Prevalence of white spot lesions during orthodontic treatment with fixed appliances
Prevalence of white spot lesions during orthodontic treatment with fixed appliances
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DOI：
10.2319/051710-262.1
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发表时间：
2011-03-01
影响因子：
3.4
通讯作者：
Lindauer, Steven J.
中科院分区：
文献类型：
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作者：
Tufekci, Eser;Dixon, Julian S.;Lindauer, Steven J.
目的：用目测法检测正畸患者治疗后6个月和12个月白斑病变的患病率。材料和方法：对治疗6个月和12个月的患者进行白斑病变检查。对照组为粘接后即刻进行WSLS检查的患者。结果：在6个月、12个月和对照组中，至少有一种WSL的个体百分比分别为38%、46%和11%。6个月组(P=.021)和12个月组(P=.005)与对照组有显著差异，但彼此之间没有显著差异(P=.50)。在这项研究中，至少有一个可见白斑狼疮的受试者中，76%是男性，24%是女性(P=0.009)。结论：这项临床研究显示，在治疗的前6个月中，白斑狼疮的数量急剧增加，并继续以较慢的速度上升到12个月。临床医生应在治疗的最初几个月评估患者的口腔卫生状况，如有必要，应采取额外措施防止脱矿。(角度直角。201181：206210。)
Objective: To determine the prevalence of white spot lesions (WSLs) in orthodontic patients at 6 and 12 months into treatment using the visual examination method.Materials and Methods: Patients 6 and 12 months into treatment were examined for the presence of WSLs. The control group consisted of patients who were examined for WSLs immediately after bonding. Upon clinical evaluation, teeth were given a visual score based on the extent of demineralization.Results: The percentages of individuals having at least one WSL were 38%, 46%, and 11% for the 6-month, 12-month, and control groups, respectively. The 6-month (P = .021) and 12-month groups (P = .005) were significantly different from the control group but were not significantly different from each other (P = .50). Of subjects in the study who had at least one visible WSL, 76% were males and 24% were females (P = .009).Conclusions: This clinical study showed a sharp increase in the number of WSLs during the first 6 months of treatment that continued to rise at a slower rate to 12 months. Clinicians should evaluate the oral hygiene status of patients during the initial months of treatment and, if necessary, should implement extra measures to prevent demineralization. (Angle Orthod. 201181:206-210.)