Abstract
Objectives: The aim of this study was to assess the effect of fixed orthodontic treatment on DMFT index and white spot lesion formation.Materials and Methods: Fifty six patients (Group A: 26 subjects; Group B: 30 subjects) who were undergoing fixed orthodontic treatment were invited to participate in this study. All patients in Group B were treated with a 0.018 inch slot preadjusted 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 DMFT index value was recorded for each subject at T1 and T2. The WHO (World Health Organization) criteria and bitewing radiographs were utilized to diagnose the carious status of the subjects. Kruskal-Wallis and Mann-Whitney U tests were used to compare the groups.Results: No differences was found between the groups in terms of increased DMFT. On the other hand, The mean increase in WSL percentage in Group B (%66,6) and Group A (%26,9), respectively (p=0,000). In Group B, gender not significantly related to the DMFT index and development of new WSL. The greatest prevalence of WSLs was found in the mandibular first molars (%28,8), followed by the mandibular second premolars (%23,2) and the maxillary lateral incisors (%19,2). Conclusions: A more effective oral care support should be provided to subjects and caries preventive procedures (fluor therapy) should be done
Keywords
References
- Boersma J G, van der Veen M H, Lagerweij M D, Bokhout B, PrahlAndersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: influencing factors. Caries Research 2005; 39: 41-47.
- Gontijo L, Cruz Rde A, Brando PR. Dental enamel around fixed orthodonticappliances after fluoride varnish application. Braz Dent J 2007; 18: 49-53.
- Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG. The effect of a flüoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop 1988; 93: 29-37.
- Gorelick L, Geiger A, Gwinnet AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982;81:93–98.
- Øgaard B, Rolla G. Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. American Journal of Orthodontics and Dentofacial Orthopedics 1988;94:68–73.
- Ogaard B. Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment. American Journal of Orthodontics and Dentofacial Orthopedics 1989; 96: 423–427.
- Ogaard B, Rolla G, Arends J, ten Cate JM. Orthodontic appliances and enamel demineralization. Part 2. Prevention and treatment of lesions. American Journal of Orthodontics and Dentofacial Orthopedics 1988;94: 123–128.
- Mount GJ, Hume WR. Preservation and restoration of tooth structure, 2nd edn. Knowledge Books and Software, Queensland. 2005, pp. 61–82.
- Chang HS, Walsh LJ, Freer TJ. Enamel demineralization during orthodontic treatment: aetiology and prevention. Austrailian Dental Journal 1997; 42: 322–327.
- Øgaard B. White spot lesions during orthodontic treatment: mechanisms and fluoride preventive aspects. Seminars in Orthodontics 2008; 14: 183–93.
- Trimpeneers LM, Dermaut LR. A clinical evaluation of the effectiveness of afluoridereleasing visible light-activated bonding system to reduce demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 1996; 110: 218O’Reilly MM, Featherstone JD.
- Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop 1987; 92: 33-40.
- Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am J Orthod Dentofacial Orthop 2011; 139: 657-664.
- Hadler-Olsen S, Sandvik K, ElAgroudi MA, Øgaard B. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen-a prospective study. Eur J Orthod 2012; 34: 633-639.
- Akin M, Tezcan M, Ileri Z, Basciftci FA. Incidence of white spot lesion during fixed orthodontic treatment. Turkish J Orthod 2013; 26: 98–102.
- World Health Organization, Oral Health Surveys. Basic Methods, WHO, Geneva, Switzerland, 4th edition, 19 Koser C, Nalçacı A. Çürük prevalansındaki yaklaşımlar ve karyogram konsepti. Cumhuriyet Dent J 2011; 14: 230-245.
- Benson PE. Evaluation of white spot lesions on teeth with orthodontic brackets. Semin Orthod 2008; 14: 200–208.
- Gelgor E, Buyukyilmaz T. A practical approach to white spot lesion removal. World J Orthod 2003; 4: 152–156.
- Mitchell L. Decalcification during orthodontic treatment with fixed appliances. Br J Orthod 1992; 19: 199-205.
- Chapman JA, Roberts WE, Eckert GJ, Kula KS, González-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2010; 138: 188-194.
