White Spot Lesion of Tooth
Conditions
Keywords
Lingual attachments, Buccal attachments, White spot lesions, Quantitative light induced fluorescence, Clear aligner therapy
Brief summary
White spot lesions (WSLs) are a common esthetic complication during orthodontic treatment. While clear aligners (CAs) generally reduce WSL risk compared to fixed appliances, composite attachments remain plaque-retentive sites. This two-arm clinical trial investigated the effect of shifting attachments to lingual surfaces on WSL development.
Detailed description
A randomized controlled trial was conducted on 52 patients (18-35 years) undergoing CA therapy. Participants were allocated to two groups (n=26) for each: conventional buccal attachments (control) and lingual/palatal attachments (intervention). WSLs and plaque were assessed at baseline (T0) and six months (T1) using quantitative light-induced fluorescence (QLF). Outcomes included lesion area (pixels), mean fluorescence loss (ΔF), maximum depth (ΔFmax), and plaque index (ΔR30). Statistical analysis employed paired and independent t-tests, chi-square, and multivariable regression (α\<0.05).
Interventions
OTHERLingual attachment participants
WSL were measured on tooth surfaces of orthodontic patients wearing clear aligners with lingual attachments
Sponsors
Jordan University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 35 Years
Healthy volunteers
Yes
Inclusion criteria
* Medically fit young adults * The patient should have mild to moderate crowding or spacing of teeth. * The treatment plan should be non-extraction. * Patients should have optimum oral hygiene before beginning the treatment. * The patient may have a maximum of three teeth with either fillings or dental prostheses. (According to the British national institute of health, NIH 2016).
Exclusion criteria
* Patients with defective enamel, generalized enamel disorder, or extensive dental restorations. * Patients with syndromes or orofacial anomalies. * Patients with salivary gland diseases or taking medications that may affect oral flora or salivary functions. * Patients who are pregnant or diabetic. * Patients use mouth rinses or any extra form of fluoride other than toothpaste.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| White spot lesion area | Before treatment and after 6 months | Lesion area measured in pixels |
| Delta F | Before treatment and after 6 months | Loss of fluorescence which reflects loss in minerals |
| Delta F max | Before treatment and after 6 months | Measures the deepest point of the lesion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Plaque measurement | Before treatment and after 6 months | It measures the amount of plaque on tooth surfaces |
Countries
Jordan
Outcome results
None listed