Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study
The risk of developing white spot lesions (WSLs) after orthodontic treatment with lingual brackets is generally considered lower than with labial ones, even if plaque accumulation is frequently higher due to the increased difficulty level in oral hygiene maintenance. In this prospective clinical stu...
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doaj-c89463c83bb34fd9b715cee317892dc32021-06-01T00:06:05ZengMDPI AGCoatings2079-64122021-05-011157257210.3390/coatings11050572Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical StudyDomenico Dalessandri0Marino Bindi1Francesca Massetti2Gaetano Isola3Marco Migliorati4Luca Visconti5Corrado Paganelli6Stefano Bonetti7Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, School of Dentistry, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyDental Clinic, A.O.U. Maggiore della Carità di Novara, Viale Piazza d’Armi 1, 28100 Novara, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, School of Dentistry, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyDepartment of General Surgery and Medical and Surgical Specialties, School of Dentistry, University of Catania, Via Plebiscito 628, 95124 Catania, ItalyDepartment of Orthodontics, School of Dentistry, University of Genova, Largo Rossana Benzi 10, 16132 Genova, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, School of Dentistry, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, School of Dentistry, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyDepartment of Medical and Surgical Specialties, Radiological Sciences, and Public Health, School of Dentistry, University of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, ItalyThe risk of developing white spot lesions (WSLs) after orthodontic treatment with lingual brackets is generally considered lower than with labial ones, even if plaque accumulation is frequently higher due to the increased difficulty level in oral hygiene maintenance. In this prospective clinical study, selective enamel etching technique effectiveness in reducing plaque accumulation and WSLs was tested. Thirty patients were bonded with a split-mouth approach: two randomly selected opposite quadrants were used as the test sides, using customized plastic etching guides, and the other two as control sides, applying traditional direct etching methods. The plaque presence around the braces was recorded after 1, 3, 6, and 12 months according to a lingual plaque accumulation index (LPAI), as was the presence of WSLs. PAI measured values were significantly higher in the control sides during the observation period. Test and control sides differed significantly for new WSL onset only after 12 months of treatment. Therefore, the present research demonstrated that this guided enamel etching technique allowed for significant reduction in plaque accumulation around the lingual brackets and reduced onset of white spots after one year of treatment.https://www.mdpi.com/2079-6412/11/5/572plaque accumulationlingual bracket bondinglingual orthodonticsoral hygienewhite spot lesionsenamel etching |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Domenico Dalessandri Marino Bindi Francesca Massetti Gaetano Isola Marco Migliorati Luca Visconti Corrado Paganelli Stefano Bonetti |
spellingShingle |
Domenico Dalessandri Marino Bindi Francesca Massetti Gaetano Isola Marco Migliorati Luca Visconti Corrado Paganelli Stefano Bonetti Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study Coatings plaque accumulation lingual bracket bonding lingual orthodontics oral hygiene white spot lesions enamel etching |
author_facet |
Domenico Dalessandri Marino Bindi Francesca Massetti Gaetano Isola Marco Migliorati Luca Visconti Corrado Paganelli Stefano Bonetti |
author_sort |
Domenico Dalessandri |
title |
Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study |
title_short |
Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study |
title_full |
Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study |
title_fullStr |
Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study |
title_full_unstemmed |
Effectiveness of a Selective Etching Technique in Reducing White Spots Formation around Lingual Brackets: A Prospective Cohort Clinical Study |
title_sort |
effectiveness of a selective etching technique in reducing white spots formation around lingual brackets: a prospective cohort clinical study |
publisher |
MDPI AG |
series |
Coatings |
issn |
2079-6412 |
publishDate |
2021-05-01 |
description |
The risk of developing white spot lesions (WSLs) after orthodontic treatment with lingual brackets is generally considered lower than with labial ones, even if plaque accumulation is frequently higher due to the increased difficulty level in oral hygiene maintenance. In this prospective clinical study, selective enamel etching technique effectiveness in reducing plaque accumulation and WSLs was tested. Thirty patients were bonded with a split-mouth approach: two randomly selected opposite quadrants were used as the test sides, using customized plastic etching guides, and the other two as control sides, applying traditional direct etching methods. The plaque presence around the braces was recorded after 1, 3, 6, and 12 months according to a lingual plaque accumulation index (LPAI), as was the presence of WSLs. PAI measured values were significantly higher in the control sides during the observation period. Test and control sides differed significantly for new WSL onset only after 12 months of treatment. Therefore, the present research demonstrated that this guided enamel etching technique allowed for significant reduction in plaque accumulation around the lingual brackets and reduced onset of white spots after one year of treatment. |
topic |
plaque accumulation lingual bracket bonding lingual orthodontics oral hygiene white spot lesions enamel etching |
url |
https://www.mdpi.com/2079-6412/11/5/572 |
work_keys_str_mv |
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