- Tufekci E, Dixon JS, Gunselloy JC, Lindauer SJ. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Angle Orthod 2011; 81: 206–210.
- Lukacs JR, Largaespada LL. Explaining sex differences in dental caries prevalence: saliva, hormones, and ‘‘life-history’’ etiologies. Am J Hum Biol 2006; 18: 540–555.
- How to cite this article: Nimet Ünlü, Fatma Betül Kahraman, Said Karabekiroğ, Zehra İleri. Sabit ortodontik tedavinin dmft indeksi ve beyaz nokta lezyonu oluşumu üzerine etkisi. Cumhuriyet Dent J 2014;17(4):325-333.
Abstract
Amaç: Bu çalışmanın amacı sabit ortodontik tedavinin DMFT indeksi ve beyaz nokta lezyonu oluşumu üzerine etkisini değerlendirmektir.
Gereç ve Yöntem: Bu çalışmaya sabit ortodontik tedavi gereksinimi olmayan 26 birey (kontrol: Grup A) ve sabit ortodontik tedavi görecek olan 30 birey (test: Grup B) dahil edildi. Grup B’ deki bütün hastalar 0,018 inç slot preadjusted sabit ortodontik apareyler ile tedavi edildi. Tüm bireyler çalışma başlangıcında (T1) ve sonrasında (T2) beyaz nokta lezyonu (BNL) görülme sıklığının tespiti amacıyla Gorelick indeksine göre klinikte muayene edildi. Her birey için T1 ve T2’de DMFT (Çürük, Dolgulu ve Eksik Diş Sayısı) indeksi değeri hesaplandı. DMFT indeksi değerlendirmesinde klinik muayenede Dünya Sağlık Örgütü (DSÖ) kriterleri ve bitewing radyograflar kullanıldı. İstatistik analiz için Kruskal-Wallis ve Mann-Whitney U testleri kullanıldı.
Bulgular: İki grup arasında DMFT indeksi değişimi anlamlı bulunmazken, Grup B’de BNL oluşumu (%66,6) Grup A’ya göre (%26,9) anlamlı derecede yüksek bulundu (p=0,000). Grup B’de BNL oluşumu ve DMFT indeksi ve cinsiyet arasında ilişki bulunamadı. Sabit ortodontik tedavi sonrasında en çok BNL oluşumunun alt birinci büyük azı dişler (%28,8), alt ikinci küçük azı dişler (%23,2) ve üst yan kesici dişlerde (%19,2) oluştuğu belirlendi.
Sonuç: Sabit ortodontik tedavi görmekte olan bireylerde beyaz nokta lezyonu oluşumunun önlenmesi için bireylerin ağız bakım alışkanlıklarının iyileştirilmesi ve ilave flor desteğinin arttırılmasının gerekli olduğu düşünülmektedir.
Anahtar kelimeler: DMFT, Beyaz nokta lezyonu, Sabit ortodonti tedavisi.
THE EFFECT OF FIXED ORTHODONTIC TREATMENT ON DMFT INDEX AND WHITE SPOT FORMATION
Abstract
Aim: The aim of this study was to assess the effect of fixed orthodontic treatment on DMFT index and white spot lesion formation
Subjects and Methods: Fifty six patients (Group A: 26 subjects; Group B: 30 subjects) who were undergoing fixed orthodontic treatment were invited to participate in this study. All patients in Group B were treated with a 0.018 inch slot preadjusted 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 DMFT index value was recorded for each subject at T1 and T2. The WHO (World Health Organization) criteria and bitewing radiographs were utilized to diagnose the carious status of the subjects. Kruskal-Wallis and Mann-Whitney U tests were used to compare the groups.
Results: No differences was found between the groups in terms of increased DMFT. On the other hand, The mean increase in WSL percentage in Group B (%66,6) and Group A (%26,9), respectively (p=0,000). In Group B, gender not significantly related to the DMFT index and development of new WSL. The greatest prevalence of WSLs was found in the mandibular first molars (%28,8), followed by the mandibular second premolars (%23,2) and the maxillary lateral incisors (%19,2).
Conclusion: A more effective oral care support should be provided to subjects and caries preventive procedures (fluor therapy) should be done.
