Research Progress in Prevention and Treatment of Enamel White Spot Lesions in Fixed Orthodontics
The most common clinical complication of fixed orthodontic treatment is the white spot lesions that can lead to caries and even affect the aesthetics in severe cases,so it is of far-reaching clinical significance to explore safe and effective prevention and treatment measures.The oral hygiene maintenance and fluoride application are preferred among the preventive methods,but also include casein phosphopeptide system,prebiotics,probiotics,xylitol,laser,sealants,among which laser is an emerging auxiliary measure.The treatment methods of WSLs which still remains after 6 months of the end of orthodontic treatment include remineralization,bleaching,microabrasion,resin infiltration and ozone,among which resin infiltration and ozone have a promising outlook.At present,domestic and international recommendations for the synergistic application of multiple prevention and treatment measures to maximize the prevention of demineralization and promote remineralization.Although great breakthroughs and progress have been made,more research is still needed in the future to determine the gold standard for the prevention and treatment of WSLs.This article reviews the prevention and treatment methods of WSLs and related new progress.
fixed orthodonticsenamel white spot lesionsenamel demineralizationenamel remineralizationfluoride
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