Prevalence of White Spot Lesion Formation (WSL) During Orthodontic Treatment in Patients Reporting at Orthodontic Department SPH Quetta
DOI:
https://doi.org/10.61919/jhrr.v3i2.1743Keywords:
White Spot Lesions, Orthodontics, Enamel Demineralization, Plaque, Oral Hygiene, Fluoride, Streptococcus mutans, RemineralizationAbstract
Background: White spot lesions (WSLs) are a common complication of fixed orthodontic treatment, resulting from prolonged plaque accumulation around brackets, leading to enamel demineralization. Early detection and intervention are critical to preventing permanent damage and maintaining dental aesthetics.
Objective: To determine the prevalence of WSL formation during orthodontic treatment at different time intervals and to analyze gender differences in susceptibility.
Methods: A cross-sectional study was conducted on 200 patients undergoing fixed orthodontic treatment at Sandeman Provincial Hospital Quetta. Participants were divided into three groups: control (n=56, immediately post-bonding), six-month (n=74), and twelve-month (n=70). WSLs were assessed visually on the maxillary anterior teeth using a standardized scoring system. Data were analyzed using chi-square and logistic regression in SPSS version 25.
Results: WSL prevalence was significantly higher in the six-month (38%, P=0.021) and twelve-month groups (46%, P=0.005) compared to the control (11%). Males had a significantly higher WSL prevalence (76%) than females (24%, P=0.009).
Conclusion: WSLs increased significantly within the first six months of treatment. Early intervention and strict oral hygiene protocols are essential to minimize enamel demineralization.
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Copyright (c) 2023 Bibi Masooma, Nasrullah Mengal, Marium Hasni, Zeenat Razzaq, Fakhira Nizam, Mehreen Butt, Sumbhal Hayat, Munir Ahmed, Asghar Ali, Aminullah, Irfan, Maria Zehri
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