ENAMEL SURFACE QUALITY IMPROVEMENT IN WHITE SPOT LESIONS AFTER ORTHODONTIC TREATMENT USING A MICROABRASION TECHNIQUE WITH FLUORIDE OR CALCIUM PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION

Novira Mutia Safitri; Haru Setyo Anggani; Miesje Karmiati Purwanegara; Sariesendy Sumardi

doi:10.22159/ijap.2017.v9s2.28

Authors

Novira Mutia Safitri Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
Haru Setyo Anggani Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
Miesje Karmiati Purwanegara Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
Sariesendy Sumardi Department of Orthodontics, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.22159/ijap.2017.v9s2.28

Keywords:

White spot lesion, Surface roughness, Microabrasion, Calcium phosphopeptide - amorphous calcium phosphate, Fluoride

Abstract

Objectives: White spot lesions after fixed orthodontic treatment will increase bacterial plaque formation due to increased enamel surface roughness. The aim of this study was to analyze the surface roughness of white spot lesions on enamel after a microabrasion technique, a microabrasion technique combined with calcium phosphopeptide-amorphous calcium phosphate (CPP-ACP) application, and a microabrasion technique combined with fluoride application.

Methods: Artificially induced white spot lesions on the enamel surfaces of 42 maxillary first premolars were randomly assigned into one of three treatment groups (n=14): (a) A microabrasion technique, (b) a microabrasion technique combined with CPP-ACP application, and (c) a microabrasion technique combined with fluoride application. AÂ Mitutoyo SJ-301 surface roughness tester was used to measure differences in surface roughness before and after treatment, and the after treatment measurements were compared among the three groups.

Results: AÂ significant difference in surface roughness was noted for the white spot lesions on enamel before and after treatment in all groups (p<0.05). AÂ significant difference was also found when comparing the after treatment surface roughness in all groups.

Conclusion: The combination of the microabrasion technique with CPP-ACP application significantly reduced enamel surface roughness when compared to microabrasion alone or the combination of microabrasion and fluoride application.

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References

Faria-JÃºnior Ã‰M, Guiraldo RD, Berger SB, Correr AB, Correr-Sobrinho L, Contreras EF, et al. In-vivo evaluation of the surface roughness and morphology of enamel after bracket removal and polishing by different techniques. Am J Orthod Dentofacial Orthop 2015;147:324-9.

Behnan SM, Arruda AO, GonzÃ¡lez-Cabezas C, Sohn W, Peters MC. In-vitro evaluation of various treatments to prevent demineralization next to orthodontic brackets. Am J Orthod Dentofacial Orthop 2010;138:712.

Rogers S, Chadwick B, Treasure E. Fluoride-containing orthodontic adhesives and decalcification in patients with fixed appliances: A systematic review. Am J Orthod Dentofacial Orthop 2010;138:390.

Bergstrand F, Twetman S. A review on prevention and treatment of post-orthodontic white spot lesions-evidence-based methods and emerging technologies. Open Dent J 2011;5:158-62.

Srivastava K, Tikku T, Khanna R, Sachan K. Risk factors and management of white spot lesions in orthodontics. J Orthod Sci 2013;2:43-9.

Khalaf K. Factors affecting the formation, severity and location of white spot lesions during orthodontic treatment with fixed appliances. J Oral Maxillofac Res 2014;5:e4.

Mattousch TJ, van der Veen MH, Zentner A. Caries lesions after orthodontic treatment followed by quantitative light-induced fluorescence: A 2-year follow-up. Eur J Orthod 2007;29:294-8.

Hamdan AM, Maxfield BJ, TÃ¼fekÃ§i E, Shroff B, Lindauer SJ. Preventing and treating white-spot lesions associated with orthodontic treatment: A survey of general dentists and orthodontists. J Am Dent Assoc 2012;143:777-83.

Parsons T. In vitro Comparison of Microabrasion, CPP-ACP, CPP-ACPF and Combination Therapies on the Remineralization of White Spot Lesions. Thesis: Nova Southeastern University; 2014. p. 1-16.

Enaia M, Bock N, Ruf S. White spot lesion during multibracket appliance treatment: A challenge for clinical excellence. Am J Orthod Dentofacial Orthop 2011;140:17-24.

Chambers C, Stewart S, Su B, Sandy J, Ireland A. Prevention and treatment of demineralisation during fixed appliance therapy: A review of current methods and future applications. Br Dent J 2013;215:505-11.

Joshi S, Joshi C. Management of enamel white spot lesions. J Contemp Dent 2013;3:133-7.

Chapman JA, Roberts WE, Eckert GJ, Kula KS, GonzÃ¡lez-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop 2010;138:188-94.

ten Cate JM. Current concepts on the theories of the mechanism of action of fluoride. Acta Odontol Scand 1999;57:325-9.

Reynolds EC. Casein phosphopeptide-amorphous calcium phosphate: The scientific evidence. Adv Dent Res 2009;21:25-9.

Ardu S, Castioni NV, Benbachir N, Krejci I. Minimally invasive treatment of white spot enamel lesions. Quintessence Int 2007;38:633-6.

Pliska BT, Warner GA, Tantbirojn D, Larson BE. Treatment of white spot lesions with ACP paste and microabrasion. Angle Orthod 2012;82:765-9.

BrÃ¶chner A, Christensen S, Kristensen B, Tranaus S, Karlsson L, Sonnesen L, et al. Treatment of post-orthodontic with white spot lesions with casein phosphopeptide-stabilised amorphous calcium phosphate. Clin Oral Invest 2011;15:369-73.