ARAŞTIRMA
Birinci büyük azı dişlerde çürük gelişme riskinde
sabit ortodontik tedavinin etkisi
Said Karabekiroğlu1, Zehra İleri2, Mehmet Emre Yılmaz2, Nimet Ünlü1 - Selcuk Dental Journal, 2014; 1: 20-26
1 Necmettin Erbakan Üniversitesi Diş Hekimliği Fakültesi Restoratif Diş Tedavisi Anabilim Dalı, Konya, Türkiye
2 Selçuk Üniversitesi Diş Hekimliği Fakültesi Ortodonti Anabilim Dalı, Konya, Türkiye
Effect of orthodontic treatment on caries risk development in first molar teeth
Background: This study's purpose was to assess in detail the effect of fixed orthodontic treatment on caries risk of permanent first molar teeth.
Methods: Seventy four patients who were undergoing fixed orthodontic treatment were invited to participate in this study. The status of permanent first molars were evaluated using World Health Organization (WHO) criteria in three different times; T0=Immediately before the fixed orthodontic treatment, T1=After fixed orthodontic treatment, T2= At least 12 months after fixed orthodontic treatment. Clinical examination and bitewing radiographs was utilized when the risk assessment performing. Caries risk assessment was assessed at patient, tooth, surface and WSL (white spot lesion) levels. The buccal surfaces of first permanent molars white spot lesions (WSL)
was examined according to the Gorelick index.
Results: 60 patients completed study (35 female, 25 male) whose mean age 14.7 ± 0.8 at T0 were found. Subjects, whose permanent first molars affected from caries was found to be 58,3% at T0, 66,6% at T1 and 73,3% at T2. Permanent first molars mean DMFT was found to be 1,50 at T0, 1,66 at T2 and 1,78 at T2. Occlusal surface showed a high susceptibility at T0, but approximal surfaces were developed new caries period of three years. WSL incidence in subjects was found to be 25% T0, 58,3% at T1 and 50% at T2.
Conclusion: It can be concluded that first permanent molars
caries risk was affected by fixed orthodontic treatment.
KEY WORDS; Dental caries, dental caries susceptibility, white spot
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