Incidence of white spot formation after bonding and banding

Gorelick, Leonard; Geiger, Arnold M.; Aj, Gwinnett

doi:10.1016/0002-9416(82)90032-x

Cited by 980 publications

(846 citation statements)

References 3 publications

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“…One study found that teeth bonded for a relatively short treatment time (12-16 months) had the same incidence of WSLs as those with longer treatment time (up to 36 months) 11 . A second study found that the greatest formation of WSLs occurs in the first 6 months of treatment, with a gradual slowing occurring by 12 months 12 .…”

Section: Treatment Timementioning

confidence: 99%

“…In terms of distribution, 55% received Hawley retainers and 45% received vacuum-formed (Essix) retainers. Since it is believed that the free flow of saliva may be a major factor in developing WSLs 11 , it would be reasonable to believe that the full coverage design of an Essix retainer might inhibit some of the remineralization process from occurring.…”

Section: Retainer Typementioning

confidence: 99%

“…Lateral incisors were also found to be the most severely affected teeth 15 . In comparison to the central incisor, lateral incisors are smaller in size and also have a smaller distance from bracket to free gingival margin, which is more conducive to accumulating plaque and debris 11 . The diminished improvement of the lateral incisors may be due to a relatively larger proportion of affected surface area and lesions that are generally more severe in nature.…”

Section: Tooth Typementioning

confidence: 99%

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Predicting improvement of postorthodontic white spot lesions

Kim

Katchooi

Bayiri

et al. 2016

American Journal of Orthodontics and Dentofacial Orthopedics

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Introduction:It is well known that patients undergoing orthodontic treatment are at greater risk for developing white spot lesions (WSL). Although prevention of WSLs is always the goal, they continue to be a common sequela in patients undergoing orthodontics. For this reason, understanding the patterns of WSL improvement is of great importance to both the patient and the provider. Previous studies have shown some lesions exhibiting significant improvement, while other lesions show limited to no improvement. Our study sought to identify specific patient and tooth-related factors that are most predictive for improvement. Methods: Patients aged 12-20 years, who had at least 1 WSL that developed during orthodontic treatment, were recruited from private dental and orthodontic offices. They all had their braces removed less than 2 months prior to enrollment into the study. Photos were taken at enrollment and 8 weeks later. Paired photographs from the 2 time points were blindly assessed for improvement in appearance by a panel of 5 dental professionals, and by 2 sets of evaluators for changes in surface area and appearance at the individual tooth level. Results: One hundred and one subjects were included in this study. Patient age, brushing frequency, and larger percent surface area affected were associated with increased improvement of lesions. Central incisors showed greater improvement when compared to lateral incisors. Increased time since appliance removal and increased length of orthodontic treatment were associated with decreased improvement. Gender, oral hygiene status, retainer type, location of the lesion (gingival, middle, incisal), presence of staining, and lesion diffuseness were not found to be predictive for improvement. Conclusions: Of the various patient and tooth-related factors examined; age, time since appliance removal, length of orthodontic treatment, tooth type (central vs. lateral incisor), WSL surface area, and brushing frequency had significant associations with WSL improvement.

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Section: Treatment Timementioning

confidence: 99%

Section: Retainer Typementioning

confidence: 99%

Section: Tooth Typementioning

confidence: 99%

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Predicting improvement of postorthodontic white spot lesions

Kim

Katchooi

Bayiri

et al. 2016

American Journal of Orthodontics and Dentofacial Orthopedics

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“…It is well documented that fixed appliances increase bacterial plaque accumulation and the risk for white spot lesions (Gorelick et al, 1982;Geiger et al, 1983). During treatment, there is demonstrated increased retention in the amounts of Streptococcus mutans and lactobacilli in saliva and dental plaque (Forsberg et al, 1991).…”

Section: Plaque Retention and Periodontal Healthmentioning

confidence: 99%