05Sep 2019

INCIDENCE OF WHITE SPOT LESIONS AFTER TREATMENT WITH FIXED ORTHODONTIC APPLIANCES.

  • BDS , Faculty of Dentistry , Taif University , Taif , Kingdom of Saudi Arabia.
  • Associate Professor ,Department of Orthodontics, Faculty of Dentistry, Taif University, Taif, Kingdom of Saudi Arabia.
  • Abstract
  • Keywords
  • References
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  • Corresponding Author

Objective: To determine the incidence of white spot lesions (WSLs) in patients undergoing fixed orthodontic treatment for a period of one and two years. Materials and Methods: The presence of WSLs was assessed in patients at the time of orthodontic application (Group 1) and after one and two years of treatment (Groups 2 and 3, respectively). Presence of WSLs was determined based on clinical intra-oral photographs of the upper four front teeth and scored as present or absent. The frequency of WSLs in each group was calculated and then compared using Fisher?s exact test. Results: In Group 1 (control), WSLs were present in 14 of 48 patients (30%). In Group 2 (1 year of treatment), WSLs were present in 36 of 48 patients (75%). In Group 3 (2 years of treatment), WSLs were present in 38 of 48 patients (79%). The frequency of WSLs in Group 1 was significantly different compared to Group 2 (P=0.0134) and Group 3 (P=0.0087). However, no significant difference in frequency of WSLs was seen in comparing Groups 2 and 3 (P=0.8782) Conclusion: More than 70% of patients who undergo orthodontic treatment develop WSLs, especially in the first months of treatment. This high incidence of WSLs stresses the importance of patient compliance with an oral hygiene protocol that should be tailored for each patient.


  1. Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982;8:93-98.
  2. Chatterjee R, Kleinberg I. Effect of orthodontic band placement on the chemical composition of human incisor tooth plaque. Arch Oral Biol. 1979;24:97-100.
  3. Lundstr?m F, Krasse B. Streptococcus mutans and lactobacilli frequency in orthodontic patients; the effect of chlorhexidine treatments. Eur J Orthod. 1987;9:109-116.
  4. Mitchell L. Decalcification during orthodontic treatment with fixed appliances--an overview. Br J Orthod. 1992;19:199-205.
  5. ?gaard B. Prevalence of white spot lesions in 19-near-olds: A study on untreated and orthodontically treated persons 5 years after treatment. Am J OrthodDentofacOrthop. 1989;96:423-427.
  6. Tufekci E, Dixon JS, Gunsolley JC, Lindauer SJ. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Angle Orthod. 2011;81:206-210.
  7. Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dent Res. 1971;79:394-401.
  8. Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod. 1982;82:62-67.
  9. Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am J OrthodDentofacOrthop. 2011;139:657-664.
  10. Gopikrishna V, Loganathan S, Sagarika N, Suchindran S. Prevalence of white spot lesion in a section of Indian population undergoing fixed orthodontic treatment: An in vivo assessment using the visual International Caries Detection and Assessment System II criteria. J Conserv Dent. 2012;15:104.
  11. Akin M, Tazcan M, Ileri Z BF. ncidence of white spot lesion during fixed orthodontic treatment. Turkish J Orthod. 2013;26:98-102.
  12. Enaia M, Bock N, Ruf S. White-spot lesions during multibracket appliance treatment: A challenge for clinical excellence. Am J OrthodDentofacOrthop. 2011;140:e17-24.

[Abdul Rahman H. Sabbagh, Mutaz F. Felemban, Ahmed A. Turkistani and Nayef H. Felemban (2019); INCIDENCE OF WHITE SPOT LESIONS AFTER TREATMENT WITH FIXED ORTHODONTIC APPLIANCES. Int. J. of Adv. Res. 7 (Sep). 336-338] (ISSN 2320-5407). www.journalijar.com


Abdul Rahman Sabbagh
Faculty of Dentistry , Taif University , Taif , Kingdom of Saudi Arabia

DOI:


Article DOI: 10.21474/IJAR01/9667      
DOI URL: https://dx.doi.org/10.21474/IJAR01/9667