A novel method quantifying caries following orthodontic treatment

Abstract This retrospective pilot study used a newly developed evaluation tool to assess the prevalence and incidence of White Spot Lesions (WSL) before and after multibracket appliance (MB) therapy. Digital photographs of 121 adolescent patients (63 ♂, 58 ♀) with metal brackets were analyzed retros...

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Autores principales:	Christina Erbe, Luisa Hartmann, Irene Schmidtmann, Daniela Ohlendorf, Heinrich Wehrbein
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5d7a118ee1d246aba008453a820e85af
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spelling	oai:doaj.org-article:5d7a118ee1d246aba008453a820e85af2021-11-08T10:50:10ZA novel method quantifying caries following orthodontic treatment10.1038/s41598-021-00561-72045-2322https://doaj.org/article/5d7a118ee1d246aba008453a820e85af2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-00561-7https://doaj.org/toc/2045-2322Abstract This retrospective pilot study used a newly developed evaluation tool to assess the prevalence and incidence of White Spot Lesions (WSL) before and after multibracket appliance (MB) therapy. Digital photographs of 121 adolescent patients (63 ♂, 58 ♀) with metal brackets were analyzed retrospectively before and after MB therapy. The labial surfaces of anterior teeth, canine teeth, and premolars in the upper (UJ) and lower jaws (LJ) were evaluated using the Enamel Decalcification Index (EDI) by Banks and Richmond (Eur J Orthod, 16(1):19–25, 1994, levels 0–3) and a specially developed digitally scaled graticule with concentric circles to quantify the extent of WSL (in %). The statistical data analysis was based on crosstabulations and logistic regression. Before MB, 69.4% of the patients presented at least one WSL and 97.5% after, an increase of 28.1%. Before MB, 18.4% of the tooth surfaces (TS) showed an EDI level of 1–3. After MB, 51.8% of the TS featured WSL. 18.2% of the TS showed a WSL to the extent of ≥ 20–100% before and 52.3% after MB. The incidence in the UJ (71–79%) as well as the LJ (64–76%) was highest for the first and second premolars and lowest for LJ incisors (22–35%). The probability for developing a new distal WSL is higher than developing gingival, mesial or occlusal WSL. Labial MB therapy drastically increases the risk of developing WSL. We verified a concise quantification of the extent of labial WSL with the evaluation index.Christina ErbeLuisa HartmannIrene SchmidtmannDaniela OhlendorfHeinrich WehrbeinNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-15 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Christina Erbe Luisa Hartmann Irene Schmidtmann Daniela Ohlendorf Heinrich Wehrbein A novel method quantifying caries following orthodontic treatment
description	Abstract This retrospective pilot study used a newly developed evaluation tool to assess the prevalence and incidence of White Spot Lesions (WSL) before and after multibracket appliance (MB) therapy. Digital photographs of 121 adolescent patients (63 ♂, 58 ♀) with metal brackets were analyzed retrospectively before and after MB therapy. The labial surfaces of anterior teeth, canine teeth, and premolars in the upper (UJ) and lower jaws (LJ) were evaluated using the Enamel Decalcification Index (EDI) by Banks and Richmond (Eur J Orthod, 16(1):19–25, 1994, levels 0–3) and a specially developed digitally scaled graticule with concentric circles to quantify the extent of WSL (in %). The statistical data analysis was based on crosstabulations and logistic regression. Before MB, 69.4% of the patients presented at least one WSL and 97.5% after, an increase of 28.1%. Before MB, 18.4% of the tooth surfaces (TS) showed an EDI level of 1–3. After MB, 51.8% of the TS featured WSL. 18.2% of the TS showed a WSL to the extent of ≥ 20–100% before and 52.3% after MB. The incidence in the UJ (71–79%) as well as the LJ (64–76%) was highest for the first and second premolars and lowest for LJ incisors (22–35%). The probability for developing a new distal WSL is higher than developing gingival, mesial or occlusal WSL. Labial MB therapy drastically increases the risk of developing WSL. We verified a concise quantification of the extent of labial WSL with the evaluation index.
format	article
author	Christina Erbe Luisa Hartmann Irene Schmidtmann Daniela Ohlendorf Heinrich Wehrbein
author_facet	Christina Erbe Luisa Hartmann Irene Schmidtmann Daniela Ohlendorf Heinrich Wehrbein
author_sort	Christina Erbe
title	A novel method quantifying caries following orthodontic treatment
title_short	A novel method quantifying caries following orthodontic treatment
title_full	A novel method quantifying caries following orthodontic treatment
title_fullStr	A novel method quantifying caries following orthodontic treatment
title_full_unstemmed	A novel method quantifying caries following orthodontic treatment
title_sort	novel method quantifying caries following orthodontic treatment
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5d7a118ee1d246aba008453a820e85af
work_keys_str_mv	AT christinaerbe anovelmethodquantifyingcariesfollowingorthodontictreatment AT luisahartmann anovelmethodquantifyingcariesfollowingorthodontictreatment AT ireneschmidtmann anovelmethodquantifyingcariesfollowingorthodontictreatment AT danielaohlendorf anovelmethodquantifyingcariesfollowingorthodontictreatment AT heinrichwehrbein anovelmethodquantifyingcariesfollowingorthodontictreatment AT christinaerbe novelmethodquantifyingcariesfollowingorthodontictreatment AT luisahartmann novelmethodquantifyingcariesfollowingorthodontictreatment AT ireneschmidtmann novelmethodquantifyingcariesfollowingorthodontictreatment AT danielaohlendorf novelmethodquantifyingcariesfollowingorthodontictreatment AT heinrichwehrbein novelmethodquantifyingcariesfollowingorthodontictreatment
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A novel method quantifying caries following orthodontic treatment

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