WHITE SPOT LESIONS IN FIXED ORTHODONTIC TREATMENT AND CURRENT PREVENTION METHODS – REVIEW

Öz

Demineralization is the most undesired side effects of fixed orthodontic treatment, especially associated with poor oral hygiene. Orthodontic treatment with fixed appliances increases the risk for development of white spot lesions (WSL) due to the creation of additional retention sites on surfaces generally not susceptible to caries. Appearance of these spots after the completion of orthodontic treatment can lead to poor esthetics, patient dissatisfaction and legal complication. This highlights the need for assessing the saliva, oral hygiene status and caries rate before beginning of treatment and initiating preventive measures. Depending on the oral environment, WSL can develop into cavities, stay stable for a long time, or heal to a certain extent. Thus, the prevention of WSL is crucial to prevent tooth decay as well as minimize tooth discoloration that could compromise the treatment results

Anahtar Kelimeler

• White Spot Lesion,Orthodontics

SABİT ORTODONTİK TEDAVİDE BEYAZ NOKTA LEZYONLARI VE GÜNCEL ÖNLEME YÖNTEMLERİ – DERLEME

Öz

Demineralizasyon, özellikle zayıf ağız bakımı ile ilişkili sabit ortodontik tedavinin istenmeyen bir yan etkisidir. Sabit ortodontik apareyler bakteri plağının birikimi için ciddi retantif bölgeler oluşturur. Bu alanlarda biriken bakterilerin asidik ürünleri minenin yüzey altı demineralizasyonu ve bunu takiben oluşan beyaz nokta lezyonlarının (BNL) oluşumundan sorumludurlar. Bu lezyonlar ortodontik tedavi sonrasında kötü estetik ve hasta memnuniyetsizliği gibi problemlerin ortaya çıkmasına sebep olur. Bu sorunlar ortodontik tedavi öncesinde hastanın tükürük, ağız bakım durumu ve çürük riskinin belirlenmesini ve gerektiğinde başlangıç koruyucu uygulamaların değerlendirmesini önemli hale getirmiştir.  Bireyin çürük riski, ağız bakımı ve ağız ortamının durumuna bağlı olarak, beyaz nokta lezyonları ilerleme göstererek kavite oluşturabilir, ilerlemeden uzun süre kalabilir ya da geri döndürülebilecek seviyede ise iyileşebilirler. Bundan dolayı beyaz nokta lezyonlarının önlenmesi; diş çürüğü oluşumu ve estetik problemlerin önüne geçilmesi ve dolayısıyla arzulanan sabit ortodontik tedavi başarısının gerçekleştirilmesi açısından oldukça önemlidir.

Anahtar Kelimeler

• Beyaz Nokta Lezyonu, Ortodonti

Kaynakça

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