White Spot Lesions on Teeth during or Postorthodontic Treatment: A Knowledge Based Cross-sectional Survey of Dentists
Introduction: White Spot Lesions (WSLs) observed during or after fixed orthodontic therapy has known to cause several dental problems clinically and aesthetically. It becomes imperative to understand the perception of treating dentists of the paediatric dentists to whom the children first visit,...
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
JCDR Research and Publications Private Limited
2021
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| Materias: | |
| Acceso en línea: | https://doaj.org/article/6aac0b4086dd49edb4c9eed02fb3c767 |
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| Sumario: | Introduction: White Spot Lesions (WSLs) observed during or
after fixed orthodontic therapy has known to cause several dental
problems clinically and aesthetically. It becomes imperative to
understand the perception of treating dentists of the paediatric
dentists to whom the children first visit, and also of the treating
orthodontists and restorative dentists.
Aim: To assess the knowledge, attitude, and practices of dentists
regarding WSLs related to orthodontic treatment, and also to
assess the preferences of these dentists regarding its management.
Materials and Methods: A cross-sectional survey was planned
for a period of two months (15th August 2020 to 15th October 2020)
using a close ended, multiple choice questionnaire directed to
evaluate the perspective of 260 dentists of Saudi Arabia towards
white spot lesions associated with orthodontic treatment. The
self designed validated questionnaire was prepared and mailed
to dentists across the Kingdom of Saudi Arabia. Descriptive
statistics followed by Chi-sqaure test was done to compare
variables in the questionnaire.
Results: A total of 52 paediatric dentists, 53 orthodontists, 51
restorative dentists, and 104 general dentists participated in the
study. Out of 260 dentists, 236 (90.8%) of them have observed
WSLs in their patients during/after orthodontic treatment.
Adolescent patients more commonly complained of undesirable
aesthetics due to WSLs. Incisors were the most commonly
affected teeth. All dentists except orthodontists believed that
they were proficient in diagnosing superficial or deep WSLs
(p-value=0.005). Most dentists preferred professional application
of high concentration topical fluorides. Most patients demanded
an instant correction of these WSLs as reported by all groups of
dentists.
Conclusion: WSLs are commonly observed by dentists during the
initial 7 to 12 months period of starting orthodontic therapy, more
commonly on incisor teeth among the adolescent age group. The
dentists recommended maintaining good oral hygiene as the most
effective way of preventing WSLs. They also believed that high
concentration fluoride agents are well suited for treating superficial
lesions and composite resin restorations for deeper lesions. |
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