White Spot Lesions After Orthodontic Treatment

Willmot, D. R.

doi:10.1053/j.sodo.2008.03.006

Cited by 99 publications

(99 citation statements)

References 35 publications

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“…This finding is of high clinical relevance, since after bracket debonding, the clinician has to decide whether to wait for spontaneous regression or improvement or to adopt adjunctive measures to enhance improvement or refer the patient for restorative measures. However, already Willmot (2008) stated, that WSL should not be immediately treated after removal of a fixed orthodontic appliance as they naturally reduce in size with no intervention.…”

Section: After Retentionmentioning

confidence: 99%

“…Additionally, only the four UFT were considered since they are best visible and thus most reliably evaluable on standard intraoral slides. Besides, they are the aesthetically most valuable teeth in the patient's mouth (Willmot, 2008). Patients with dental structural abnormalities or frontal fillings, veneers or any other type of reconstructions on the labial surface of the four UFT at any time during the examination period were not included, because these conditions might interfere with development risk, the evaluation and/or might cover already existing WSL.…”

Section: Sign-test For Wsl Changed Teeth T2mentioning

confidence: 99%

See 1 more Smart Citation

White-spot lesions during multibracket appliance treatment: A challenge for clinical excellence

Enaia

Bock

Ruf

2011

American Journal of Orthodontics and Dentofacial Orthopedics

156

127

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Section: After Retentionmentioning

confidence: 99%

Section: Sign-test For Wsl Changed Teeth T2mentioning

confidence: 99%

White-spot lesions during multibracket appliance treatment: A challenge for clinical excellence

Enaia

Bock

Ruf

2011

American Journal of Orthodontics and Dentofacial Orthopedics

156

127

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“…Typically, if the lesion is deep, only the superficial layer is remineralized, leaving the porous body of the lesion reflecting its white colour from below. Further, if the porous lesion is stained by discolouring agents introduced into the oral cavity and the remineralization treatment does not resolve the problem, tooth whitening could be used, but will require retreatment in time [45].…”

Section: After the Orthodontic Treatmentmentioning

confidence: 99%

White Spot Lesions: Prevention and Management During the Orthodontic Treatment

Zabokova-Bilbilova

Popovska

Kapuševska

et al. 2014

Prilozi

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The formation of white spot lesions, or enamel demineralization, around fixed orthodontic attachments is a common complication during and following fixed orthodontic treatment, which marks the result of a successfully completed case. This article is a contemporary review of the risk factors and preventive methods of these orthodontics scars. Preventive programmes must be emphasized to all orthodontic patients. The responsibility of an orthodontist is to minimize the risk of the patient having decalcification as a consequence of orthodontic treatment by educating and motivating the patients for excellent oral hygiene practice. Prophylaxis with topical fluoride application should be implemented: high-fluoride toothpastes, fluoride mouthwashes, gels and varnishes during and after the orthodontic treatment, especially for patients at high risk of caries.

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“…32, 33 In turn, Lactobacillus have been associated with the progression of caries in the dentin and not with the initiation of caries in the enamel.Despite their cariogenic potential, some species of Lactobacillus have been introduced as potential dental enamel protective agents, mainly due to their inhibitory activity against cariogenic Streptococcus spp.…”

Section: 31mentioning

confidence: 99%

Effectiveness of probiotics in the prevention of carious lesions during treatment with fixed orthodontic appliances.

Contreras¹,

Kay

Burgos

et al. 2017

J Oral Res

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The difficulty experienced by patients with fixed orthodontic appliances in maintaining adequate oral hygiene poses a risk for dental caries. The use of probiotics has been proposed as a means of prevention. The following systematic review aims to determine the effectiveness of probiotics in the prevention of dental caries during treatment with fixed orthodontic appliances. This review was carried out according to the PRISMA guidelines. A comprehensive electronic search was conducted in the Cochrane Library, EMBASE, PubMed and Google Scholar Beta databases. The inclusion criteria included randomized controlled clinical trials involving the use of probiotics, caries and patients under fixed orthodontic treatment. The methodological quality of the articles was evaluated according to risk of bias. Of the five included studies, three reported significant differences compared to the control group. Of the others, one article reported significant decrease in the final count of microorganisms compared to the beginning of treatment. Only one study reported no differences of any kind. It was estimated that the eligible studies were of moderate methodological quality and had an unclear risk of bias, without affecting key domains for the research. It is concluded that the daily consumption of probiotics can be effective in the prevention of carious lesions in patients under fixed orthodontic treatment. However, this should be interpreted with caution and corroborated by clinical trials of better methodological quality.

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White Spot Lesions After Orthodontic Treatment

Cited by 99 publications

References 35 publications

White-spot lesions during multibracket appliance treatment: A challenge for clinical excellence

White-spot lesions during multibracket appliance treatment: A challenge for clinical excellence

White Spot Lesions: Prevention and Management During the Orthodontic Treatment

Effectiveness of probiotics in the prevention of carious lesions during treatment with fixed orthodontic appliances.

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