Ortodontik Tedavi ile İlişkili Beyaz Nokta Lezyonları
Özet
Beyaz nokta lezyonları (White Spot Lesions – WSL), sabit ortodontik tedavi sırasında en sık görülen iatrojenik komplikasyonlardan biridir (1). Mine yüzeyinde opak beyaz alanlar şeklinde ortaya çıkan bu lezyonlar, mine dokusunun subyüzey demineralizasyonunun erken klinik göstergesidir (2). Ortodontik braketlerin ve diğer sabit apareylerin varlığı plak retansiyonunu artırarak mine yüzeyinde demineralizasyon riskini yükseltir (3). Ortodontik tedavi ile ilişkili beyaz nokta lezyonlarının oluşum mekanizmaları, prevalansı ve klinik yönetimi literatürde geniş şekilde incelenmiştir (4,5). Bu bölümde ortodontik tedavi ile ilişkili beyaz nokta lezyonlarının etiyolojisi, patogenezi, epidemiyolojisi, tanı yöntemleri, önleme stratejileri ve güncel tedavi yaklaşımları ele alınmaktadır.
Referanslar
Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982;81:93-98.
Øgaard B. Prevalence of white spot lesions in orthodontic patients. Am J Orthod Dentofacial Orthop. 1989;96:423-427.
Øgaard B, Rølla G, Arends J. Orthodontic appliances and enamel demineralization. Am J Orthod Dentofacial Orthop. 1988;94:68-73.
O'Reilly MM, Featherstone JDB. Demineralization and remineralization around orthodontic appliances: An in vivo study. Am J Orthod Dentofacial Orthop. 1987;92:33-40.
Chapman JA, Roberts WE, Eckert GJ, Kula KS, González-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2010;138:188-194.
Julien KC, Buschang PH, Campbell PM. Prevalence of white spot lesion formation during orthodontic treatment. Angle Orthod. 2013;83:641-647.
Enaia M, Bock N, Ruf S. White-spot lesions during multibracket appliance treatment: A challenge for clinical practice. Angle Orthod. 2011;81:943-949.
Featherstone JDB. The continuum of dental caries—evidence for a dynamic disease process. J Dent Res. 2004;83:C39-C42.
Ten Cate JM. Remineralization of caries lesions extending into dentin. Adv Dent Res. 2009;21:84-88.
Pretty IA. Caries detection and diagnosis: Novel technologies. J Dent. 2006;34:727-739.
Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369:51-59.
Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of white spot lesions during orthodontic treatment with fixed appliances. Am J Orthod Dentofacial Orthop. 2011;139:657-664.
Maxfield BJ, Hamdan AM, Tüfekçi E, Shroff B, Best AM, Lindauer SJ. Development of white spot lesions during orthodontic treatment: Perceptions of patients, parents, and orthodontists. Angle Orthod. 2012;82:1071-1077.
Lovrov S, Hertrich K, Hirschfelder U. Enamel demineralization during fixed orthodontic treatment—incidence and correlation to various oral-hygiene parameters. Eur J Orthod. 2007;29:363-367.
Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl-Andersen B. Caries prevalence measured with quantitative light-induced fluorescence in orthodontic patients. Caries Res. 2005;39:41-47.
Benson PE. Evaluation of preventive strategies for white spot lesions during orthodontic treatment. Orthod Craniofac Res. 2010;13:192-199.
Cury JA, Tenuta LMA. Enamel remineralization: Controlling the caries disease or treating early caries lesions? Braz Oral Res. 2009;23:23-30.
Sonesson M, Twetman S, Bondemark L. Effectiveness of high-fluoride toothpaste and fluoride varnish for prevention of demineralization during orthodontic treatment. Eur J Orthod. 2014;36:455-461.
Reynolds EC. Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions. J Dent Res. 1997;76:1587-1595.
Kugel G, Arsenault P, Papas A. Treatment of enamel demineralization using microabrasion. Compend Contin Educ Dent. 2005;26:139-146.
Paris S, Meyer-Lueckel H. Resin infiltration of natural caries lesions. J Dent Res. 2010;89:823-826.
Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking white spot lesions. J Esthet Restor Dent. 2011;23:241-248.
Pitts NB. Modern concepts of caries measurement. Dent Clin North Am. 2005;49:753-770.
Marsh PD. Dental plaque as a microbial biofilm. BMC Oral Health. 2006;6(Suppl 1):S14.
Kidd EAM. The role of dental plaque in caries development and progression. Caries Res. 2004;38:1-7.
Derks A, Katsaros C, Frencken JE, van't Hof MA, Kuijpers-Jagtman AM. Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. Eur J Orthod. 2007;29:362-369.
