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A common problem is the difficulty that aesthetic brackets have in maintaining color stability, due to pigments contained in foods and drinks. The present study evaluated in vitro the effect of three commercial toothpastes on color variation in stained monocrystalline ceramic brackets. Forty-eight stained ceramic brackets with red wine were used, randomly assigned to 4 groups: Colgate Luminous White Brilliant®, Vitis Orthodontic®, Colgate Total 12 Clean Mint® and control group. The color variation (∆E) was measured with a spectrophotometer using CIE L*a*b* system at three times: T0 (initial), T7 (after 7 days) and T30 (after 30 days). Data analysis was performed using Kruskal Wallis test and Bonferroni post hoc test, with a significance level of 5%. Regarding to coordinate L*, significant differences were observed between groups, at 7 and 30 days. In coordinate a*, significant differences were observed at 0, 7 and 30 days; while that coordinate b*, no differences were observed between groups at any observation time. The ΔE value was similar between three toothpastes in evaluation period and showed significant differences compared to control group at 30 days. After 30 days of brushing, a toothpaste indicated for whitening, a toothpaste indicated for orthodontics, and a toothpaste for regular use produced similar improvement in color of stained monocrystalline ceramic brackets. All toothpastes improved luminosity of stained brackets, while toothpaste regular had the lowest luminosity value. [ABSTRACT FROM AUTHOR]

Currently, periodontal disease during pregnancy is associated with gestational diabetes, low birth weight and preterm birth. This study was aimed to determine the difference in the level of knowledge about periodontal disease prevention, before and after applying a motivational educational intervention in pregnant women at a primary health care center. Quasi-experimental study in 180 pregnant women from a health center, during the period September to December 2022. The data collection technique was a questionnaire survey with satisfactory characteristics of validity and reliability. An educational intervention with a motivational approach was developed, which was validated in a preliminary pilot test. The Wilcoxon statistical test was used to compare knowledge before and after intervention, and the Chi-square test to assess the association between variables. The age and educational level that predominated were 21 to 30 years and complete secondary school, respectively. A significant difference was found between the level of knowledge before and after in pregnant women (P < 0.001). There was no association between the level of knowledge about periodontal disease prevention with age and educational level in pregnant women at the health center, before and after a motivational intervention (P > 0.05). The motivational educational intervention managed to significantly improve the level of knowledge in pregnant women about the prevention of periodontal disease; however, it was not associated with age and educational level. [ABSTRACT FROM AUTHOR]

Bacterial plaque can adhere to materials used in fixed orthodontic treatment. Several studies have reported the chemical control that mouthwashes provide with respect to the reduction of bacterial strains. The objective of the present investigation was to review the bibliographic evidence regarding bacterial adhesion that occurs during orthodontic treatment and the role of mouthwashes with respect to plaque control. Electronic search expressions were used in the following databases PubMed, Scopus, EBSCO, Science Direct and Virtual Health Library, retrieving a total of 43 articles on which this review was based. There is information available regarding oral mouthwashes, which allow the professional to prescribe or indicate an oral mouthwash with fewer side effects, but with the same antibacterial efficacy of chlorhexidine. In this sense, an interesting option is the rinses of natural origin, which have been successfully tested in experimental studies. [ABSTRACT FROM AUTHOR]