Evaluation of the Effect of Orthodontic Treatment on Tooth Color Changes in Patients Referring to the Specialty Clinic of Zahedan Faculty of Dentistry
Abstract
Introduction: Orthodontic treatment interferes with oral hygiene and can discoloration. Therefore, given the importance of tooth discoloration for patients, the present study determined the effect of orthodontic treatment on tooth color changes. Materials and Methods: Thirty-six patients under orthodontic treatment were evaluated. Photographs were taken before and after orthodontic treatment to evaluate color changes of the teeth. The photos were evaluated by experts and laypeople. The researcher completed a questionnaire consisting of each patient’s demographic data and treatment information (the composite resin type, the bonding agent type, and the bracket and wire types). Then, the relationships between these variables and tooth discoloration were analyzed. McNermar test was used to compare tooth color distribution status before and after orthodontic treatment. Chi-squared or Fisher’s tests were used to compare the tooth discoloration distribution status in terms of each variable studied. Spearman’s correlation coefficient was used to determine the relationship between demographic variables and tooth discoloration. Statistical significance was set at P<0.05. Results: Tooth colors were different before and after treatment. There were no significant relationships between tooth discoloration and the variables of composite resin type, bonding agent, bracket type, and gender. However, the relationship between age and tooth discoloration was significant. Conclusion: Various factors affect tooth color changes after orthodontic treatment. Although the majority of the factors evaluated in the present study did not alone have a significant relationship with tooth discoloration, it can be claimed that tooth discoloration due to orthodontic treatment is a multifactorial finding with several confounding factors. Keywords: Discoloration; Orthodontic treatment; Tooth color.
1. Al-Zarea BK. Satisfaction with appearance and the desired treatment to improve aesthetics. Journal Of Dentistry I. 2013;2013.
2. Alkhatib MN, Holt R, Bedi R. Age and perception of dental appearance and tooth colour. Gerodontology. 2005;22(1):32-6.
3. Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract. 2014;14:70-6.
4. Joiner A, Luo W. Tooth colour and whiteness: A review. J Dent. 2017;67:S3-S10.
5. Kwon SR, Wertz PW. Review of the mechanism of tooth whitening. J Esthet Restor Dent. 2015;27(5):240-57.
6. Montero J, Gómez‐Polo C, Santos J, Portillo M, Lorenzo M, Albaladejo A. Contributions of dental colour to the physical attractiveness stereotype. J Oral Rehabil. 2014;41(10):768-82.
7. Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients' satisfaction with dental esthetics. J Am Dent Assoc. 2007;138(6):805-8.
8. Tin-Oo MM, Saddki N, Hassan N. Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics. BMC oral health. 2011;11:1-8.
9. Xiao J, Zhou X, Zhu W, Zhang B, Li J, Xu X. The prevalence of tooth discolouration and the self‐satisfaction with tooth colour in a Chinese urban population. J Oral Rehabil. 2007;34(5):351-60.
10. Årtun J, Brobakken BO. Prevalence of carious white spots after orthodontic treatment with multibonded appliances. Eur J Orthod. 1986;8(4):229-34.
11. Holmen L, Thylstrup A, Artun J. Surface changes during the arrest of active enamel carious lesions in vivo: a scanning electron microscope study. Acta Odontol Scand. 1987;45(6):383-90.
12. Karamouzos A, Athanasiou AE, Papadopoulos MA, Kolokithas G. Tooth-color assessment after orthodontic treatment: a prospective clinical trial. Am J Orthod Dentofacial Orthop. 2010;138(5):537. e1-. e8.
13. Kershaw S, Newton J, Williams D. The influence of tooth colour on the perceptions of personal characteristics among female dental patients: comparisons of unmodified, decayed and'whitened'teeth. Br Dent J. 2008;204(5):E9-E.
14. Kim S-P, Hwang I-N, Cho J-H, Hwang H-S. Tooth color changes associated with the bracket bonding and debonding. Korean J Orthod. 2006:114-24.
15. Eliades T, Gioka C, Heim M, Eliades G, Makou M. Color stability of orthodontic adhesive resins. Angle Orthod. 2004;74(3):391-3.
16. Chen Q, Zheng X, Chen W, Ni Z, Zhou Y. Influence of orthodontic treatment with fixed appliances on enamel color: a systematic review. BMC oral health. 2015;15(1):1-8.
17. Kamber R, Papageorgiou SN, Eliades T. Does orthodontic treatment have a permanent effect on tooth color?: A systematic review and meta-analysis. J Orofac Orthop = Fortschritte der Kieferorthopädie. 2018;79(2):73-82.
18. Kaya Y, Alkan Ö, Değirmenci A, Keskin S. Long-term follow-up of enamel color changes after treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2018;154(2):213-20.
