Caries and white spot lesion trajectories of orthodontic patients across an observation period of 20 years

• DOI: 10.1007/s00784-024-05752-w
• Publication Date: 2024-06-11T11:14:12Z
• Authors: Carolina Ganss; Nelly Schulz-Weidner; Katharina Klaus; Julia von Bremen; Sabine Ruf; Niko C. Bock
• Keywords: Male; Adult; Orthodontic Appliances, Fixed; DMF Index; Research; Dental Caries; 03 medical and health sciences; 0302 clinical medicine; Risk Factors; Radiography, Panoramic; Humans; Female; Retrospective Studies

Abstract Objectives Fixed orthodontic appliances may increase the risk for caries and white spot lesions. The aim of this retrospective study was to determine long-term associations between both in patients. Materials methods 103 patients aged 36.6 ± 6.5 years whose fixed appliance treatment had finished at least 15 ago were included. Current clinical data photographs (T3), panoramic x-ray from before (T0), after debonding (T1) 2-year follow-up (T2) available. Parameters interest dentine caries, “Missing/Filled Teeth” (MFT), “White Spot Lesion” (WSL) index “Periodontal Screening Recording” (PSR; T3 only). Results At T0, 30.4% no experience decreasing 25.6%, 22.4% 6.8% T1, T2 resp. median MFT (95% CI) 2 (1;3), 3 (2;4), (2;4) 7 (6;9) increasing significantly each time point ( p < 0.001 each); 30.1% WSL debonding. Patients with T0 a 2.4-fold increased Dentine T1 associated incident T2, but not T3. PSR significant association previous incidence WSL. Conclusions Caries prior constitute indicator WSL, its end near term. Clinical Relevance Present help identifying special need prevention counselling.