COLOR CHANGES OF POST-DEBONDING WHITE SPOT LESION AFTER MICROABRASION TECHNIQUE WITH FLUORIDE AND CASEIN PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION
DOI:
https://doi.org/10.22159/ajpcr.2018.v11s1.26605Keywords:
Color change, White spot lesion, Microabrasion technique, Fluoride, Casein phosphopeptide-amorphous calcium phosphateAbstract
 Objective: The prevalence of enamel demineralization among patients after orthodontic treatment is about 50%, which begins with the formation of white spot lesions. The presence of these lesions causes esthetic problems. The aim of this study was to quantify the color changes in post-debonding white spot lesions after microabrasion technique with fluoride and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) application.
Materials and Methods: This study used 42 first premolar teeth that had been extracted, then were soaked for 96 h in a demineralization solution (pH 4, 37°C) to form an artificial white spot lesions. Samples were randomly divided into three treatment groups (n=14): (A) Microabrasion technique only; (B) microabrasion technique with 10% CPP-ACP paste application; and (C) microabrasion technique with 1.23% APF gel application. All groups were assigned to pH cycling for 10 days. The color change was determined using spectrophotometer at 3 different time points, which were measured before and after production of the artificial white spot lesions, and after the artificial white spot lesions were treated.
Results: This study showed that there was a significant difference in the color of the artificial white spot lesions after microabrasion technique with CPP-ACP application.
Conclusion: Microabrasion technique with CPP-ACP application was giving better result in changing the color of white spot lesions than only microabrasion technique and microabrasion technique with fluoride application.
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References
Brook PH, Shaw WC. The development of an index of orthodontic treatment priority. Eur J Orthod 1989;11:309-20.
Ellis PE, Benson PE. Potential hazards of orthodontic treatment-What your patient should know. Dent Update 2002;29:492-6.
Pliska BT, Warner GA, Tantbirojn D, Larson BE. Treatment of white spot lesions with ACP paste and microabrasion. Angle Orthod 2012;82:765-9.
Karabekiroğlu S, Ünlü N, Küçükyilmaz E, Şener S, Botsali MS, Malkoç S, et al. Treatment of post-orthodontic white spot lesions with CPP-ACP paste: A three year follow up study. Dent Mater J 2017;36:791-7.
Proffit WR, Fields HW, Sarver DM. Malocclusion and dentofacial deformity in contemporary society. In: Proffit WR, Fields HW, Sarver DM, editors. Contemporary Orthodontics. 5th ed. St. Louis: Elsevier; 2013. p. 2-5.
Arruda AO, Behnan SM, Richter A. White-spot lesions in orthodontics: Incidence and prevention. Contemporary approach to dental caries. Angle Orthod 2012; ???:313-32.
Fejerskov O, Nyvad B, Kidd EA. Clinical appearances of caries lesions. In: Fejerskov O, Kidd E, editors. Dental Caries: The Disease and its Clinical Management. Oxford: Blackwell Munksgaard; 2008. p. 8-18.
Safitri NM, Anggani HS, Purwanegara MK, Sumardi S. Enamel surface quality improvement in white spot lesions after orthodontic treatment using a microabrasion technique with fluoride or calcium phosphopeptide-amorphous calcium phosphate application. Int J Appl Pharm 2017;9:114-6.
Austin RS, Giusca CL, Macaulay G, Moazzez R, Bartlett DW. Confocal laser scanning microscopy and area-scale analysis used to quantify enamel surface textural changes from citric acid demineralization and salivary remineralization in vitro. Dent Mater 2016;32:278-84.
Kumar VL, Itthagarun A, King NM. The effect of casein phosphopeptide-amorphous calcium phosphate on remineralization of artificial caries-like lesions: An in vitro study. Aust Dent J 2008;53:34-40.
Alexander SA, Ripa LW. Effects of self-applied topical fluoride preparations in orthodontic patients. Angle Orthod 2000;70:424-30.
Reynolds EC. Calcium phosphate-based remineralization systems: Scientific evidence? Aust Dent J 2008;53:268-73.
Yuan H, Li J, Chen L, Cheng L, Cannon RD, Mei L, et al. Esthetic comparison of white-spot lesion treatment modalities using spectrometry and fluorescence. Angle Orthod 2014;84:343-9.
Geiger AM, Gorelick L, Gwinnett AJ, Benson BJ. Reducing white spot lesions in orthodontic populations with fluoride rinsing. Am J Orthod Dentofacial Orthop 1992;101:403-7.
Ogaard B, Rolla G, Arends J. Orthodontic appliances and email demineralization: Lesion development. Am J Orthod Dentofac Orthop 1988;94:68-73.
Bröchner A, Christensen C, Kristensen B, Tranæus S, Karlsson L, Sonnesen L, et al. Treatment of post-orthodontic white spot lesions with casein phosphopeptide-stabilised amorphous calcium phosphate. Clin Oral Investig 2011;15:369-73.
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