Prevention and caries risk management in teenage and orthodontic patients

As patients progress from childhood through to teenage years, they progress through periods of high caries risk as they undergo changes in lifestyle and oral microflora. Removable or fixed orthodontic treatment also alters the oral microflora and can dramatically increase caries risk. This paper out...

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Bibliographic Details
Published in:Australian dental journal 2019-06, Vol.64 (S1), p.S37-S45
Main Authors: Walsh, LJ, Healey, DL
Format: Article
Language:English
Subjects:
Adolescent
Child
decalcification
Dental Care
Dental Caries - prevention & control
Dental Plaque
Dentistry
disclosing
Humans
Orthodontic Appliances - adverse effects
orthodontics
Orthodontics - methods
Orthodontics - standards
prevention
remineralisation
Risk Management
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Summary:As patients progress from childhood through to teenage years, they progress through periods of high caries risk as they undergo changes in lifestyle and oral microflora. Removable or fixed orthodontic treatment also alters the oral microflora and can dramatically increase caries risk. This paper outlines ways to identify the transition to higher caries risk, and practical ways to lower the risk of hard tissue loss from dental caries during orthodontic treatment across the teenage years, including tooth surface protection, optimised use of mechanical and chemical plaque control, and appropriate delivery of remineralising agents over time.
ISSN:0045-0421
1834-7819
DOI:10.1111/adj.12671