19. Işıksal E, Hazar S, Akyalçın S. Smile esthetics: perception and comparison of treated and untreated smiles. Am J Orthod Dentofacial Orthop. 2006;129(1):8-16.
20. Øgaard B. Prevalence of white spot lesions in 19-near-olds: A study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop. 1989;96(5):423-7.
21. Jufri YP. Relation of orthodontic fixedwith discoloritation teeth. Dentistry Faculty of Hasanuddin University Makassar. 2017.
22. Huang GJ, Roloff-Chiang B, Mills BE, Shalchi S, Spiekerman C, Korpak AM, et al. Effectiveness of MI Paste Plus and PreviDent fluoride varnish for treatment of white spot lesions: a randomized controlled trial. Am J Orthod Dentofacial Orthop. 2013;143(1):31-41.
23. Çörekçi B, Toy E, ÖZTÜRK F, Malkoc S, Öztürk B. Effects of contemporary orthodontic composites on tooth color following short-term fixed orthodontic treatment: a controlled clinical study. Turk J Med Sci. 2015;45(6):1421-8.
24. Tuncer N, Pamukcu H, Polat‑Özsoy Ö. Effects of repeated bracket bonding on enamel color changes. Niger J Clin Pract. 2018;21(9):1093-7.
25. Al Maaitah EF, Omar AAA, Al-Khateeb SN. Effect of fixed orthodontic appliances bonded with different etching techniques on tooth color: a prospective clinical study. Am J Orthod Dentofacial Orthop. 2013;144(1):43-9.
26. Pandian A, Ranganathan S, Padmanabhan S. Enamel color changes following orthodontic treatment. Indian J Dent Res. 2017;28(3):330.
27. Cross KJ, Huq NL, Palamara JE, Perich JW, Reynolds EC. Physicochemical characterization of casein phosphopeptide-amorphous calcium phosphate nanocomplexes. J Biol Chem. 2005;280(15):15362-9.
28. Gorucu–Coskuner H, Atik E, Taner T. Tooth color change due to different etching and debonding procedures. Angle Orthod. 2018;88(6):779-84.
29. Jahanbin A, Basafa M, Moazzami M, Basafa B, Eslami N. Color stability of enamel following different acid etching and color exposure times. J Dent Res Dent Clin Dent Prospects. 2014;8(2):67.
30. Gurgel Maia LHE, de Lima Filho HL, Araújo MVA, de Oliveira Ruellas AC, de Souza Araújo MT. Incorporation of metal and color alteration of enamel in the presence of orthodontic appliances. Angle Orthod. 2012;82(5):889-93.
31. Haghighi AHS, Emami M, Fakhri E, Rezaei Y. Effects of orthodontic adhesives on dental enamel color alteration using chemically cured and light-cured composites. Front Dent. 2020;17(13):1.
2. Alkhatib MN, Holt R, Bedi R. Age and perception of dental appearance and tooth colour. Gerodontology. 2005;22(1):32-6.
3. Carey CM. Tooth whitening: what we now know. J Evid Based Dent Pract. 2014;14:70-6.
4. Joiner A, Luo W. Tooth colour and whiteness: A review. J Dent. 2017;67:S3-S10.
5. Kwon SR, Wertz PW. Review of the mechanism of tooth whitening. J Esthet Restor Dent. 2015;27(5):240-57.
6. Montero J, Gómez‐Polo C, Santos J, Portillo M, Lorenzo M, Albaladejo A. Contributions of dental colour to the physical attractiveness stereotype. J Oral Rehabil. 2014;41(10):768-82.
7. Samorodnitzky-Naveh GR, Geiger SB, Levin L. Patients' satisfaction with dental esthetics. J Am Dent Assoc. 2007;138(6):805-8.
8. Tin-Oo MM, Saddki N, Hassan N. Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics. BMC oral health. 2011;11:1-8.
9. Xiao J, Zhou X, Zhu W, Zhang B, Li J, Xu X. The prevalence of tooth discolouration and the self‐satisfaction with tooth colour in a Chinese urban population. J Oral Rehabil. 2007;34(5):351-60.
10. Årtun J, Brobakken BO. Prevalence of carious white spots after orthodontic treatment with multibonded appliances. Eur J Orthod. 1986;8(4):229-34.
11. Holmen L, Thylstrup A, Artun J. Surface changes during the arrest of active enamel carious lesions in vivo: a scanning electron microscope study. Acta Odontol Scand. 1987;45(6):383-90.
12. Karamouzos A, Athanasiou AE, Papadopoulos MA, Kolokithas G. Tooth-color assessment after orthodontic treatment: a prospective clinical trial. Am J Orthod Dentofacial Orthop. 2010;138(5):537. e1-. e8.
