COLOR CHANGES OF POST-DEBONDING WHITE SPOT LESION AFTER MICROABRASION TECHNIQUE WITH FLUORIDE AND CASEIN PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION
Keywords:Color change, White spot lesion, Microabrasion technique, Fluoride, Casein phosphopeptide-amorphous calcium phosphate
Â 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, 37Â°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.
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.
KarabekiroÄŸlu S, ÃœnlÃ¼ N, KÃ¼Ã§Ã¼kyilmaz E, Åžener S, Botsali MS, MalkoÃ§ 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.
BrÃ¶chner A, Christensen C, Kristensen B, TranÃ¦us 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.
How to Cite
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.