Key words: DMFT, White Spot Lesion, Fixed Orthodontic Treatment
References
- Boersma J G, van der Veen M H, Lagerweij M D, Bokhout B, PrahlAndersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: influencing factors. Caries Research 2005; 39: 41-47.
- Gontijo L, Cruz Rde A, Brando PR. Dental enamel around fixed orthodonticappliances after fluoride varnish application. Braz Dent J 2007; 18: 49-53.
- Geiger AM, Gorelick L, Gwinnett AJ, Griswold PG. The effect of a flüoride program on white spot formation during orthodontic treatment. Am J Orthod Dentofacial Orthop 1988; 93: 29-37.
- Gorelick L, Geiger A, Gwinnet AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982;81:93–98.
- Øgaard B, Rolla G. Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. American Journal of Orthodontics and Dentofacial Orthopedics 1988;94:68–73.
- Ogaard B. Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment. American Journal of Orthodontics and Dentofacial Orthopedics 1989; 96: 423–427.
- Ogaard B, Rolla G, Arends J, ten Cate JM. Orthodontic appliances and enamel demineralization. Part 2. Prevention and treatment of lesions. American Journal of Orthodontics and Dentofacial Orthopedics 1988;94: 123–128.
- Mount GJ, Hume WR. Preservation and restoration of tooth structure, 2nd edn. Knowledge Books and Software, Queensland. 2005, pp. 61–82.
- Chang HS, Walsh LJ, Freer TJ. Enamel demineralization during orthodontic treatment: aetiology and prevention. Austrailian Dental Journal 1997; 42: 322–327.
- Øgaard B. White spot lesions during orthodontic treatment: mechanisms and fluoride preventive aspects. Seminars in Orthodontics 2008; 14: 183–93.
- Trimpeneers LM, Dermaut LR. A clinical evaluation of the effectiveness of afluoridereleasing visible light-activated bonding system to reduce demineralization around orthodontic brackets. Am J Orthod Dentofacial Orthop 1996; 110: 218O’Reilly MM, Featherstone JD.
- Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop 1987; 92: 33-40.
- Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am J Orthod Dentofacial Orthop 2011; 139: 657-664.
- Hadler-Olsen S, Sandvik K, ElAgroudi MA, Øgaard B. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen-a prospective study. Eur J Orthod 2012; 34: 633-639.
- Akin M, Tezcan M, Ileri Z, Basciftci FA. Incidence of white spot lesion during fixed orthodontic treatment. Turkish J Orthod 2013; 26: 98–102.
- World Health Organization, Oral Health Surveys. Basic Methods, WHO, Geneva, Switzerland, 4th edition, 19 Koser C, Nalçacı A. Çürük prevalansındaki yaklaşımlar ve karyogram konsepti. Cumhuriyet Dent J 2011; 14: 230-245.
- Benson PE. Evaluation of white spot lesions on teeth with orthodontic brackets. Semin Orthod 2008; 14: 200–208.
- Gelgor E, Buyukyilmaz T. A practical approach to white spot lesion removal. World J Orthod 2003; 4: 152–156.
- Mitchell L. Decalcification during orthodontic treatment with fixed appliances. Br J Orthod 1992; 19: 199-205.
- Chapman JA, Roberts WE, Eckert GJ, Kula KS, González-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2010; 138: 188-194.
- Tufekci E, Dixon JS, Gunselloy JC, Lindauer SJ. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Angle Orthod 2011; 81: 206–210.
- Lukacs JR, Largaespada LL. Explaining sex differences in dental caries prevalence: saliva, hormones, and ‘‘life-history’’ etiologies. Am J Hum Biol 2006; 18: 540–555.
- How to cite this article: Nimet Ünlü, Fatma Betül Kahraman, Said Karabekiroğ, Zehra İleri. Sabit ortodontik tedavinin dmft indeksi ve beyaz nokta lezyonu oluşumu üzerine etkisi. Cumhuriyet Dent J 2014;17(4):325-333.
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Research Articles |
| Authors | |
| Publication Date | March 17, 2014 |
| Submission Date | March 17, 2014 |
| Published in Issue | Year 2014 |
Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.
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