Annals and Essences of Dentistry
Open Access

Abstract

HOW TO COMBAT WHITE SPOT LESION IN ORTHODONTICCASES-REVIEW STUDY

Karthikeyan M K, Ramaswamy K

All over the world fixed orthodontic cases face a common problem –enamel hypoplasia that is white spot lesion. It can be remineralised by brushing with fluoridated toothpaste, fluoride mouth rinses and topical application of fluoride gel/foam. Efficiency of remineralisation is enhanced with daily usage of 0.05%(225ppm) sodium fluoride or 0.2% (900ppm) weekly; or with 0.4% Stannous Fluoride gel. But Stannous Fluoride stains the enamel. Enamel can also be remineralised with casein phospho peptide -amorphous calcium phosphate(CCP -ACP) . Remineralised white spot lesion can be bleached to mask the colour and can be microabraded followed by bleaching leaving a highly polished surface with calcium phosphate packed into the interprismatic enamel s urface area.

Published Date: 2012-03-30;