Incidence of white spot lesions and DMFT among patients treated with comprehensive orthodontics (original) (raw)
Related papers
The Effects of Fixed Orthodontic Treatment Period on White Spot Lesion Prevalence and DMFT Index
İstanbul Üniversitesi Dişhekimliği Fakültesi dergisi = The journal of the Dental Faculty of Istanbul
Purpose: The purpose of this study was to assess the effects of fixed orthodontic treatment duration on DMFT (D: decay, F: filling and M: missing teeth) index and white spot lesion (WSL) formation. Materials and Methods: Eighty four patients (45 females and 39 males, 13-18 years old, mean age: 14.7±0.8) who were undergoing fixed orthodontic treatment were invited to participate in this study. All patients were treated with a 0.018 inch slot MBT fixed orthodontic appliances. An examiner used the Gorelick index for assessment of white spot lesion (WSL) on the buccal surface of teeth before (T1) and after (T2) treatment. The World Health Organization (WHO) criteria were utilized to diagnose the carious status (DMFT) of the subjects. Subjects were divided into three groups according to treatment durations (Group A:0-18 months, Group B: between 18-30 months and Group C: more than 30 months). Results: The prevalence of WSL was 15.4% at T1 in all groups. After treatment (T2), 69% of patien...
Journal of Istanbul University Faculty of Dentistry, 2014
The purpose of this study was to assess the effects of fixed orthodontic treatment duration on DMFT (D: decay, F: filling and M: missing teeth) index and white spot lesion (WSL) formation. Materials and Methods: Eighty four patients (45 females and 39 males, 13-18 years old, mean age: 14.7±0.8) who were undergoing fixed orthodontic treatment were invited to participate in this study. All patients were treated with a 0.018 inch slot MBT fixed orthodontic appliances. An examiner used the Gorelick index for assessment of white spot lesion (WSL) on the buccal surface of teeth before (T1) and after (T2) treatment. The World Health Organization (WHO) criteria were utilized to diagnose the carious status (DMFT) of the subjects. Subjects were divided into three groups according to treatment durations (Group A:0-18 months, Group B: between 18-30 months and Group C: more than 30 months). Results: The prevalence of WSL was 15.4% at T1 in all groups. After treatment (T2), 69% of patients presented WSL. The incidence of patients who developed at least one new WSL during fixed orthodontic treatment was 53.6%. The greatest prevalence of WSLs was found in the mandibular first molars (20.6%), followed by the maxillary lateral incisors (16.3%) and the mandibular second premolars (13.7%). There were significant differences in the prevalence of WSLs (p<0.01) and DMFT index (p<0.01) between Group C and other two groups (Group A and Group B). Conclusion: The results showed that patients whose orthodontic treatment was longer than 30 months are at higher risk for white spot formation and DMFT index. White spot lesion formation should be prevented with caries preventive applications and effective oral care support in these patients.
American Journal of Orthodontics and Dentofacial Orthopedics, 2010
Introduction: The development of incipient caries, or white spot lesions (WSLs), is a significant clinical problem in orthodontics. The purpose of this study was to retrospectively determine the incidence and severity of WSLs by examining pretreatment and posttreatment digital photographs. Methods: A total of 332 consecutive finished patients from a university graduate orthodontic clinic were evaluated. Initial and final digital images were compared to assess WSLs. The facial surfaces of the anterior 8 maxillary teeth were analyzed. The percentage area of WSL per total facial tooth surface was calculated to control for magnification differences. Reliability of the method was assessed by comparison with direct clinical examination data. Patient and operator factors, and treatment complexity and outcomes were evaluated as predictors of WSL incidence and severity. Results: Agreement between direct clinical examination and digital photo data was excellent, with an intraclass correlation coefficient 0.88 and a 0.3% average difference between methods. The incidence of at least 1 WSL on the labial surface of the anterior 8 maxillary teeth was 36%. The order of incidence was lateral incisor (34%), canine (31%), premolar (28%), and central incisor (17%). Conclusions: Risk factors for the development of incipient caries during orthodontic treatment were young age (preadolescent) at the start of treatment, number of poor hygiene citations during treatment, unfavorable clinical outcome score, white ethnic group, and inadequate oral hygiene at the initial pretreatment examination. The use of computer software to evaluate digital photos retrospectively is a valid method for assessing the incidence and severity of WSLs on the maxillary anterior incisors, canines, and premolars. (Am J Orthod Dentofacial Orthop 2010;138:188-94)
Dentists` Awareness of white spot lesions during treatment with fixed orthodontic appliances
Journal of Medical and Dental Practice, 2020
Introduction: Fixed orthodontic appliances are used for the treatment of jaw deformities for a certain period of time, but they are a risk factor for development of dental caries, because they are retentive and support plaque accumulation. The elements of fixed orthodontic technique can change the biological balance in the oral cavity and put the patients treated with such orthodontic appliances at high risk of developing dental caries.
