial

Abstract

Background and Aims: One of the main reasons that patients seek orthodontic treatment is esthetics. Unfortunately, treatment with fixed orthodontic appliances can at times increase the chances of developing white spot lesions on the surfaces of teeth, thus creating a new esthetic issue for the patient.The prevalence of white spot lesions (WSL) reported after treatment varies from 2% to 97%, and these lesions can occur in spite of increased attention to hygiene. Hence the aim of this study was to assess the effect of Amine fluoride mouthwash in preventing white spot lesions during fixed orthodontic therapy. Materials & Methods: Study participants were randomly divided in to 2 groups. (Group A-experimental 25 patients and Group B-control 25 patients). The pre-intervention and post-intervention intra oral digital photographs were analyzed by using Image J software to assess the percentage of the facial surface affected on the teeth (10 maxillary teeth) which had white spot lesions. Results: The mean value of WSLs showed significant difference between the experimental and control groups. Mean values of WSL in the experimental group decreased from 2 to 1.54 with a mean difference of 0.46 after 6 months follow-up which indicated that amine fluoride mouthwash was effective in preventing WSLs during fixed orthodontic treatment. Conclusion: WSLs scores were significantly reduced in patients who received the mouthwash when compared to patients who followed Standard oral hygiene regimen with fluoridated toothpaste only.