Objective White spot lesions(WSLs)have a high incidence in fixed orthodontic patients.This study aims at exploring the differences in supragingival dental fungal microbiome between health and WSLs state during fixed orthodontic treatment and explore the potential role of fungal microbiome in orthodontic WSLs.Methods 54 patients undergoing fixed orthodontic treatment were selected in this study,including 31 in the WSLs group and 23 in the healthy group.ITS sequencing was used to compare the differences in supragingival fungal microbiome between the two groups,and the absolute abundance of Candida albicans was quantitatively analyzed by RT-qPCR.Results There were significant differences in microbial diversity and abundance of dominant genera between WSLs and the control group.The community diversity of fungal microbiome decreased significantly in the WSLs group,and Candida as well as Candida albicans were significantly enriched in the WSLs group.In addition,the absolute abundance of Candida albicans in the WSLs group was significantly higher than that in the control group(P<0.05).Conclusions Our study elucidated that there are significant differences in the supragingival fungal microbiome between adolescent patients with or without WSLs.Candida albicans is more enriched in demineralized lesions,which may be closely related to the occurrence and development of WSLs in fixed orthodontics.