Journal of International Society of Preventive and Community Dentistry, 2015
Objective: Development of dental caries, specifically, white spot lesions (WSLs), continues to be a well-recognized and troubling side effect of orthodontic fixed appliance therapy, despite vast improvement in preventive dental techniques and procedures. The aim of this meta-analysis is to evaluate, determine, and summarize the incidence and prevalence rates of WSLs during orthodontic treatment that have been published in the literature. Materials and Methods: According to predetermined criteria, databases were searched for appropriate studies. References of the selected articles and relevant reviews were searched for any missed publications. Results: In the 14 studies evaluated for WSLs, the incidence of new carious lesions formed during orthodontic treatment in patients was 45.8% and the prevalence of lesions in patients undergoing orthodontic treatment was 68.4%. Conclusion: The incidence and prevalence rates of WSLs in patients undergoing orthodontic treatment are quite high and significant. This widespread problem of WSL development is an alarming challenge and warrants significant attention from both patients and providers, which should result in greatly increased emphasis on effective caries prevention.
Prevalence of white spot lesions during orthodontic treatment with fixed appliances
The Angle Orthodontist, 2011
Objective: To determine the prevalence of white spot lesions (WSLs) in orthodontic patients at 6 and 12 months into treatment using the visual examination method. Materials and Methods: Patients 6 and 12 months into treatment were examined for the presence of WSLs. The control group consisted of patients who were examined for WSLs immediately after bonding. Upon clinical evaluation, teeth were given a visual score based on the extent of demineralization.
Incidences of White Spot Lesion during Fixed Orthodontic Treatment
2016
Development of white spot lesion (WSL) is one of the main side effects of fixed orthodontic treatment. The aim of this study was to investigate the incidence of WSL during treatment and to determine the significant factors.150 patients (78 girls, 72 boys) were randomly selected to determine incipient WSL development. Labial surfaces on pretreatment and posttreatment photographs were scored with a standardized visual scoring system.The prevalence of WSL is 21% before treatment. After treatment, 65% of patients presented 617 ISSN : 2349 – 1604 (Volume – 3, No. 1, January 2016) Res. article Indexed in SIS (USA), ASI (Germany), I2OR & i-Scholar (India) and SJIF (Morocco) databases Impact Factor: 3.835 (SJIF) SMU Medical Journal, Volume – 3, No. – 1, January, 2016 WSL. The incidence of patients who developed at least one new WSL during treatment was 55%. Only 35% of patients were free of WSL all the time. Age at start of treatment and oral hygiene were significantly associated with new W...
White-Spot Lesions in Orthodontics: Incidence and Prevention
Contemporary Approach to Dental Caries, 2012
One of the most common negative side effects of orthodontic treatment with fixed appliances is the development of incipient caries lesions around brackets and bands, particularly in cases with poor oral hygiene (Fig. 1). Caries lesions typically form around the bracket interface, usually near the gingival margin (Gorelick et al., 1982). Certain bacterial groups such as mutans streoptococci and lactobacilli ferment sugars to create an acidic environment that over time might lead to the development of dental caries. Since orthodontic appliances make plaque removal more difficult, patients are more susceptible to carious lesions. The irregular surfaces of brackets, bands, wires, and other attachments also limit naturally occurring self-cleaning mechanisms, such as movement of the oral musculature and saliva (Rosenbloom and Tinanoff, 1991).