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Ortodontik tedavi sonrası oluşan beyaz nokta lezyonların tedavisi: Olgu sunumu

Year 2014, Volume: 41 Issue: 3 - Volume: 41 Issue: 3, 177 - 182, 01.10.2014

Abstract

Ortodontik tedaviler bireye estetik ve fonksiyonel açıdan yarar sağlarken, bant ve braketler etrafına süt beyazı, opak bir yapı olarak kendini gösteren mine demineralizasyonu oluşabilmektedir. Bu durum arzu edilmeyen bir komplikasyondur. Beyaz nokta lezyonları BNL olarak adlandırılan bu demineralizasyoların doğru teşhisi ve uygun yöntemle tedavisi son derece önemlidir. DMG firmasının üretmiş olduğu Icon isimli rezin infiltrant, oldukça non-invaziv olup; söz konusu lezyonların tedavisinde güncel olarak kullanılmaya başlamıştır. Bu madde, diş minesine yakın kırılma indeksine K.İ: 1.46 sahip olmakla beraber; çürük içine infiltre olarak BNL’e ait opakgörünümü ortadan kaldırabilmektedir.Bu vaka raporunda, ortodontik tedavi esnasında meydana gelen BNL’lerin tedavisinde yeni ve non invaziv bir yak

References

  • Bishara SE, Ostby AW. White spot le- sions: formation, prevention, and treatment. Semin Orthod 2008; 14:3:174-182.
  • Pender N. Aspects of Oral health in orthodontics patients. Br J Orthod 1986;13,95- 103.
  • Kidd EA, Fejerskov O. What consti- tutes dental caries? Histopathlogy of caries enamel and dentin related to the action of cari- ogenic biofilms. J Res of Dent 2004; 83: c35- c38.
  • Øgaard B, Rİlla G, Arends J. Ortho- dontic appliances and enamel demineraliza- tion. Part 1. Lesion development. Am J Orthod 1988; 94: 68–73.
  • Benson PE, Shah AA, Milett DT, Dyer F, Parkin N, Vine RS. Flourides, orthodontics and demineralization: A systemic review. J Or- tho 2005; 32: 102-114.
  • Waggoner WF, JohnstonWM, Schu- mann S, Schikowski E. Microabrasion of hu- man enamel in vitro using Hydrochloric acid and pumice. Pediatr Dent 1989;11: 319-323.
  • Torres CRG, Borges AB, Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, micro-abrasion, and bleach- ing on surface enamel. J Dent Res 1993;72: 67–71.
  • Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent 2011; 14(4): 423-426.
  • Meyer-Lueckel H, Paris S. Infiltration of natural lesions with experimental resins dif- fering in penetration coefficients and ethanol addition. Caries Res 2010; 44: 408-414.
  • Kim S, Shin JH, Kim EY, Lee SY, Yoo SG. The evaluation of resin infiltration for masking labial enamel white spot lesions. Car- ies Res 2010; 44:171–248, Abs. 47.
  • Meyer-Lueckel H, Paris S. Progres- sion of artificial enamel caries lesions after in- filtration with experimental light curing resins. Caries Res 2008; 42: 117–124.
  • Akin M, Basciftci FA. Can white spot lesions be treated effectively? Angle Orthod 2012; 82(5): 770-775.
  • Meyer-Lueckel H, Paris S, Kielbassa A. Surface layer erosion of natural caries les- sions with phosporic and hydrochloric acid gels in preparation for resin infiltration. Caries Res 2007; 41(3): 223-230.
  • Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, microa- brasion and bleaching on surface enamel. J Dent Res 1993; 72: 67-71. 15.

Case Report: Treatment of Post-Orthodontic White Spot Lesions

Year 2014, Volume: 41 Issue: 3 - Volume: 41 Issue: 3, 177 - 182, 01.10.2014

Abstract

Besides aesthetic and functional benefits to the patient; orthodontic treatment may cause demineralised, opaque white spot lesions around bands and brackets. This situation is an unwanted complication. A proper diagnosis must be made in order to provide good treatment plan for white spot lesions WSL .A product of DMG called ‘Icon’ is a new minimally invasive technique for treating WSLs by caries infiltration. Having a refractive index of 1.46, Icon light cure resin can mask the white opaque appearance of the WSL by infiltrating into the affected enamel. This case report describes a microinvasive technique used to treat smooth surface white spot lesions by infiltration of initial enamel caries lesion with lowviscosity light curing resin called infiltrant, Icon

References

  • Bishara SE, Ostby AW. White spot le- sions: formation, prevention, and treatment. Semin Orthod 2008; 14:3:174-182.
  • Pender N. Aspects of Oral health in orthodontics patients. Br J Orthod 1986;13,95- 103.
  • Kidd EA, Fejerskov O. What consti- tutes dental caries? Histopathlogy of caries enamel and dentin related to the action of cari- ogenic biofilms. J Res of Dent 2004; 83: c35- c38.
  • Øgaard B, Rİlla G, Arends J. Ortho- dontic appliances and enamel demineraliza- tion. Part 1. Lesion development. Am J Orthod 1988; 94: 68–73.
  • Benson PE, Shah AA, Milett DT, Dyer F, Parkin N, Vine RS. Flourides, orthodontics and demineralization: A systemic review. J Or- tho 2005; 32: 102-114.
  • Waggoner WF, JohnstonWM, Schu- mann S, Schikowski E. Microabrasion of hu- man enamel in vitro using Hydrochloric acid and pumice. Pediatr Dent 1989;11: 319-323.
  • Torres CRG, Borges AB, Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, micro-abrasion, and bleach- ing on surface enamel. J Dent Res 1993;72: 67–71.
  • Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent 2011; 14(4): 423-426.
  • Meyer-Lueckel H, Paris S. Infiltration of natural lesions with experimental resins dif- fering in penetration coefficients and ethanol addition. Caries Res 2010; 44: 408-414.
  • Kim S, Shin JH, Kim EY, Lee SY, Yoo SG. The evaluation of resin infiltration for masking labial enamel white spot lesions. Car- ies Res 2010; 44:171–248, Abs. 47.
  • Meyer-Lueckel H, Paris S. Progres- sion of artificial enamel caries lesions after in- filtration with experimental light curing resins. Caries Res 2008; 42: 117–124.
  • Akin M, Basciftci FA. Can white spot lesions be treated effectively? Angle Orthod 2012; 82(5): 770-775.
  • Meyer-Lueckel H, Paris S, Kielbassa A. Surface layer erosion of natural caries les- sions with phosporic and hydrochloric acid gels in preparation for resin infiltration. Caries Res 2007; 41(3): 223-230.
  • Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, microa- brasion and bleaching on surface enamel. J Dent Res 1993; 72: 67-71. 15.
There are 14 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Farooq Abdulazeez This is me

Özlem Bilgili This is me

Erhan Özdiler This is me

Publication Date October 1, 2014
Published in Issue Year 2014 Volume: 41 Issue: 3 - Volume: 41 Issue: 3

Cite

Vancouver Abdulazeez F, Bilgili Ö, Özdiler E. Ortodontik tedavi sonrası oluşan beyaz nokta lezyonların tedavisi: Olgu sunumu. EADS. 2014;41(3):177-82.