The study aimed to determine the prevalence and distribution of white spot lesions (WSL) in orthodontic patients, analyzing their correlation with age and tooth type to improve preventive strategies. Material and Methods: The study included 85 patients aged 15-30 who underwent orthodontic treatment between 2022 and 2024. WSL diagnosis followed the Modified International Caries Detection and Assessment System (ICDAS II). Data were analyzed using the Chi-square test to assess associations between WSL occurrence, age groups, and tooth types. Results: WSL was detected in 31.8% of patients, with the highest prevalence (55.6%) in the 15-20 age group. Lesions were more common in the maxilla (59%) than the mandible (41%), with incisors being the most affected teeth. Chi-square analysis showed no significant association between WSL occurrence and age group (p = 0.277) or tooth type (p = 0.702). Most lesions were found on vestibular surfaces (50%), with mesial (27%) and distal (23%) surfaces also affected. Conclusions: The study confirms that younger patients are at higher risk for WSL, likely due to dietary habits and inconsistent oral hygiene. WSL is more prevalent in the maxilla and anterior teeth. These findings emphasize the need for early intervention, patient education, and preventive strategies, particularly for orthodontic patients, to minimize WSL risk.
Boariu et al. (Wed,) studied this question.