scholarly journals Oral Health Status After Orthodontic Treatment: a Retrospective Study

2021 ◽  
pp. 441-448
Author(s):  
Gul Yildiz Telatar ◽  
Baris Can Telatar
Keyword(s):  
Oral Health ◽  
Dental Plaque ◽  
Orthodontic Treatment ◽  
Root Resorption ◽  
Gingival Recession ◽  
Oral Health Status ◽  
White Spot ◽  
Orthodontic Appliances ◽  
White Spot Lesions ◽  
Significant Difference

Orthodontic appliances in the oral cavity may cause problems such as white spot lesions, dental plaque, periodontal disease and root resorption. The aim of this study was to investigate the association between orthodontic treatment and oral health parameters including visible dental plaque, gingival recession and white spot lesions (WSLs). A total of 170 patients (86 females, 84 males) were randomly selected to determine visible dental plaque, gingival recession and white spot lesions by using pre-treatment and post-treatment oral photographs. Except of previously extracted teeth, maxillary and mandibular incisors, canine, 1st and 2nd premolars and 1st molar were evaluated. There was a significant difference between the T0 (before treatment) and T1 (after treatment) groups in visible plaque (P< 0.001). The distribution of gingival recession frequencies according to Miller classification before treatment did not differ from the after treatment (P=.082). A statistically significant increase in the severity of WSL was detected between the two time points (P< 0.001). Males have been shown to have higher WSL incidence after treatment. In conclusion, the present study showed that visible dental plaque and white spot lesions significant increase after orthodontic treatment. Considering the relationship between oral health and orthodontic treatment, clinicians and patients should know the risks and take precautions.

scholarly journals Relationship between orthodontic treatment and gingival health: A retrospective study

2014 ◽  
Vol 08 (03) ◽  
pp. 373-380 ◽  
Author(s):  
Fatma Boke ◽  
Cagri Gazioglu ◽  
Sevil Akkaya ◽  
Murat Akkaya
Keyword(s):  
Retrospective Study ◽  
Orthodontic Treatment ◽  
Gingival Recession ◽  
Orthodontic Appliances ◽  
Lower Incisor ◽  
Gingival Health ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Before And After ◽  
The Relationship

ABSTRACT Objective: The aim of this retrospective study was to evaluate the relationship between orthodontic treatment and gingival health. Materials and Methods: A total of 251 patients among whom 177 were girls and 74 were boys, recruited from the records pool of the Department of Orthodontics, Faculty of Dentistry, University of Gazi, were included in the study. Patients’ treatments have been completed by postgraduate students during the period between 2006 and 2012. Patients’ folders were analyzed according to their age, treatment time, and the type of orthodontic treatment. Intra-oral photographs were analyzed, and the presence or absence of visible plaque, visible inflammation, and gingival recession were recorded, and incisor inclinations analyzed on lateral cephalometric films, before and after orthodontic treatment. Results: No statistically significant difference was found in patients treated with functional appliances before and after treatment. In patients treated with fixed orthodontic appliances, visible plaque, visible inflammation, and gingival recession showed significant increases after treatment, gingival biotype did not show any significant difference. Positive correlation was found between lower incisor position and gingival recession in patients treated with fixed appliance and extraction. And also cuspids were the teeth with the highest prevalence of gingival recession. Conclusion: Considering the relationship between orthodontic treatment and gingival health, cooperation among patients, orthodontists, and periodontists is important.

scholarly journals The effect of fixed orthodontic treatment with Edgewise and Straightwire techniques on white spot lesions incidence and accumulation of Streptococcus mutans bacteria

2020 ◽  
Vol 53 (3) ◽  
pp. 170
Author(s):  
Elfira Maharani ◽  
Dyah Karunia ◽  
Pinandi Sri Pudyani
Keyword(s):  
Streptococcus Mutans ◽  
Orthodontic Treatment ◽  
Bacterial Count ◽  
Least Square ◽  
White Spot ◽  
Control Group ◽  
Orthodontic Appliances ◽  
White Spot Lesions ◽  
Fixed Orthodontic Appliances ◽  
Insignificant Difference

