[Preventive measures in orthodontics].
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Increasing numbers of patients are being orthodontically treated by specialist and general dental practitioners, after postgraduate courses and clinical assistantships. The potential for iatrogenic damage to the teeth and supporting structures has, therefore, also increased. This paper examines these problems and outlines measures for their prevention.
Contemporary social preventive orthodontics in Slovenia has a special form as units all the aspects of the epidemiological, researching, professional and organisational characteristics. It has grown out of our society and has been tailored for our needs, which means that it is social and suitable for the tasks of social and preventive medicine. Our idea "healthy and functional teeth for all children" has been our current, periodical and final goal, its achievement being dependent on the generations of dental doctors and specialists in orthodontics: this means, however, that the progress cannot be urged.
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The role of the family dentist in the utilization of preventive orthodontics to intercept potential problems in the areas of serial extractions, buccal cross-bites and thumb sucking habits is discussed.
The aim of this study was to determine whether Fluor Protector, a fluoride varnish, applied to molars before orthodontic banding could prevent white spot formation. In the in vitro study 93 human premolars were used, divided in five different groups, representing different clinical situations. Each tooth was sliced in half, one as a control and the other as a test specimen. All tooth halves were stored in a demineralizing solution, in an attempt to induce white spot formation. In the in vivo study 104 molars (52 controls and 52 tests) of 28 orthodontic patients were involved. The 'split-mouth technique' was used. After evaluation of the results of both studies, it is evident that Fluor Protector is very effective in the prevention of white spot formation under molar bands.
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The Authors planned an epidemiological survey to evaluate the prevalence of malocclusion in a target group of children living in the Ussl 8-Vicenza. The results confirm the data in the literature. The Authors think necessary to carry on more precise longitudinal epidemiological studies, orthodontic prevention of malocclusion during childhood and interceptive therapy.