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International Journal of Scientific and Engineering Research
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ISSN Print: 2229-5518 5    
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scirp IJSER >> Volume 2, Issue 5, May 2011 Edition
Iatrogenic effects of Orthodontic treatment - Review on white spot lesions
Full Text(PDF, 3000)  PP.  
Sangamesh B., Amitabh Kallury
Iatrogenic effects, White spot lesion, Incidence, Orthodontic Treatment, Duration, Oral hygiene, Etiology, Prevention, Fixed Appliances, Demineralization
Demineralization is an inevitable side effect associated with fixed appliance orthodontic treatment, especially associated with poor oral hygiene. Fixed orthodontic appliances create several retentive areas for the accumulation of bacterial plaque. The acidic byproducts of these bacteria are responsible for the subsequent enamel demineralization and formation of white spot lesions (WSL), causing caries therefore leading to poor esthetics, patient dissatisfaction and legal complications. This highlights the need for assessing the saliva, oral hygiene status and caries rate before beginning of treatment and initiating preventive measures. Orthodontists must take up active responsibility to educate the patients about the importance of maintaining good dietary compliance and excellent oral hygiene regime. Depending on the oral environment, WSL can develop into cavities, stay stable for a long time, or heal to a certain extent. Thus, the prevention of WSL is crucial to prevent tooth decay as well as minimize tooth discoloration that could compromise the treatment results
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