Background: Fixed orthodontic appliances, such as Edgewise and Straightwire techniques, can increase the amount of plaque retention containing Streptococcus mutans (S. mutans), which can lead to white spot lesions. Purpose: The aim of this study is to analyse the correlation of fixed orthodontic treatment with Edgewise and Straightwire techniques on the incidence of white spot lesions and accumulation of S. mutans. Methods: The samples consisted of three groups: control group (n=8), Edgewise technique group, and Straightwire technique group. We observed the samples at the sixth month and eighth month of the treatment, after the installation of the fixed orthodontic appliances. The observation of white spot lesions with caries detector was applied in all regions. Bacterial swabs were acquired in the lateral incisor region, then a bacterial culture procedure was carried out on selective media of S. mutans, and then a bacterial count was performed. The data was analysed using two-way ANOVA, the post-hoc least square differences test, and the Pearson’s correlation test. Results: The number of white spot lesions in the Edgewise group was higher than in the Straightwire group in the sixth and eighth month of treatment with insignificant difference (p>0.05). The number of S. mutans bacteria increased in all groups, but there were no significant differences (p>0.05). There was no significant relationship between the number of white spot lesions with the accumulation of S. mutans between groups (p>0.05). Conclusion: The Edgewise and Straightwire techniques increase the incidence of white spot lesions but accumulation of S. mutans with the incidence of white spot lesions has no relationship.

scholarly journals ENAMEL SURFACE QUALITY IMPROVEMENT IN WHITE SPOT LESIONS AFTER ORTHODONTIC TREATMENT USING A MICROABRASION TECHNIQUE WITH FLUORIDE OR CALCIUM PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION

2018 ◽  
Vol 9 ◽  
pp. 114
Author(s):  
Novira Mutia Safitri ◽  
Haru Setyo Anggani ◽  
Miesje Karmiati Purwanegara ◽  
Sariesendy Sumardi
Keyword(s):  
Surface Roughness ◽  
Calcium Phosphate ◽  
Amorphous Calcium Phosphate ◽  
Orthodontic Treatment ◽  
Enamel Surface ◽  
White Spot ◽  
White Spot Lesions ◽  
Significant Difference ◽  
Before And After ◽  
Bacterial Plaque

Objectives: White spot lesions after fixed orthodontic treatment will increase bacterial plaque formation due to increased enamel surface roughness. The aim of this study was to analyze the surface roughness of white spot lesions on enamel after a microabrasion technique, a microabrasion technique combined with calcium phosphopeptide-amorphous calcium phosphate (CPP-ACP) application, and a microabrasion technique combined with fluoride application.Methods: Artificially induced white spot lesions on the enamel surfaces of 42 maxillary first premolars were randomly assigned into one of three treatment groups (n=14): (a) A microabrasion technique, (b) a microabrasion technique combined with CPP-ACP application, and (c) a microabrasion technique combined with fluoride application. A Mitutoyo SJ-301 surface roughness tester was used to measure differences in surface roughness before and after treatment, and the after treatment measurements were compared among the three groups.Results: A significant difference in surface roughness was noted for the white spot lesions on enamel before and after treatment in all groups (p<0.05). A significant difference was also found when comparing the after treatment surface roughness in all groups.Conclusion: The combination of the microabrasion technique with CPP-ACP application significantly reduced enamel surface roughness when compared to microabrasion alone or the combination of microabrasion and fluoride application.

scholarly journals Role of taste perception in white spot lesion formation during orthodontic treatment

2019 ◽  
Vol 89 (4) ◽  
pp. 624-629 ◽  
Author(s):  
Abrar Alanzi ◽  
Marianna Velissariou ◽  
Manal Abu Al-Melh ◽  
Donald Ferguson ◽  
Katerina Kavvadia
Keyword(s):  
Free Group ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Taste Perception ◽  
White Spot ◽  
Caries Experience ◽  
White Spot Lesions ◽  
Significant Difference ◽  
Orthodontic Patients

