A clinical study is currently exploring the efficacy of light-activated therapy in improving oral health for adolescents undergoing orthodontic treatment with fixed braces. Led by Dr. Roos Jansåker, the "clean-bracket" study focuses on individuals aged 15 to 18, a group known to be particularly susceptible to plaque buildup and gingival inflammation due to the challenges of maintaining oral hygiene with braces. The trial investigates whether light-activated antibacterial treatment, used in conjunction with regular brushing and flossing, can enhance dental plaque control and manage plaque accumulation over time. The results of the trial are expected in early spring 2025.
Addressing Oral Hygiene Challenges with Braces
Orthodontic treatments, while essential for correcting dental alignment, present significant oral hygiene challenges. Fixed appliances like braces can make it difficult to effectively remove plaque, leading to an increased risk of initial tooth decay (caries) and gingivitis. Dr. Jansåker notes that teenagers, who often consume sugary drinks and may have inconsistent oral hygiene practices, are particularly vulnerable. A Japanese study involving 71 patients indicated that fixed braces can alter the oral microbiome, increasing harmful bacteria associated with gum diseases, potentially predisposing individuals to periodontitis.
"Orthodontic treatments, such as braces, are essential for correcting dental alignment in teenagers, but they also have certain risks that should be addressed. We hope to demonstrate that regular antibacterial treatment can significantly benefit adolescents wearing fixed orthodontic appliances," said Dr. Roos Jansåker.
The Potential of Light-Activated Antibacterial Treatment
The study utilizes the Lumoral device, a CE-marked medical device recommended by the Finnish Association of Dental Hygienists. Lumoral employs light-activated antibacterial technology to target and reduce harmful bacterial plaque. The device combines antibacterial blue and red light with a photosensitive Lumorinse mouth rinse to eliminate harmful dental plaque bacteria and reduce plaque buildup. This approach complements traditional oral hygiene practices like brushing and flossing.
Lumoral may also have a photobiomodulation (PBM) effect, potentially benefiting the health of periodontal tissues. PBM is a noninvasive therapy that uses light to stimulate cellular function, promote healing, reduce inflammation, and alleviate pain. In dentistry, PBM enhances cellular activity, aiding bone regeneration and stimulating soft tissues, improving wound healing, reducing postoperative pain, and enhancing periodontal treatment outcomes.
Anticipated Outcomes and Clinical Significance
Preliminary findings from the "clean-bracket" trial have shown promising results regarding plaque reduction and inflammation control. Researchers are hopeful that the study will validate Lumoral as a valuable tool for orthodontic patients. Consistent monitoring and good oral hygiene practices are essential to prevent common issues associated with orthodontic treatment. The results from follow-up checks, especially at the three-month mark, are crucial in assessing the device’s impact on plaque control.
"We are excited to see the final results of this trial, as it represents a step forward in improving oral care practices for adolescents. Preliminary findings have shown promising results regarding plaque reduction and inflammation control, and we are hopeful that this study will validate Lumoral as a valuable tool for orthodontic patients," said Koite Health’s Mikko Kylmänen.
