Oral Health Status After Orthodontic Treatment: a Retrospective Study
DOI:
https://doi.org/10.15517/ijds.2021.46061Keywords:
Orthodontic treatment; Dental plaque; Gingival recession; White spot lesions.Abstract
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.
Downloads
References
Segal G.R., Schiffman P.H., Tuncay O.C. Meta analysis of the treatment-related factors of external apical root resorption. Orthod Craniofacial Res. 2004; 7 (2): 71-8. DOI: https://doi.org/10.1111/j.1601-6343.2004.00286.x
Balenseifen J.W., Madonia J. V. Study of Dental Plaque in Orthodontic Patients. J Dent Res. 1970; 49: 320-4. DOI: https://doi.org/10.1177/00220345700490022101
Ousehal L., Lazrak L., Es-said R., Hamdoune H., Elquars F., Khadija A. Evaluation of dental plaque control in patients wearing fixed orthodontic appliances: A clinical study. Int Orthod. 2011; 9: 140-55. DOI: https://doi.org/10.1016/j.ortho.2010.12.013
Al-Kawari H.M., Al-Jobair A.M. Effect of different preventive agents on bracket shear bond strength: In vitro study. BMC Oral Health [Internet]. 2014; 14 (1): 1-6. Available from: BMC Oral Health. DOI: https://doi.org/10.1186/1472-6831-14-28
Staley R.N. Effect of Fluoride Varnish on Demineralization Around Orthodontic Brackets. Semin Orthod. 2008;14 (3): 194-9. DOI: https://doi.org/10.1053/j.sodo.2008.03.004
Boersma J.G., Van Der Veen M.H., Lagerweij M.D., Bokhout B., Prahl-Andersen B. Caries prevalence measured with QLF after treatment with fixed orthodontic appliances: Influencing factors. Caries Res. 2005; 39: 41-7. DOI: https://doi.org/10.1159/000081655
Srivastava K., Tikku T., Khanna R., Sachan K. Risk factors and management of white spot lesions in orthodontics. J Orthod Sci. 2013; 2 (2): 43-9. DOI: https://doi.org/10.4103/2278-0203.115081
Gorelick L., Geiger A.M., John A. Incidence of white spot Jbmxation after bonding and banding. Am J Orthod. 1982; 81: 93-8. DOI: https://doi.org/10.1016/0002-9416(82)90032-X
Kelly A., Antonio A.G., Maia L.C., Luiz R.R., Vianna R.B.C., Quintanilha L.E.L.P. Reliability assessment of a plaque scoring index using photographs. Methods Inf Med. 2008; 47 (5): 443-7. DOI: https://doi.org/10.3414/ME0523
Geiger A.M. Mucogingival problems and the movement of mandibular incisors: A clinical review. Am J Orthod. 1980; 78 (5): 511-27. DOI: https://doi.org/10.1016/0002-9416(80)90302-4
Boke F., Gazioglu C., Akkaya S., Akkaya M. Relationship between orthodontic treatment and gingival health: A retrospective study. Eur J Dent. 2014; 8 (3): 373-80. DOI: https://doi.org/10.4103/1305-7456.137651
Mattick C.R., Mitchell L., Chadwick S.M., Wright J. Fluoride-releasing elastomeric modules reduce decalcification: A randomized controlled trial. J Orthod. 2001; 28: 217-9. DOI: https://doi.org/10.1093/ortho/28.3.217
Akin M., Tazcan M., Ileri Z., Basciftci F.A. Incidence of White Spot Lesion During Fixed Orthodontic Treatment. Turkish J Orthod. 2013; 26 (2): 98-102. DOI: https://doi.org/10.13076/j.tjo.2013.26.02_98
Beerens M.W., Boekitwetan F., Van Der Veen M.H., Ten Cate J.M. White spot lesions after orthodontic treatment assessed by clinical photographs and by quantitative light-induced fluorescence imaging; A retrospective study. Acta Odontol Scand. 2014; 73 (6): 441-6. DOI: https://doi.org/10.3109/00016357.2014.980846
Alexander S.A. Effects of orthodontic attachments on the gingival health of permanent second molars. Am J Orthod Dentofac Orthop. 1991; 100 (4): 337-40. DOI: https://doi.org/10.1016/0889-5406(91)70071-4
Rakhshan H., Rakhshan V. Effects of the initial stage of active fixed orthodontic treatment and sex on dental plaque accumulation: A preliminary prospective cohort study. Saudi J Dent Res [Internet]. 2015; 6 (2): 86-90. Available from: http://dx.doi.org/10.1016/j.sjdr.2014.09.001 DOI: https://doi.org/10.1016/j.sjdr.2014.09.001
Edith L.C., Montiel-Bastida N.M., Leonor S.P., Jorge A.T. Changes in the oral environment during four stages of orthodontic treatment. Korean J Orthod. 2010; 40 (2): 95-105. DOI: https://doi.org/10.4041/kjod.2010.40.2.95