Twetman S, Derks A, Katsaros C, Frencken JE, van't Hof MA, Kuijpers-Jagtman AM. Prevention of white spot lesions in orthodontic patients: A systematic review. Orthod Craniofac Res. 2011;14:109-115.
Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dent Res. 1971;79:394-401.
Alkadhi OH, Zahid MN, Almanea R, Althobaiti G, Alsharif A, Alnafisah S. Effect of mobile applications on oral hygiene compliance in orthodontic patients: A systematic review. BMC Oral Health. 2022;22:1-10.
Referanslar
Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982;81:93-98.
Øgaard B. Prevalence of white spot lesions in orthodontic patients. Am J Orthod Dentofacial Orthop. 1989;96:423-427.
Øgaard B, Rølla G, Arends J. Orthodontic appliances and enamel demineralization. Am J Orthod Dentofacial Orthop. 1988;94:68-73.
O'Reilly MM, Featherstone JDB. Demineralization and remineralization around orthodontic appliances: An in vivo study. Am J Orthod Dentofacial Orthop. 1987;92:33-40.
Chapman JA, Roberts WE, Eckert GJ, Kula KS, González-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2010;138:188-194.
Julien KC, Buschang PH, Campbell PM. Prevalence of white spot lesion formation during orthodontic treatment. Angle Orthod. 2013;83:641-647.
Enaia M, Bock N, Ruf S. White-spot lesions during multibracket appliance treatment: A challenge for clinical practice. Angle Orthod. 2011;81:943-949.
Featherstone JDB. The continuum of dental caries—evidence for a dynamic disease process. J Dent Res. 2004;83:C39-C42.
Ten Cate JM. Remineralization of caries lesions extending into dentin. Adv Dent Res. 2009;21:84-88.
Pretty IA. Caries detection and diagnosis: Novel technologies. J Dent. 2006;34:727-739.
Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369:51-59.
Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of white spot lesions during orthodontic treatment with fixed appliances. Am J Orthod Dentofacial Orthop. 2011;139:657-664.
Maxfield BJ, Hamdan AM, Tüfekçi E, Shroff B, Best AM, Lindauer SJ. Development of white spot lesions during orthodontic treatment: Perceptions of patients, parents, and orthodontists. Angle Orthod. 2012;82:1071-1077.
Lovrov S, Hertrich K, Hirschfelder U. Enamel demineralization during fixed orthodontic treatment—incidence and correlation to various oral-hygiene parameters. Eur J Orthod. 2007;29:363-367.
Boersma JG, van der Veen MH, Lagerweij MD, Bokhout B, Prahl-Andersen B. Caries prevalence measured with quantitative light-induced fluorescence in orthodontic patients. Caries Res. 2005;39:41-47.
Benson PE. Evaluation of preventive strategies for white spot lesions during orthodontic treatment. Orthod Craniofac Res. 2010;13:192-199.
Cury JA, Tenuta LMA. Enamel remineralization: Controlling the caries disease or treating early caries lesions? Braz Oral Res. 2009;23:23-30.
Sonesson M, Twetman S, Bondemark L. Effectiveness of high-fluoride toothpaste and fluoride varnish for prevention of demineralization during orthodontic treatment. Eur J Orthod. 2014;36:455-461.
Reynolds EC. Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions. J Dent Res. 1997;76:1587-1595.
Kugel G, Arsenault P, Papas A. Treatment of enamel demineralization using microabrasion. Compend Contin Educ Dent. 2005;26:139-146.
Paris S, Meyer-Lueckel H. Resin infiltration of natural caries lesions. J Dent Res. 2010;89:823-826.
Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking white spot lesions. J Esthet Restor Dent. 2011;23:241-248.
Pitts NB. Modern concepts of caries measurement. Dent Clin North Am. 2005;49:753-770.
Marsh PD. Dental plaque as a microbial biofilm. BMC Oral Health. 2006;6(Suppl 1):S14.
Kidd EAM. The role of dental plaque in caries development and progression. Caries Res. 2004;38:1-7.
Derks A, Katsaros C, Frencken JE, van't Hof MA, Kuijpers-Jagtman AM. Caries-inhibiting effect of preventive measures during orthodontic treatment with fixed appliances. Eur J Orthod. 2007;29:362-369.
Twetman S, Derks A, Katsaros C, Frencken JE, van't Hof MA, Kuijpers-Jagtman AM. Prevention of white spot lesions in orthodontic patients: A systematic review. Orthod Craniofac Res. 2011;14:109-115.
Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scand J Dent Res. 1971;79:394-401.
Alkadhi OH, Zahid MN, Almanea R, Althobaiti G, Alsharif A, Alnafisah S. Effect of mobile applications on oral hygiene compliance in orthodontic patients: A systematic review. BMC Oral Health. 2022;22:1-10.
