Prevalence of white spot lesion formation during orthodontic treatment

Julien, Katie; Buschang, Peter H.; Campbell, Phillip M.

doi:10.2319/071712-584.1

Cited by 260 publications

(237 citation statements)

References 14 publications

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“…The content of the FADA was informed by clinical evidence (Brin et al, 2003, Julien et al, 2013, patient experience of orthodontic treatment (Feldmann, 2014) and the findings from the interviews described above (January 2014 -March 2014) (Figure 1). …”

Section: Methodsmentioning

confidence: 99%

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Marshman

Eddaiki

Bekker

et al. 2016

Journal of Orthodontics

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Objectives: To develop and evaluate a child-centred patient decision aid for young-people, and their parents, supporting shared decision making about fixed orthodontic appliance treatment with dental health professionals, namely the Fixed Appliance Decision Aid (FADA). Methods:The studies were undertaken in a UK teaching dental hospital orthodontic department in 2013-14.The development phase involved an interview study with: a) 10 patients (12-16 years old), and their parents, receiving orthodontic care to investigate treatment decision making and inform the content of the FADA and b) 23 stakeholders critiquing the draft decision aid's content, structure and utility. The evaluation phase employed a pre-/post-test study design, with 30 patients (12-16 years old) and 30 parents. Outcomes included the Decisional Conflict Scale; measures of orthodontic treatment expectations and knowledge.Results: Qualitative analysis identified two informational needs: effectiveness of treatment on orthodontic outcomes and treatment consequences for patients' lives. Quantitative analysis found decisional conflict reduced in both patients (mean difference -12.3, sd 15.3, 95% CI 6.6 to 17.9; p<0.001) and parents (mean difference -8.6, sd 16.6, 95% CI 2.5 to 14.8; p=0.002); knowledge about duration and frequency of orthodontic treatment increased; expectations about care were unchanged. Conclusions:Using the FADA may enable dental professionals to support patients and their parents, decisions about fixed appliance treatments more effectively, ensuring young people's preferences are integrated into care planning.(word count = 217)

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Section: Methodsmentioning

confidence: 99%

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Marshman

Eddaiki

Bekker

et al. 2016

Journal of Orthodontics

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“…Studies have shown the prevalence of WSLs to fall between 25% and 97%. [14][15][16] Although 66% of general dentists believe the patient is the most responsible party for preventing WSLs, 82% place at least part of the responsibility on the orthodontist. 17 Furthermore, approximately one-third of general dentists believe the presence of multiple WSLs at the end of orthodontic treatment negatively influences their opinion of the orthodontist.…”

Section: Introductionmentioning

confidence: 99%

Communication practices and preferences between orthodontists and general dentists

Bibona¹,

Shroff

Best

et al. 2015

The Angle Orthodontist

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Objective: To evaluate similarities and differences in orthodontists' and general dentists' perceptions regarding their interdisciplinary communication. Materials and Methods: Orthodontists (N 5 137) and general dentists (N 5 144) throughout the United States responded to an invitation to participate in a Web-based and mailed survey, respectively. Results: The results indicated that orthodontists communicated with general dentists using the type of media general dentists preferred to use. As treatment complexity increased, orthodontists shifted from one-way forms of communication (letters) to two-way forms of communication (phone calls; P , .05). Both orthodontists and general dentists reported that orthodontists' communication regarding white spot lesions was inadequate. When treating patients with missing or malformed teeth, orthodontists reported that they sought input from the general dentists at a higher rate than the general dentists reported (P , .005). Conclusions: Orthodontists' and general dentists' perceptions of how often specific types of media were used for interdisciplinary communication were generally similar. They differed, however, with regard to how adequately orthodontists communicated with general dentists and how often orthodontists sought input from general dentists. The methods and extent of communication between orthodontists and general dentists need to be determined on a patientby-patient basis. (Angle Orthod. 2015;85:1042-1050

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“…WSL are a common complication in orthodontics [11]. The incidence of patients who develop at least one new WSL during orthodontic treatment ranged from 68% to 95% [12][13][14]. WSL may develop around the bracket, their white appearance seriously compromising aesthetics [15,16].…”

Section: Population At Riskmentioning

confidence: 99%

A Mobile App (WhiteTeeth) to Promote Good Oral Health Behavior Among Dutch Adolescents with Fixed Orthodontic Appliances: Intervention Mapping Approach (Preprint)

Scheerman¹,

Empelen²,

Loveren³

et al. 2017

Preprint

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Prevalence of white spot lesion formation during orthodontic treatment

Abstract: Nearly 25% of the patients developed WSLs while in treatment, depending on fluorosis, treatment time, preexisting WSLs, and oral hygiene. Orthodontists need to be mindful of these risk factors when making treatment decisions.

Cited by 260 publications

References 14 publications

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Development and evaluation of a patient decision aid for young people and parents considering fixed orthodontic appliances

Communication practices and preferences between orthodontists and general dentists

A Mobile App (WhiteTeeth) to Promote Good Oral Health Behavior Among Dutch Adolescents with Fixed Orthodontic Appliances: Intervention Mapping Approach (Preprint)

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