Estado de salud bucal después del tratamiento de ortodoncia: un estudio retrospectivo
DOI:
https://doi.org/10.15517/ijds.2021.46061Palabras clave:
Tratamiento de ortodoncia; Placa dental; Recesión gingival; Lesiones de mancha blanca.Resumen
Los aparatos de ortodoncia en la cavidad oral puede causar problemas como lesiones de mancha blanca, placa dental, enfermedad periodontal y reabsorción radicular. El objetivo de este estudio fue investigar la asociación entre el tratamiento de ortodoncia y los parámetros de salud bucal, incluida la placa dental visible, la recesión gingival y las lesiones de mancha blanca (LMB). Un total de 170 pacientes (86 mujeres, 84 hombres) fueron seleccionados al azar para determinar la placa dental visible, la recesión gingival y las lesiones de manchas blancas mediante el uso de fotografías orales antes y después del tratamiento. Excepto los dientes extraídos previamente, se evaluaron incisivos maxilares y mandibulares, caninos, premolares y primeros molares. Hubo una diferencia significativa entre los grupos T0 (antes del tratamiento) y T1 (después del tratamiento) en la placa visible (P<0.001). La distribución de las frecuencias de recesión gingival según la clasificación de Miller antes del tratamiento no mostraron diferencias significativas con respecto al postratamiento (P=0.082). Se detectó un aumento estadísticamente significativo en la gravedad de LMB entre los dos puntos de tiempo (P<0.001). Se ha demostrado que los hombres tienen una mayor incidencia de LMB después del tratamiento. En conclusión, el presente estudio mostró que la placa dental visible y las lesiones de manchas blancas aumentaron significativamente durante el tratamiento de ortodoncia. Teniendo en cuenta la relación entre la salud bucal y el tratamiento de ortodoncia, los médicos y los pacientes deben conocer los riesgos y tomar precauciones.
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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
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Derechos de autor 2021 Gul Yildiz Telatar, Baris Can Telatar (Author)
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