Do fixed orthodontic appliances cause halitosis? A systematic review

Abstract Objective To examine: (I) the current evidence of the impact of fixed orthodontic appliances on the development of halitosis in patients undergoing orthodontic treatment, and (II) the influence of different orthodontic bracket systems on halitosis. Material and methods Three electronic data...

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Main Authors: Salem Abdulraheem, Liselotte Paulsson, Sofia Petrén, Mikael Sonesson
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Oral Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12903-019-0761-1
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author Salem Abdulraheem
Liselotte Paulsson
Sofia Petrén
Mikael Sonesson
author_facet Salem Abdulraheem
Liselotte Paulsson
Sofia Petrén
Mikael Sonesson
author_sort Salem Abdulraheem
collection DOAJ
description Abstract Objective To examine: (I) the current evidence of the impact of fixed orthodontic appliances on the development of halitosis in patients undergoing orthodontic treatment, and (II) the influence of different orthodontic bracket systems on halitosis. Material and methods Three electronic databases (PubMed, Scopus, and Cochrane Library) were searched prior to March 15, 2018. The review was systematically conducted and reported according to the Cochrane Handbook and the PRISMA statement. Only Randomised Clinical Trials (RCTs) were considered. Selected full-text papers were independently assessed by four investigators and any disagreements were resolved by consensus. The Cochrane Handbook was used to grade the risk of bias and the quality of evidence was rated according to GRADE. Results Out of 363 identified studies, three RCTs on halitosis and fixed orthodontic appliances met the inclusion criteria. The risk of bias in the three studies was rated as high and the quality of evidence was rated as very low. Conclusions/clinical implications There is a lack of scientific evidence that subjects with fixed orthodontic appliances develop halitosis during treatment. Additional well-conducted RCTs with extended periods of assessment are needed as well as consensus concerning cut-off values for the diagnosis of halitosis.
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spelling doaj.art-3d7743605f184320b31ca3687d096fcc2022-12-21T18:58:21ZengBMCBMC Oral Health1472-68312019-05-011911810.1186/s12903-019-0761-1Do fixed orthodontic appliances cause halitosis? A systematic reviewSalem Abdulraheem0Liselotte Paulsson1Sofia Petrén2Mikael Sonesson3Department of Orthodontics, Faculty of Odontology, Malmö UniversityDepartment of Orthodontics, Faculty of Odontology, Malmö UniversityDepartment of Orthodontics, Faculty of Odontology, Malmö UniversityDepartment of Orthodontics, Faculty of Odontology, Malmö UniversityAbstract Objective To examine: (I) the current evidence of the impact of fixed orthodontic appliances on the development of halitosis in patients undergoing orthodontic treatment, and (II) the influence of different orthodontic bracket systems on halitosis. Material and methods Three electronic databases (PubMed, Scopus, and Cochrane Library) were searched prior to March 15, 2018. The review was systematically conducted and reported according to the Cochrane Handbook and the PRISMA statement. Only Randomised Clinical Trials (RCTs) were considered. Selected full-text papers were independently assessed by four investigators and any disagreements were resolved by consensus. The Cochrane Handbook was used to grade the risk of bias and the quality of evidence was rated according to GRADE. Results Out of 363 identified studies, three RCTs on halitosis and fixed orthodontic appliances met the inclusion criteria. The risk of bias in the three studies was rated as high and the quality of evidence was rated as very low. Conclusions/clinical implications There is a lack of scientific evidence that subjects with fixed orthodontic appliances develop halitosis during treatment. Additional well-conducted RCTs with extended periods of assessment are needed as well as consensus concerning cut-off values for the diagnosis of halitosis.http://link.springer.com/article/10.1186/s12903-019-0761-1Fixed orthodontic applianceHalitosisSystematic review
spellingShingle Salem Abdulraheem
Liselotte Paulsson
Sofia Petrén
Mikael Sonesson
Do fixed orthodontic appliances cause halitosis? A systematic review
BMC Oral Health
Fixed orthodontic appliance
Halitosis
Systematic review
title Do fixed orthodontic appliances cause halitosis? A systematic review
title_full Do fixed orthodontic appliances cause halitosis? A systematic review
title_fullStr Do fixed orthodontic appliances cause halitosis? A systematic review
title_full_unstemmed Do fixed orthodontic appliances cause halitosis? A systematic review
title_short Do fixed orthodontic appliances cause halitosis? A systematic review
title_sort do fixed orthodontic appliances cause halitosis a systematic review
topic Fixed orthodontic appliance
Halitosis
Systematic review
url http://link.springer.com/article/10.1186/s12903-019-0761-1
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AT liselottepaulsson dofixedorthodonticappliancescausehalitosisasystematicreview
AT sofiapetren dofixedorthodonticappliancescausehalitosisasystematicreview
AT mikaelsonesson dofixedorthodonticappliancescausehalitosisasystematicreview