White spot lesions and orthodontic treatment. Evaluation of a novel approach in the prevention of white spot lesions around orthodontic brackets. Yap J, Walsh L J, Naser-Ud Din S, Ngo H, Manton D J. Cochrane Database Syst Rev 2013 DOI: 10.1002/3. Fluorides for the prevention of early tooth decay (demineralised white lesions) during fixed brace treatment. Angle Orthod 2011 81: 206-210.īenson P E, Parkin N, Dyer F, Millett D T, Furness S, Germain P. Prevalence of white spot lesions during orthodontic treatment with fixed appliances. Tufekci E, Dixon J S, Gunsolley J C, Lindauer S J. Effect of Two Methods of Remineralization and Resin Infiltration on Surface Hardness of Artificially Induced Enamel Lesions. Am J Orthod Dentofac Orthop 2010 138: 188-194.īehrouzi P, Heshmat H, Hoorizad Ganjkar M, Tabatabaei S F, Kharazifard M J. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofac Orthop 2013 144: 86-96.Ĭhapman J A, Roberts W E, Eckert G J, Kula K S, González-Cabezas C. Durability of esthetic improvement following Icon resin infiltration of multibracket-induced white spot lesions compared with no therapy over 6 months: A single-centre, split-mouth, randomized clinical trial. Minimally Invasive Treatment of White Spot Lesions-A Systematic Review. J Evid Based Dent Pract 2017 17: 23-38.Ībdullah Z, John J. Therapies for White Spot Lesions - A Systematic Review. Paula A B P, Fernandes A R, Coelho A S et al. Salivary biomarkers for caries risk assessment. J Int Soc Prev Community Dent 2015 5: 433. Critical evaluation of incidence and prevalence of white spot lesions during fixed orthodontic appliance treatment: A meta-analysis. Sundararaj D, Venkatachalapathy S, Tandon A, Pereira A. This follows the line of thought of minimally invasive dentistry, is an excellent treatment option and prevents the lesion's progression.
This approach increases the durability of the infiltrated lesion without compromising its mechanical properties and impedes the development of recurrent or secondary caries.Ĭonclusions Resin infiltration might be considered as a routine procedure in the treatment of post-eruptive hypomineralised lesions.
The need for periodic fluoride applications is also avoided.
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When remineralisation is not achieved through good oral hygiene and prophylaxis with fluoride products, the infiltration of lesions with low-viscosity photopolymerised resin has proved to be a valid micro-invasive alternative compared to traditional conservative therapy.Ĭlinical considerations A case series will be presented, where the chosen approach was resin infiltration, a micro-invasive and aesthetic technique.Ĭlinical significance Infiltrative resin therapies are single-session procedures that reduce the need for more invasive therapies such as the use of rotary instruments for greater patient comfort. These frequently present in patients following fixed orthodontic treatment, mostly due to the prolonged accumulation of bacterial plaque on the dental surface. Objective White spot lesions are characterised by the presence of clinically detectable opaque lesions due to enamel demineralisation.
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