Ortodontik Tedavi Sırasında Beyaz Nokta Lezyon Oluşumu

Yıl 2021, Cilt: 8 Sayı: 1, 45 - 49, 30.04.2021

Mehmet Akın , Faruk Başçiftçi

https://doi.org/10.15311/selcukdentj.855661

Öz

Amaç: Sabit ortodontik tedavi sırasında oluşabilen beyaz nokta lezyonlar bazen tedavi sonrasında da ciddi problemler oluşturmaya devam etmektedir. Bu çalışmanın amacı sabit ortodontik tedavi sırasında oluşan beyaz nokta lezyonların dağılımını değerlendirmektir.
Gereç ve Yöntemler: Çalışmaya en az bir dişinde beyaz nokta lezyon bulunan 145 hasta (58 kız 87 erkek, 11.8-17 yaş aralığında) çalışmaya dahil edilmiştir. Tedavi öncesinde ve sonrasında alınan fotoğraf kayıtları değerlendirilerek etkilenen dişler tespit edilmiştir. Elde edilen veriler Ki-Kare testi kullanılarak analiz edilmiştir.
Bulgular: Erkeklerde, kızlarda ve genel olarak dağılım incelemesinde sağ sol arasında farklılık görünmezken, üst çene alt çeneye göre daha fazla yoğunlukta beyaz nokta lezyon göstermektedir. Dişsel olarak bakıldığı zaman en fazla etkilenen dişin sağ üst yan keser diş olduğu belirlenmiştir (%93,71).
Sonuç: Beyaz nokta lezyon ağız hijyenine bağlı olarak tutucu alanlarda oluşabilmektedir.

Anahtar Kelimeler

Ortodontik tedavi, Ağız hijyeni, Beyaz nokta lezyonlar

Kaynakça

• 1- Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dent Res 1971;79(6):394-401.
• 2- Gwinnett AJ, Ceen RF. Plaque distribution on bonded brackets: a scanning microscopic study. Am J Orthod. 1979;75(6):667-77.
• 3- O‘Reilly MM, Featherstone JD: Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop. 1987;92(1):33-40.
• 4- Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982;81(2):93-8.
• 5- Rosenbloom RG, Titanoff N. Salivary streptococcus mutans levels in patients before, during, and after orthodontic treatment. Am J Orthod Dentofacial Orthop. 1991;100(1):35-7
• 6- Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod. 1982;82(1):62- 7.
• 7- Ogaard B, Rolla G, Arends J. Orthodontic appliances and enamel demineralization. Am J Orthod Dentofacial Orthop 1988;94(1):68-73.
• 8- Millet DT, Nunn JH, Welbury RR, Gordon PH. Decalcification in relation to brackets bonded with glass ionomer cement or a resin adhesive. Angle Orthod. 1999;69(1):65–70.
• 9- Ogaard B. Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop. 1989;96(5):423-7.
• 10- .Zachrisson BU, Heimgard E, Ruyter IE, Mjur IA. Problems with sealants for bracket bonding. American Journal of Orthodontics 1979;75(6):641-9.
• 11- Artun J, Brobakken BO. Prevalence of carious white spots after orthodontic treatment with multibanded appliances. Eur J Orthod 1986;8(4):229–331.
• 12- Curzon ME, Spector PC. Enamel mottling in a high strontium area of the U.S.A. Community. Dent Oral Epidemiol. 1977;5(5):243-7.
• 13- Lucker GW, Graber LW, Pietromonaco P. The importance of dentofacial appearance in facial esthetics. A signal detection approach. Basic appl soc psychol. 1981;2(4):261-74.
• 14- Mueser KT, Grau BW, Susman S, Rosen AJ. Yoy‘re only as pretty as you feel: Facial expression as a determinant of physical attractiveness. J Pers Soc Psychol. 1984;46(2):469-78.
• 15- Shaw WC, Meek SC, Jones DS. Nicknames, teasing, harassment and the salience of dental eatures among school children. Br J Orthod. 1980;7(2):75-80.
• 16- Dann C, Philips C, Broder HL, Tulloch JF. Self-concept, class II malocclusion, and early treatment. Angle Orthod. 1995;65(6):411-6.
• 17- Mitchell L. An investigation into the effect of a fluoride releasing adhesive on the prevalence of enamel surface changes associated with directly bonded orthodontic attachments. Br J Orthod 1992;19(3):207-14.
• 18- Willmot DR: White lesions after orthodontic treatment: does low fluoride make a difference? J Orthod 2004;31(3):233-40.
• 19- Benson PE, Shah AA, Millett DT, Dyer F, Parkin N, Vine RS. Fluorides, orthodontics and demineralization: a systematic review. J Orthod 2005;32(2):102-14.
• 20- Murphy TC, Willmot DR, Rodd HD: Management of postorthodontic demineralized white lesions with microabrasion: A quantitative assessment. Am J Orthod Dentofacial Orthop. 2007;131(1):27-33
• 21- Chapman JA, Roberts WE, Eckert GJ, Kula KS, Gonzalez-Cabezase C. Risk factors for incidence and severity of White spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2010;138(2):188-94.
• 22- Tufekci E, Dixon JS, Gunsolley JC, Lindauerd SJ. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Angle Orthod. 2011;81(2):206–10.