Premium
Oral mucosal lesions during orthodontic treatment
Author(s) -
Baricevic Marinka,
MravakStipetic Marinka,
Majstorovic Martina,
Baranovic Marijan,
Baricevic Denis,
Loncar Bozana
Publication year - 2011
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/j.1365-263x.2010.01078.x
Subject(s) - medicine , oral hygiene , malocclusion , dentistry , gingival inflammation , gingivitis
Background Oral mucosal lesions can result from irritation caused by orthodontic appliances or malocclusion, but their frequency is not known. Aim To examine the frequency of oral mucosal lesions in wearers of orthodontic appliances in comparison to children with malocclusion. Design This study comprised 111 subjects: 60 wearers of orthodontic appliances and 51 controls (aged between 6 and 18 years). Type and severity of mucosal lesions, their topography, gingival inflammation, and oral hygiene status were determined by using clinical indices. Results Mucosal lesions were more present in wearers of orthodontic appliances than in children with malocclusion. Gingival inflammation, erosion, ulceration, and contusion were the most common findings in orthodontic patients. The severity of gingival inflammation was in correlation with oral hygiene status; the poorer oral hygiene, the more severe gingival inflammation was. Better oral hygiene status was found in children during orthodontic treatment than in children with malocclusion. Conclusions Orthodontic treatment carries a higher risk of mucosal lesions and implies greater awareness of better oral hygiene as shown by the results of this study. Oral hygiene instructions and early treatment of oral lesions are important considerations in better patient’s motivation, treatment planning, and successful outcome.