Effectiveness of using a complex of remineralizing agents during orthodontic treatment

The possibility of conducting remineralizing therapy simultaneously with orthodontic treatment is an undeniable advantage of using removable orthodontic appliances — aligners. A product with remineralizing properties should have a pleasant taste, be moderately fluid and colorless, and not irritate the oral mucosa. Gel-based personal hygiene products best meet these characteristics. Today, dentists have a very large range of gel-based remineralizing products at their disposal, which is why the problem of rationally choosing the most effective and suitable product is relevant. The aim of the work is to substantiate the use of R.O.C.S. PRO Brackets & Ortho toothpaste and R.O.C.S. Medical Minerals remineralizing gel in patients undergoing orthodontic treatment with aligners. Materials and methods. Seventy patients aged 18 to 44 years who were treated with aligners were observed for 12 months. Group I included 32 people who used their usual oral hygiene products. Patients of Group II (38 people) were recommended a remineralizing complex of personal oral hygiene products consisting of R.O.C.S. PRO Brackets & Ortho toothpaste and R.O.C.S. Medical Minerals remineralizing gel one month before wearing the aligners and throughout the study period. The level of oral hygiene was assessed using the Quigley-Heine plaque index (1962) and the Okushko-Kosareva TER test (1983). The anti-inflammatory effect was assessed using the PMA index (Parma, 1960). The examination and measurement of the specified indicators were carried out 1 month before the installation of the aligners and 1, 3 and 12 months after their installation. Results. In Group II, the Quigley-Hein plaque index improved to 1.16 points after 1 month, to 1.32 points after 3 months, and remained at a high level (1.41 points) throughout the study. The TER test in Group II demonstrated an increase in enamel acid resistance and was 3.3 after 1 month of observation, 2.6 after 3 months, and 2.9 after 12 months, which corresponds to an increase in remineralizing efficiency by 39% after 1 month, 52% after 3 months, and 46% after 12 months from the initial value. The dynamics of the PMA index change in Group II was 5% after 1 month of using the recommended R.O.C.S. PRO Brackets & Ortho toothpaste and R.O.C.S. Medical Minerals remineralizing gel 9% after 3 months of the study and 15% after 12 months from the start of the observation. Conclusion. The combination of R.O.C.S. PRO Brackets & Ortho toothpaste and R.O.C.S. Medical Minerals remineralizing gel demonstrated reliably high efficiency in patients undergoing orthodontic treatment with aligners. It can be recommended for use throughout the entire period of orthodontic treatment.