The Prevalence of White Spot Lesions During Orthodontic Treatment With Fixed Appliances

Hiroko Nagaoka111 enrolled

Overview

This study investigates how often cavities develop on the permanent teeth of patients with braces (orthodontic treatment). The hypothesis is that there is no difference in the number of cavities on the permanent teeth of patients with braces compared to similar patients without braces.

The purpose of this cross-sectional study is to determine the prevalence of early carious lesions (white spot lesions, or WSLs) for patients who are receiving orthodontic treatment compared to patients who are not receiving orthodontic treatment. Subjects will be recruited from the University of Kentucky Orthodontic Clinic patient pool. Orthodontic care at the University of Kentucky College of Dentistry (UKCOD) is provided by orthodontic faculty, as well as students enrolled in the graduate orthodontic program at the UKCOD. Subjects will be invited to participate in this study after receiving an initial treatment plan with fixed appliances for at least one arch.

Study Type

OBSERVATIONAL

Enrollment

111

Conditions

Dental Caries

Eligibility

Sex: ALLMin age: 10 YearsMax age: 70 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Patients who agreed to participate in this study * Patients who receive orthodontic treatment with fixed appliances at University of Kentucky College of Dentistry * Patients who have either metal or ceramic brackets for the treatment Exclusion Criteria: * Patients on a daily supplemental fluoride regimen * Patients who has difficulty in their daily toothbrushing due to their physical disability * Patients with lingual fixed appliances * Patients who are pregnant * Patients with restorations placed on the facial/buccal surface of the tooth from premolar to premolar for both arches.

Locations (1)

University of Kentucky College of Dentistry

Lexington, Kentucky, United States

Outcomes

Primary Outcomes

The formation of early caries lesion on teeth (white spot lesions)

Teeth of study subjects will be evaluated for the formation of white spot lesions based on their intraoral photographs taken at their participation for the study.

Time frame: One-time assessment at participant visit (approximately 30 minutes).

The dental plaque deposit on teeth.

Teeth of study subjects will be stained with the plaque disclosing agent. After rinsing off the disclosing agent, intraoral photographs are taken for later analysis of dental plaque accumulation.

Time frame: One-time assessment at participant visit (approximately 30 minutes).

Subjects' of attitude toward the oral hygiene practice.

Participants will be asked to take an electronic questionnaire (through REDCap) consisting of 13 items that assess their dental hygiene practice and attitude toward orthodontic treatment. Individual question responses range from 0-7 (cumulative range of 0-91) with higher scores indicating more positive attitudes.

Time frame: One-time assessment at participant visit (approximately 30 minutes).

Data from ClinicalTrials.gov

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