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.
Keywords:Dental Caries, Oral Health, Orthodontic Treatment
Ashkenazi, M., Bidoosi, M. & Levin, L. (2012). Factors Associated with Reduced Compliance of Children to Dental Preventive Measures. Odontology, 100(2), pp 241-248
Balenseifen, J.W.& Madonia, J.V. (1970). Study of dental plaque in orthodontic patients. Journal of Dental Research, 49(2), pp 320-324
Bloom, R.H.& Brown, L.R. Jr. (1964). A Study of The Effects of Orthodontic Appliances on The Oral Microbial Flora. Oral Surgery, Oral Medicine and Oral Pathology, 17, pp 658-667.
Boersma, J.G., van der Veen, M.H., Lagerweij, M.D., Bokhout, B.& Prahl-Andersen, B.(2005). Caries Prevalence Measured with QLF After Treatment with Fixed Orthodontic Appliances: Influencing Factors. Caries Research, 39(1), pp 41-47.
Chang, H.S., Walsh, L.J.& Freer, T.J. (1997). Enamel Demineralization During Orthodontic Treatment. Aetiology and Prevention. Australian Dental Journal. 42(5), pp 322-327.
Chapman, J.A., Roberts, W.E., Eckert, G.J., Kula, K.S.& González-Cabezas, C. (2010). Risk Factors for Incidence and Severity of White Spot Lesions During Treatment with Fixed Orthodontic Appliances. American journal of orthodontics and dentofacial orthopaedics, 138(2), pp 188-194.
Chatterjee, R.& Kleinberg, I.(1979). Effect Of Orthodontic Band Placement On The Chemical Composition Of Human Incisor Tooth Plaque. Archives of Oral Biology, 24(2), pp 97-100
Corbett, J.A., Brown, L.R., Keene, H.J.& Horton, I. M. (1981). Comparison of Streptococcus Mutans Concentrations in Non-Banded and Banded Orthodontic Patients. Journal of Dental Research, 60(12), pp1936-1942.
Ellwood, R.P.& O’Mullane, D.M. (1994). Association between dental enamel opacities and dental caries in a north Wales population. Caries Research, 28(5), pp 383-387
Featherstone, J.D. (2003). The Caries Balance: Contributing Factors and Early Detection. Journal of California Dental Association, 31(2), pp 129-133
Featherstone, J.D., Domejean-Orliaguet, S., Jenson, L., Wolff, M.& Young, D.A. (2007). Caries Risk Assessment in Practice for Age 6 Through Adult. Journal of California Dental Association, 35(10), pp 710-713
Gontijo, L., Cruz Rde, A.& Brando, P.R. (2007). Dental Enamel Around Fixed Orthodontic Appliances After Fluoride Varnish Application. Brazilian Dental Journal, 18(1), pp 49-53.
Gorelick, L., Geiger, A.M.& Gwinnett, A.J. (1982). Incidence of White Spot Formation After Bonding And Banding. American Journal of Orthodontics. 81(2), pp 93–98.
Lovrov, S., Hertrich, K.& Hirschfelder U. (2007). Enamel Demineralization During Fixed Orthodontic Treatment—Incidence and Correlation to Various Oral-Hygiene Parameters. Journal of Orofacial Orthopedics, 68(5), pp 353-63.
Mattingly, J.A., Sauer, G.J., Yancey, J.M.& Arnold, R.R. (1983). Enhancement Of Streptococcus Mutans Colonization By Direct Bonded Orthodontic Appliances. Journal of Dental Research, 62(12), pp 1209-1211.
McGuinness, N.J.(1992). Prevention in orthodontics-a review. Dental Update. 19(4), pp 168- 70.
Mizrahi, E. (1982). Enamel Demineralization Following Orthodontic Treatment. American Journal of Orthodontics.82(1), pp 62–67.
Ogaard, B.(1989). Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment. American Journal of Orthodontics Orthopedics, 96(5), pp 423-427
Pinkham, J.R.(1989). Pediatric Dentistry: Infancy Through Adolescence, W. B. Saunders, Philadelphia
Richter, A.E., Arruda, A.O., Peters, M.C.& Sohn, W. (2011). Incidence of caries lesions among patients treated with comprehensive orthodontics. American Journal of Orthodontics and Dentofacial Orthopedics, 139(5), pp 657-664
Rosenbloom, R.G.& Tinanoff, N. (1991). Salivary Streptococcus Mutans Levels In Patients Before, During, And After Orthodontic Treatment. American Journal of Orthodontics and Dentofacial Orthopedics, 100(1), pp 35-37
Scheie, A.A., Arneberg, P.& Krogstad, O. (1984). Effect of Orthodontic Treatment On Prevalence Of Streptococcus Mutans In Plaque And Saliva. Scandinavian Journal of Dental Research, 92(3), pp 211-217
Shrestha, S., Shrestha, L., Shrestha, N., & Shrestha, R.M. (2013). Effect of Orthodontic Treatment in Occurrence of Dental Caries. Orthodontic Journal of Nepal, 3(1), pp 31-36.
Sukhia, H.R., Ayub, M.A.& Gandhi, D. (2006). Enamel Decalcification in Orthodontic Patients; Prevalence And Oral Distribution - A Cross-Sectional Study. Pakistan Oral Dental Journal, 28(2),pp 193-197.
Tufekci, E., Dixon, J.S., Gunselloy, J.C.& Lindauer, S.J. (2011). Prevalence of White Spot Lesions During Orthodontic Treatment with Fixed Appliances. The Angle Orthodontist, 81(2), pp 206–210.