ABSTRACT Objectives: To investigate the role of individual's taste sensitivity using 6-n-propylthiouracil (PROP) in the development of white spot lesions (WSLs) in adolescent orthodontic patients. Materials and Methods: 44 healthy adolescents, aged 12 to 16 years old, who were in fixed-appliance orthodontic treatment for at least 6 months, consented to participate in this cross-sectional study. Data regarding participants' demographic information, oral hygiene practices, and dietary habits were obtained by a questionnaire. An oral clinical examination was performed to determine the oral hygiene status, the presence of WSLs and dental caries experience. The taste phenotype of the participants was evaluated through PROP test and they were accordingly divided into PROP nontasters and PROP tasters. Results: The sample consisted of 24 subjects in the WSL group and 20 subjects in the WSL-free group. The WSL group demonstrated higher mean plaque score (48.2), mean decayed, missing, and filled surfaces (2.38), and mean decayed, missing, and filled teeth (1.96) scores compared to the WSL-free group (38.7, 0.85, and 0.55, respectively), but no significant differences were found. Most subjects in the WSL group were PROP nontasters (66.6%) whereas most subjects in the WSL-free group were PROP tasters (75%); a significant difference was observed between the groups (P = .006). Conclusions: The prevalence of white spot lesions was significantly higher in adolescent orthodontic patients who were PROP nontasters compared to PROP tasters. A PROP taste perception could be a potential risk factor for the formation of WSLs during fixed orthodontic treatment that warrants further attention.

scholarly journals Prevalence of White Spot Lesion in Nepalese Patients with Fixed Orthodontic Appliance

2013 ◽  
Vol 3 (2) ◽  
pp. 7-10
Author(s):  
Sandhya Shrestha ◽  
Rabindra Man Shrestha
Keyword(s):  
Treatment Duration ◽  
Orthodontic Treatment ◽  
White Spot ◽  
P Value ◽  
Orthodontic Appliances ◽  
White Spot Lesion ◽  
Male And Female ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference ◽  
Orthodontic Patients

Introduction: Enamel decalcification in the form of white spot lesion is a common complication seen in patients with fixed orthodontic appliances. Objective: To determine the prevalence of white spot lesion among Nepalese fixed orthodontic patients, to compare the occurrence of WSL among the patients with lesser and greater duration of treatment, and to compare between the gender groups. Materials & Method: A cross-sectional study was done to compare the prevalence of WSL between 300 orthodontic patients and 100 non-orthodontic subjects. Further comparison was done between the mean treatment duration between orthodontic subjects of 6-18 months and >18 months, and between male and female samples. Subjects were visually examined on second premolar to second premolar in both maxillary and mandibular arches using Gorelick’s WSL index. Descriptive statistics were calculated and independent t-test was used to compare the difference between the groups. The p-value <0.05 was considered significant. Result: The prevalence of WSL in Nepalese orthodontic patients was 54.3%; among them prevalence was 40% in lesser treatment duration group and 68.7% in greater treatment duration group. The study found significant difference between untreated nonorthodontic group and orthodontically treated group with respect to the number of teeth affected with WSL. Also, there was significant difference between the categories of orthodontic treatment duration. There was no significant difference between male and female samples. Conclusion: Fixed orthodontic treatment increase the risk of white spot lesion. Duration of orthodontic treatment also showed significant increase in the occurrence of WSL.  

scholarly journals Plaque control importance in orthodontic treatment

2017 ◽  
Vol 15 (1) ◽  
Author(s):  
Carlos Marín
Keyword(s):  
Oral Health ◽  
Dental Plaque ◽  
Orthodontic Treatment ◽  
Multidisciplinary Approach ◽  
New Technologies ◽  
Orthodontic Appliances ◽  
Immunological Responses ◽  
Fixed Appliances ◽  
Plaque Control ◽  
Plaque Inflammation

Summary: The growing success oforthodontic treatments in people of all ages have had a necessary reconsideration in oral healthactions and preventive education in patients who are using these appliances. Clinical evidencesrelate the use of fixed orthodontics with a clearly elevation in dental plaque amounts, followingwith a cascade of inflammatory and immunological responses involving all periodontal tissues.Implementation of new technologies in orthodontic appliances and oral health is an important topicthat must be included in the multidisciplinary approach of actual treatments. .Key words:Orthodontics. Fixed appliances. Dental plaque. Inflammation. Oral hygiene.

scholarly journals Evaluation of Changes in Cariogenic Bacteria in a Young Moroccan Population with Fixed Orthodontic Appliances

