Assessment of Acquired Enamel Demineralization in Subjects Treated with Fixed Orthodontic Multi-Bracket Therapy

Abstract

Introduction: Malocclusion is a serious oral health issue that requires orthodontic correction. Fixed orthodontic appliances are known for acquired enamel damage.

Objectives: To evaluate the incidence of iatrogenic white spots in subjects treated with fixed orthodontic therapy.

Methods: This was a retrospective study. The study sample included the orthodontically treated subjects debonded during the study period. A photographic technique was followed to evaluate enamel white spots. Teeth debonded after orthodontic therapy were evaluated and compared with pre-treatment records.

Results: A majority of subjects were young adults. Maximum subjects were school going children from the rural background. Maxillary Incisors were the most affected tooth while maxillary posteriors were least affected with white spot lesions.

Conclusions: Orthodontic treatment includes some amount of enamel damage as an inevitable factor. White spot lesion is prime concern for orthodontists. Oral hygiene maintenance and demineralization prevention remains the gold standard strategy.