13. Kershaw S, Newton J, Williams D. The influence of tooth colour on the perceptions of personal characteristics among female dental patients: comparisons of unmodified, decayed and'whitened'teeth. Br Dent J. 2008;204(5):E9-E.
14. Kim S-P, Hwang I-N, Cho J-H, Hwang H-S. Tooth color changes associated with the bracket bonding and debonding. Korean J Orthod. 2006:114-24.
15. Eliades T, Gioka C, Heim M, Eliades G, Makou M. Color stability of orthodontic adhesive resins. Angle Orthod. 2004;74(3):391-3.
16. Chen Q, Zheng X, Chen W, Ni Z, Zhou Y. Influence of orthodontic treatment with fixed appliances on enamel color: a systematic review. BMC oral health. 2015;15(1):1-8.
17. Kamber R, Papageorgiou SN, Eliades T. Does orthodontic treatment have a permanent effect on tooth color?: A systematic review and meta-analysis. J Orofac Orthop = Fortschritte der Kieferorthopädie. 2018;79(2):73-82.
18. Kaya Y, Alkan Ö, Değirmenci A, Keskin S. Long-term follow-up of enamel color changes after treatment with fixed orthodontic appliances. Am J Orthod Dentofacial Orthop. 2018;154(2):213-20.
19. Işıksal E, Hazar S, Akyalçın S. Smile esthetics: perception and comparison of treated and untreated smiles. Am J Orthod Dentofacial Orthop. 2006;129(1):8-16.
20. Øgaard B. Prevalence of white spot lesions in 19-near-olds: A study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop. 1989;96(5):423-7.
21. Jufri YP. Relation of orthodontic fixedwith discoloritation teeth. Dentistry Faculty of Hasanuddin University Makassar. 2017.
22. Huang GJ, Roloff-Chiang B, Mills BE, Shalchi S, Spiekerman C, Korpak AM, et al. Effectiveness of MI Paste Plus and PreviDent fluoride varnish for treatment of white spot lesions: a randomized controlled trial. Am J Orthod Dentofacial Orthop. 2013;143(1):31-41.
23. Çörekçi B, Toy E, ÖZTÜRK F, Malkoc S, Öztürk B. Effects of contemporary orthodontic composites on tooth color following short-term fixed orthodontic treatment: a controlled clinical study. Turk J Med Sci. 2015;45(6):1421-8.
24. Tuncer N, Pamukcu H, Polat‑Özsoy Ö. Effects of repeated bracket bonding on enamel color changes. Niger J Clin Pract. 2018;21(9):1093-7.
25. Al Maaitah EF, Omar AAA, Al-Khateeb SN. Effect of fixed orthodontic appliances bonded with different etching techniques on tooth color: a prospective clinical study. Am J Orthod Dentofacial Orthop. 2013;144(1):43-9.
26. Pandian A, Ranganathan S, Padmanabhan S. Enamel color changes following orthodontic treatment. Indian J Dent Res. 2017;28(3):330.
27. Cross KJ, Huq NL, Palamara JE, Perich JW, Reynolds EC. Physicochemical characterization of casein phosphopeptide-amorphous calcium phosphate nanocomplexes. J Biol Chem. 2005;280(15):15362-9.
28. Gorucu–Coskuner H, Atik E, Taner T. Tooth color change due to different etching and debonding procedures. Angle Orthod. 2018;88(6):779-84.
29. Jahanbin A, Basafa M, Moazzami M, Basafa B, Eslami N. Color stability of enamel following different acid etching and color exposure times. J Dent Res Dent Clin Dent Prospects. 2014;8(2):67.
30. Gurgel Maia LHE, de Lima Filho HL, Araújo MVA, de Oliveira Ruellas AC, de Souza Araújo MT. Incorporation of metal and color alteration of enamel in the presence of orthodontic appliances. Angle Orthod. 2012;82(5):889-93.
31. Haghighi AHS, Emami M, Fakhri E, Rezaei Y. Effects of orthodontic adhesives on dental enamel color alteration using chemically cured and light-cured composites. Front Dent. 2020;17(13):1.
| Files | ||
| Issue | Vol 11, No 2 (Spring 2024) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/jcr.v11i2.17028 | |
| Keywords | ||
| Discoloration Orthodontic treatment Tooth color | ||
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How to Cite
1.
Hesam Arefi A, Hosseinabadi A. Evaluation of the Effect of Orthodontic Treatment on Tooth Color Changes in Patients Referring to the Specialty Clinic of Zahedan Faculty of Dentistry. J Craniomaxillofac Res. 2024;11(2):106-112.
