Evaluation of 3 commercially available materials for resolution of white spot lesions

Ballard, Richard W.; Hagan, Joseph; Phaup, Alexis N.; Sarkar, N. K.; Townsend, Janice A.; Armbruster, Paul

doi:10.1016/j.ajodo.2012.08.020

Cited by 31 publications

(31 citation statements)

References 25 publications

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“…Enamel demineralization following orthodontic treatment is a common concern for orthodontists, patients, and their parents [1,2]. Increased prevalence of these lesions following fixed orthodontic treatment is mostly due to the escalation in plaque accumulation on tooth surfaces because of irregular surfaces of orthodontic brackets, bands, wires, and other appliances.…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, placement of appliances on dental surfaces complicates oral hygiene and limits the self-cleaning capacity of teeth with the saliva flow and movements of oral muscles [1]. According to the literature, the prevalence of WSLs following orthodontic treatment is varied between 2 to 96% [1,2], and they mainly happen on cervical and middle thirds of the buccal surface of first molars, lateral incisors and canine teeth [2]. Despite extensive studies on prevention of WSLs, they remain a problem following orthodontic treatment [3].…”

Section: Introductionmentioning

confidence: 99%

“…Despite extensive studies on prevention of WSLs, they remain a problem following orthodontic treatment [3]. In WSLs, the light scattering pattern on demineralized enamel creates a chalky white appearance, which is not aesthetically pleasant [2]. Approximately half of the WSLs heal spontaneously after orthodontic treatment is terminated and proper oral hygiene is established via natural remineralization function of ions present in the saliva.…”

Section: Introductionmentioning

confidence: 99%

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Effect of Three Different Remineralizing Agents on White Spot Lesions; AnIn Vitro Comparative Study

Tahmasbi

Adhami²,

Valian

et al. 2016

J Islam Dent Assoc Iran

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Background and Aim: White spot lesions (WSLs) are common occurrence following orthodontic treatment, this study sought to compare the remineralizing potential of fluoride, MI Paste Plus (CPP-ACP-F) and Remin Pro for treatment of WSLs. Materials and Methods: This in vitro study was conducted on 56 sound human premolars that extracted for orthodontic purposes. Teeth were cleaned and their roots were cut, then the crowns were mounted in acrylic resin. Teeth surfaces were coated with nail varnish except for a 3×4mm window on the buccal surface. In order to create WSLs, all samples were immersed in demineralizing solution for 10 days. After surface hardness was measured using a Vickers microhardness tester, teeth were randomly divided into four groups. In control group (group 1) no remineralizing agent was used while, groups 2 to 4, were treated with0.05% sodium fluoride (NaF), MI Paste Plus, and Remin Pro paste respectively, for five minutes every 12hours. After each treatment, specimens were immersed in freshly prepared artificial saliva. At the end of 28 days, surface microhardness was measured again and changes were statistically analyzed using analysis of covariance (ANCOVA). Results: The mean changes in surface microhardness of MI Paste Plus, NaF and Remin Pro groups was significantly higher than control group (P˂0.001, P˂0.001 and P0.046 respectively). Conclusion: MI Paste Plus, 0.05% NaF mouthwash, and to a lesser extent Remin Pro were efficient for treatment of WSLs comparing to the artificial saliva.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Effect of Three Different Remineralizing Agents on White Spot Lesions; AnIn Vitro Comparative Study

Tahmasbi

Adhami²,

Valian

et al. 2016

J Islam Dent Assoc Iran

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“…25,26 The potential of fluoride to act as a remineralizaing agent was shown in previous studies. [5][6][7][8]10 However, although fluoride treatment may arrest lesion progression, WSLs remain clinically visible, therefore, Øgaard et al 27 recommended that WSLs should not be treated with concentrated fluorides.…”

Section: Discussionmentioning

confidence: 99%

Effect of nano-hydroxyapatite versus caesin-phosphopeptide amorphous calcium phosphate on remineralization of early enamel lesions - In vitro study

Yacout

Mowafy

Abdallah

2020

Egyptian Orthodontic Journal

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Objective: To evaluate and compare the effect of zinc carbonate -nano hydroxyapatite (n-HA) (Biorepair toothpaste) and casein phosphopeptide -amorphous calcium phosphate (CPP-ACP) (GC Tooth Mousse creme) on the depth of white spot lesions (WSLs). Materials and Methods: Thirty six human premolar teeth with artificially induced WSLs were randomly assigned to three groups (n=12). Group I: n-HA toothpaste, Group II: CPP-ACP topical creme, and Group III: negative control. The teeth were longitudinally sectioned and photographed using polarized light microscopy (PLM) and the depth of enamel subsurface demineralization was measured. Statistical analysis was performed. Results: The n-HA group showed the least mean lesion depth, followed by the CPP-ACP group (76.8 ± 10.2 µm and 79.8 ± 9.7 µm respectively), while, the control group showed the largest mean lesion depth (107.8 ± 8.5 µm).

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“…Although the treatment of post-orthodontic WSL differs from their prevention, topical fluoride is thought to be the first step in WSL management. Based on the literature, and compared with the evidence on the WSL forestalling during orthodontic treatment, there is a lack of reliable evidence to support the effectiveness of remineralizing agents for the treatment of postorthodontic white spot lesions [52,[55][56]. Nevertheless, for mild WSL, application of lower concentrations of fluorides can be used in an attempt to arrest their progression with successful and more aesthetic treatment results since hypermineralization maintains the whiteness of the lesions.…”

Section: Fluoride Use After Orthodontic Treatmentmentioning

confidence: 99%

White Spots Lesions in Orthodontic Treatment and Fluoride — Clinical Evidence

Aghoutan¹,

Alami²,

Quars³

et al. 2015

Emerging Trends in Oral Health Sciences and Dentistry

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Evaluation of 3 commercially available materials for resolution of white spot lesions

Cited by 31 publications

References 25 publications

Effect of Three Different Remineralizing Agents on White Spot Lesions; AnIn Vitro Comparative Study

Effect of Three Different Remineralizing Agents on White Spot Lesions; AnIn Vitro Comparative Study

Effect of nano-hydroxyapatite versus caesin-phosphopeptide amorphous calcium phosphate on remineralization of early enamel lesions - In vitro study

White Spots Lesions in Orthodontic Treatment and Fluoride — Clinical Evidence

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