INCIDENCE OF DENTAL CARIES DURING FIXED ORTHODONTIC TREATMENT IN PETRA JAYA DENTAL CLINIC: A RETROSPECTIVE STUDY
Objectives: The purpose of the present study was to investigate the incidence of dental caries during fixed orthodontic treatment and the effect of gender, ethnicity, age at start of treatment, duration of treatment and frequency of oral hygiene instructions on the incidence of dental caries.
Materials and Method: The retrospective study was conducted using selected orthodontic patient records (n=115) from 2017-2018. Records of new carious lesions which developed during the treatment process were identified. Number of caries and the teeth they are located were recorded. Independent variables were collected by chart abstraction.
Results: The incidence of patients who developed at least 1 new carious lesion during treatment was 34.8%. Frequency of oral hygiene instructions given was significantly associated with new dental caries development (p=0.017). Gender, age at the start of treatment and duration of treatment were associated with caries development. The maxillary right first molars were the most affected teeth.
Conclusions: The incidence of dental caries in patients treated with fixed orthodontic appliances were moderately high. This problem warrants significant attention from both patients and providers that should result in increased emphasis on oral hygiene reinforcement and effective caries preventive measures. The risk of developing caries lesions during orthodontic treatment should not be underestimated by both orthodontists and patients.