Melsen B., Allais D. Factors of importance for the development of dehiscences during labial movement of mandibular incisors. Am J Orthod Dentofac Orthop. 2005; 127: 552-61. DOI: https://doi.org/10.1016/j.ajodo.2003.12.026
Wennström J.L., Lindhe J., Sinclair F., Thilander B. Some periodontal tissue reactions to orthodontic tooth movement in monkeys. J Clin Periodontol. 1987; 14: 121-9. DOI: https://doi.org/10.1111/j.1600-051X.1987.tb00954.x
Joss-Vassalli I., Grebenstein C., Topouzelis N., Sculean A., Katsaros C. Orthodontic therapy and gingival recession: A systematic review. Orthod Craniofacial Res. 2010;13: 127-41. DOI: https://doi.org/10.1111/j.1601-6343.2010.01491.x
Morris J.W., Campbell P.M., Tadlock L.P., Boley J., Buschang P.H. Prevalence of gingival recession after orthodontic tooth movements. Am J Orthod Dentofac Orthop [Internet]. 2017; 151 (5): 851-9. Available from: http://dx.doi.org/10.1016/j.ajodo.2016.09.027 DOI: https://doi.org/10.1016/j.ajodo.2016.09.027
Årtun J., Grobéty D. Periodontal status of mandibular incisors after pronounced orthodontic advancement during adolescence: A follow-up evaluation. Am J Orthod Dentofac Orthop. 2001; 119 (1): 2-10. DOI: https://doi.org/10.1067/mod.2001.111403
Djeu G., Hayes C., Zawaideh S. Correlation between Mandibular Central Incisor Proclination and Gingival Recession during Fixed Appliance Therapy. Angle Orthod. 2002; 72: 238-45.
Lovrov S., Hertrich K., Hirschfelder U. Enamel Demineralization during Fixed Orthodontic Treatment-Incidence and Correlation to Various Oral-hygiene ParametersSchmelzdemineralisation während festsitzender kieferorthopädischer Behandlung-Inzidenz und
Zusammenhang mit verschiedenen Parametern. J Orofac Orthop/Fortschritte der Kieferorthopädie. 2007; 68: 353-63. DOI: https://doi.org/10.1007/s00056-007-0714-1
Lucchese A., Gherlone E. Prevalence of white-spot lesions before and during orthodontic treatment with fixed appliances. Eur J Orthod. 2013; 35 (5): 664-8. DOI: https://doi.org/10.1093/ejo/cjs070
Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod. 1982; 82: 62-7. DOI: https://doi.org/10.1016/0002-9416(82)90548-6
Øgaard B., Larsson E., Henriksson T., Birkhed D., Bishara S.E. Effects of combined application of antimicrobial and fluoride varnishes in orthodontic patients. Am J Orthod Dentofac Orthop. 2001; 120 (28): 35. DOI: https://doi.org/10.1067/mod.2001.114644
Zimmer B.W., Rottwinkel Y. Assessing patient-specific decalcification risk in fixed orthodontic treatment and its impact on prophylactic procedures. Am J Orthod Dentofac Orthop. 2004; 126: 318-24. DOI: https://doi.org/10.1016/j.ajodo.2003.09.031
Willmot D.R. Scientific section: White lesions after orthodontic treatment: Does low fluoride make a difference? J Orthod. 2004; 78: 1049. DOI: https://doi.org/10.1179/146531204225022443
Moolya N., Sharma R., Shetty A., Gupta N., Gupta A., Jalan V. Orthodontic bracket designs and their impact on microbial profile and periodontal disease: A clinical trial. J Orthod Sci. 2014; 3 (4): 125-31. DOI: https://doi.org/10.4103/2278-0203.143233
Chapman J.A., Roberts W.E., Eckert G.J., Kula K.S., González-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofac Orthop. 2010; 138 (2): 188-94. DOI: https://doi.org/10.1016/j.ajodo.2008.10.019
Julien K.C., Buschang P.H., Campbell P.M. Prevalence of white spot lesion formation during orthodontic treatment. Angle Orthod. 2013; 83: 641-7. DOI: https://doi.org/10.2319/071712-584.1
Sundararaj D., Venkatachalapathy S., Tandon A., Pereira A. Critical evaluation of incidence and prevalence of white spot lesions during fixed orthodontic appliance treatment: A meta-analysis. J Int Soc Prev Community Dent. 2015; 5 (6): 433-9. DOI: https://doi.org/10.4103/2231-0762.167719
Published
Issue
Section
License
Copyright (c) 2021 Gul Yildiz Telatar, Baris Can Telatar (Author)

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
ODOVTOS - Int. J. Dent. Sc. endorses CC BY-NC-SA
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:
BY: credit must be given to the creator.
NC: Only noncommercial uses of the work are permitted.
SA: Adaptations must be shared under the same terms.