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
A. Marda ◽  
S. Elhamzaoui ◽  
A. El Mansari ◽  
K. Souly ◽  
F. Farissi ◽  
...  
Keyword(s):  
Dental Plaque ◽  
Orthodontic Treatment ◽  
Bacterial Species ◽  
Qualitative Change ◽  
Orthodontic Appliances ◽  
Streptococcus Sobrinus ◽  
Vitamin K3 ◽  
Moroccan Population ◽  
Fixed Orthodontic Appliances ◽  
Significant Difference

Fixed orthodontic appliances hinder the maintenance of proper oral hygiene and result in dental plaque accumulation. Many studies report that qualitative changes in the dental flora occur after initiating the orthodontic treatment, but there is a paucity of literature on the same topic among Moroccan orthodontic patients. The aim of this study was to evaluate the changes of the oral microbial flora during the orthodontic treatment period of a young Moroccan population. Materials and Methods. Dental plaque samples of 18 patients, who were randomly selected before the placement of orthodontic appliances, were collected to isolate and identify the bacterial species involved using classical bacteriological methods for species’ culture and identification. The reading was recorded at T0 before placement of the device. New samples were taken again one month later and then three months afterwards, where the readings were recorded as T1 and T2, respectively. The culture was made via Columbia Agar with 5% sheep blood, Todd Hewitt Broth, and Schaedler medium containing vitamin K3. Bacterial species were identified using API-20 Strep for Streptococci and API-20 A for anaerobic bacteria. The phoenix system was used for identification. Results. After three months of orthodontic treatment, the increase in the frequency of Streptococcus sobrinus and Streptococcus mitis were significant (0.01 and 0.02, respectively) as well as for Lactobacillus (0.03). No significant difference was recorded for other bacterial species. Conclusion. There is a significant qualitative change in oral microorganisms after three months of orthodontic treatment, especially for bacteria that are incriminated in caries formation.

Oral Health Status in Relation to Nutritional Status among 9 years old school Children in Dewanyiah City/Iraq

2019 ◽  
Vol 14 (1) ◽  
pp. 80
Author(s):  
Dr. Zahraa Ali Al-Awadi ◽  
Dr. Baydaa Hussien Hussien
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Nutritional Status ◽  
Oral Health Status ◽  
Health Condition ◽  
Primary Dentition ◽  
Anthropometric Measurement ◽  
Oral Diseases ◽  
Gingival Health ◽  
Significant Difference

Background: Although they are not life threatening, dental caries and periodontaldisease are the most predominant and widely spread oral diseases throughout theworld. The aims of the study included the investigation of the prevalence andseverity of dental caries, gingivitis and dental plaque in relation to gender,furthermore, nutritional status was assessed in relation to oral health condition(dental caries).Materials and Methods: This oral health survey was conducted among primaryschool children aged 9 years old in Dewanyiah city in Iraq. The total samplecomposed of 600 child (320 males and 280 females) selected randomly fromdifferent school in Dewanyiah city. Diagnosis of dental caries was according tothe criteria described by WHO (1987). Plaque index of Silness and Loe (1964)was used for plaque assessment, gingival index of Loe and Silness (1963) wasfollowed for recording gingival health condition. Nutritional status was assessedaccording to body mass index (BMI) indicator using anthropometric measurement(height and weight).Results: Results showed that the prevalence of dental caries was 85% for 9 year-oldschool children. Regarding primary and permanent dentition, dental caries washigher among females compared to males with statistically significant difference(P<0.05) for primary dentition, on the other hand, males showed higher values offilled surfaces compared to females with statistically significant difference(P<0.05) for primary dentition and highly significant difference (P<0.01) forpermanent dentition. Finding of this study revealed that 100% of the children hadgingival inflammation. Furthermore, the values of plaque and gingival indiceswere higher among males compared to females with statistically highly significantdifferences (P<0.01). In current study, the prevalence of malnutrition described bythe BMI indicator was 5.3%. For total samples no significant difference wasrecorded in dmfs /DMFS values among wasting and well nourished children(P>0.05).Conclusion: A high prevalence of dental caries and gingivitis were recorded.Improvement in the prevention educational programs is needed among schoolchildren.

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