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Original Article

Systematic review of the white spot lesions in orthodontic patients with fixed appliances and possible treatments

2012, Volumen 42, Número 2
Raquel Laparra, Santiago Arias de Luxán, Eliseo Plasencia
Máster de Ortodoncia y Ortopedia Dentofacial. Universidad CEU Cardenal Herrera. Valencia

The purpose of this article is to study the prevalence and location of the white lesions in the orthodontic populations and to collect and compare different intervention of intervention to prevent and/or control these type of lesions. Material and methods. An electronic and manual search, excluding those articles no written in English or Spanish language, in vitro studies, studies in patients without fixed orthodontic appliances, articles that don’t take white lesions into account and studies in patients with some type of deformity. Results. Out of the 182 articles included in initial electronic search, only 34 met the specified requirements. After the manual search was completed, 10 more articles were included, ending with a total of 44 articles included in the study. Discussion. The prevalence of white lesions varies in a range of 24-80%. The factors that can influenciate on the appearance of white lesions are: sex, age, oral hygiene or duration of treatment. Due to the incidence of these type of lesions in patients with fixed appliances, there is a great interest in its prevention and its treatment. The methods of prevention/treatment are based on the use of fluoride, casein phosphopeptide-amorphus calcium phosphate (CPP-ACP), chlorhexidine, sealants and bonding different bonding materials. Conclusions. The white lesions are found more frequently in the anterior maxilla and there is a significant association between them lesions and the duration of treatment. An incidence reduction or prevention of white lesions can be achieved by the application of remineralizing agents, antimicrobials or other products.  (Rev Esp Ortod. 2012;42(2):093-101)

Key words:
Incipient caries. Dental demineralization. Brackets.
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