Prevention and treatment of white spot lesions in orthodontic patients

Abstract

Decalcification of enamel, appearing as white spot lesions (WSLs), around fixed orthodontic appliances is a major challenge during and after fixed orthodontic treatment by considering the fact that the goal of orthodontic treatment is to enhance facial and dental esthetic appearance. Banded or bonded teeth exhibit a significantly higher rate of WSLs compared to the controls with no braces as fixed appliances and the bonding materials promote retention of biofilms. These lesions are managed in the first step by establishing good oral hygiene habits and prophylaxis with topical fluorides, including high-fluoride toothpastes, fluoride mouthwashes, gels, varnishes, fluoride-containing bonding materials, and elastic ligatures. Recently, other materials and methods have been recommended, including the application of casein phosphopeptides-amorphous calcium phosphate, antiseptics, probiotics, polyols, sealants, laser, tooth bleaching agents, resin infiltration, and microabrasion. This article reviews the currently used methods to manage enamel demineralization during and after orthodontic treatment and the risk factors and preventive measures based on the latest evidence.

Evaluation of the efficacy of Regenamel in the treatment of white spot lesions: an in vitro study

“…The post treatment scores were 53.3%, 33.3% and 13.3 for scores 2, 1 and 0 respectively. (Kamh, 2018)…”

<p>Penatalaksanaan white spot lesion setelah perawatan ortodontik dengan teknik resin infiltration</p><p>Management of white spot lesion after orthodontic treatment with resin infiltration technique</p>

“…1 Lesi putih merupakan efek samping iatrogenik yang paling sering terjadi setelah perawatan ortodontik karena kebersihan mulut pasien yang tidak baik. 2 Lesi ini berkembang akibat akumulasi plak dalam jangka waktu yang lama. Demineralisasi pada permukaan email yang berdekatan dengan perangkat ortodontik umumnya karena kebersihan mulut yang buruk.…”

“…4,5 Perkembangan teknologi adhesif dalam kedokteran gigi diaplikasikan dalam teknik baru untuk mencegah dan menghentikan proses karies dengan tujuan melindungi struktur gigi. 2 Teknik ini dikenal dengan minimal invasive dentistry, yaitu menjaga jaringan asal dengan kehilangan jaringan sesedikit mungkin. 6 Tujuan penulisan laporan kasus ini adalah menerangkan penatalaksanaan white spot lesion setelah perawatan ortodontik dengan teknik resin infiltration.…”

Effects of Various Mouthwashes on the Orthodontic Nickel-Titanium Wires: Corrosion Analysis

“…iterature indicates that individuals with malaligned teeth are more prone to periodontal problems owing to the difficulty in accessing areas hence crowding of teeth creates hinderance in maintaining proper oral hygiene. 1 Patients with such crowding who are more susceptible to dental caries might benefit from the additional use of fluoride mouth rinses in addition to regular brushing. 2 Patients experiencing orthodontic treatment are prone to caries and periodontal disease since the presence of a fixed appliance may compromise the efficacy to maintain ideal oral cleanliness.…”