Section 50
Chapter 49,160

Gingival temperature measurements with fluoride and nonfluoride elastomeric ligatures

Aznan, K.; Khan, M.; Benson, P.E.

American Journal of Orthodontics and Dentofacial Orthopedics Official Publication of the American Association of Orthodontists its Constituent Societies and the American Board of Orthodontics 131(3): 378-383


ISSN/ISBN: 1097-6752
PMID: 17346594
DOI: 10.1016/j.ajodo.2005.05.053
Accession: 049159966

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Little is known about the effect of fluoridated elastomerics on gingival health. The aim of this in-vivo study was to compare subgingival temperature measurements near brackets with fluoridated elastomerics with nonfluoridated elastomerics. This was a prospective, longitudinal, crossover study, involving 12 volunteers. Data, including gingival temperature, gingival crevicular fluid volume, and gingival index scores, were collected weekly from the buccal aspects of 8 teeth for 8 weeks (except for a 1-week washout period). A baseline examination was carried out at week 1. This was repeated at week 2, immediately before placement of orthodontic brackets on all 4 first premolars, which were randomly allocated to receive either fluoridated or nonfluoridated elastomerics. Examinations were repeated at weeks 3 and 4, when the elastomerics were removed. After the washout period, the contrary elastomerics (either fluoridated or nonfluoridated) were placed. Examinations were repeated at weeks 5 and 6 when the elastomerics and brackets were removed. A final examination was performed at week 7. There was a small, but statistically significant, increase in the gingival temperature (P = .002) after placement of the fluoridated elastomerics. There were no other differences in the markers for gingival health. The mean increase in gingival temperature with fluoridated elastomers was small (0.3 degrees C) and unlikely to be clinically significant, but the implications are discussed.

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