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
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
Birincil Dil | Türkçe |
---|---|
Bölüm | Original Research Articles |
Yazarlar | |
Yayımlanma Tarihi | 17 Mart 2014 |
Gönderilme Tarihi | 17 Mart 2014 |
Yayımlandığı Sayı | Yıl 2014Cilt: 17 Sayı: 4 |
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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