scholarly journals Estimation and correlation of salivary calcium, phosphorous, alkaline phosphatase, pH, white spot lesions, and oral hygiene status among orthodontic patients

2020 ◽  
Vol 24 (2) ◽  
pp. 117
Author(s):  
Sangamesha Bevinagidad ◽  
Swati Setty ◽  
Anand Patil ◽  
Srinath Thakur
Keyword(s):  
Alkaline Phosphatase ◽  
Oral Hygiene ◽  
White Spot ◽  
White Spot Lesions ◽  
Orthodontic Patients

scholarly journals Effect of Chlorhexidine Varnish and Fluoride Varnish on White Spot Lesions in Orthodontic Patients- a Systematic Review

2021 ◽  
Vol 15 (1) ◽  
pp. 151-159
Author(s):  
Aravinthrajkumar Govindaraj ◽  
S.P. Saravana Dinesh
Keyword(s):  
Systematic Review ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Significant Risk ◽  
White Spot ◽  
Fluoride Varnish ◽  
Cochrane Library ◽  
White Spot Lesions ◽  
Manual Search ◽  
Orthodontic Patients

Aim: The aim of this study is to critically review the studies that studied the effect of Chlorhexidine varnish and fluoride varnish on White Spot Lesion (WSL) in patients undergoing orthodontic treatment. Materials and Methods: The electronic database PubMed, The Cochrane Library, Medline, Embase, Google Scholar, Web of Knowledge along with a complimentary manual search of all orthodontic journals till the first week of December 2019 was searched. English language study performed on humans, randomized or nonrandomized clinical trials, comparing the effect of fluoride and chlorhexidine varnish on WSL was included in the review. Quality assessment of included studies was performed. Clinical Significance: The need for an adjunct oral hygiene aid to reduce the incidence and prevalence of white spot lesions in orthodontic patients is necessary. The use of these varnishes will aid in the same and thus make the adverse effects of fixed orthodontic treatment negligible. Review of Literature: Enamel demineralization is a significant risk associated with orthodontic treatment when oral hygiene is poor. Prevention of demineralization during orthodontic treatment is one of the greatest challenges faced by clinicians despite modern advances in caries prevention. The development of White Spot Lesions (WSLs) is attributed to prolonged plaque accumulation around the brackets. Results: The search identified a total of 3 studies that were included in this review. One study had Low risk of bias and the remaining 2 studies had moderate overall risk. Results showed that there was a reduction in the incidence of white spot lesions in orthodontic patients after application of chlorhexidine and Fluoride varnish. Conclusion: Low level evidence is available to conclude that the use of chlorhexidine varnishes and fluoride varnishes reduces the prevalence of white spot lesions in patients undergoing fixed orthodontic treatment. Due to its limitations, the results of this systematic review should be handled with caution and further well-planned Randomized Clinical Trial (RCT) are needed to provide a discrete conclusion.

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.

A longitudinal laser fluorescence study of white spot lesions in orthodontic patients

1998 ◽  
Vol 113 (6) ◽  
pp. 595-602 ◽  
Author(s):  
Susan AI-Khateeb ◽  
Carl-Magnus Forsberg ◽  
Elbert de Josselin de Jong ◽  
Birgit Angmar-Månsson
Keyword(s):  
Laser Fluorescence ◽  
White Spot ◽  
White Spot Lesions ◽  
Fluorescence Study ◽  
Orthodontic Patients

scholarly journals Salivary antioxidant status and oral health in children and adolescents

New Medicine ◽  
2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Paula Piekoszewska-Ziętek ◽  
Emilia Raćkowska ◽  
Natalia Korytowska ◽  
Dorota Olczak-Kowalczyk
Keyword(s):  
Oxidative Stress ◽  
Oral Health ◽  
Antioxidant Capacity ◽  
Children And Adolescents ◽  
Oral Hygiene ◽  
Protective Factor ◽  
Salivary Flow ◽  
White Spot ◽  
White Spot Lesions ◽  
Antioxidant Power

Introduction. The pathogenesis of oral diseases may be associated with oxidative stress. Salivary antioxidant system constitutes one of the key salivary defence mechanisms against pathogens and a protective factor for oral cavity. Aim. To investigate the relationship between oral health (hygiene level, gingival and dental health), age and gender and antioxidant capacity parameters in children and adolescents with permanent dentition. Material and methods. A total of 87 patients were examined. DMFT/DMFS and white spot lesions (WSL), oral hygiene level and gingival health were assessed. Salivary samples were collected from all participants. Unstimulated salivary flow was calculated and salivary samples were assayed for total antioxidant capacity (TAC) and ferric reducing antioxidant power (FRAP). Results. Antioxidant capacity parameters were lower in patients with caries, active caries, white spot lesions, poor oral hygiene and gingivitis, but the differences were not statistically significant. Oxidative stress parameters were significantly higher in low unstimulated salivary flow. Spearman’s rank correlation analysis revealed no relationship between TAC or FRAP values and patients’ gender, but there was a positive correlation between TAC/FRAP and patients’ age. Conclusions. Salivary antioxidant capacity parameters differ in certain oral conditions. There is a correlation between salivary antioxidant capacity parameters and patients’ age.

scholarly journals The Effect of Regime Oral-Hygiene Intervention on the Incidence of New White Spot Lesions in Teenagers Treated with Fixed Orthodontic Appliances

2020 ◽  
Vol 17 (24) ◽  
pp. 9460
Author(s):  
Urszula Kozak ◽  
Anna Sękowska ◽  
Renata Chałas
Keyword(s):  
Oral Hygiene ◽  
Young Patients ◽  
Assessment System ◽  
White Spot ◽  
Caries Detection ◽  
Control Group ◽  
Orthodontic Appliances ◽  
White Spot Lesions ◽  
Enamel Demineralization ◽  
Fixed Orthodontic Appliances

The present study aimed to evaluate the effect of the oral-hygiene regime on the incidence of enamel demineralization in young patients treated with fixed appliances. Research was conducted in a group of 144 patients aged 12–18 years, divided into 2 groups: orthodontically treated and control. The study was divided into three stages: before treatment (I), at 1 month (II), and at 6 months (III) for their follow-up. The International Caries Detection and Assessment System (ICDAS) was used for the visual assessment of white spot lesions (WSL). After 1 month, no new white spot lesions were observed. After 6 months of the treatment, new lesions were observed in 5% of the orthodontically treated patients and in 6% of the patients in the control group. New decalcifications were located on the proximal surfaces of the central incisors, first premolars, and first molars in the orthodontically treated group; and on the lateral incisors, first premolars, and first molars in the control group. We also observed new enamel demineralization on the vestibular surfaces of the canine and first premolar in the study group. The placement of a fixed appliance did not significantly affect teeth with the presence of new white spot lesions compared to the control group during 6 months of observation.

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