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Indian Journal of Health Sciences and Care
Year : 2016, Volume : 3, Issue : 2
First page : ( 85) Last page : ( 95)
Print ISSN : 2394-2363. Online ISSN : 2394-2800.
Article DOI : 10.5958/2394-2800.2016.00016.X

White Spot Lesions: Fixed Orthodontic Treatment Scars - A Review

Dabas Ashish1,*, Dabas Nupur2, Sidhu Maninder Singh3, Prabhakar Mona4, Grover Seema4, Kumar Sandeep5

1Reader, Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, SGT University, Budhera, Gurgaon

2Reader, Department of Prosthodontics, Faculty of Dental Sciences, SGT University, Budhera, Gurgaon

3Professor & Head, Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, SGT University, Budhera, Gurgaon

4Professor, Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, SGT University, Budhera, Gurgaon

5Senior Lecturer, Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Sciences, SGT University, Budhera, Gurgaon

*Corresponding author email id: dabasashish@yahoo.co.in

Online published on 3 December, 2016.

Abstract

White spot lesions (WSLs) are one of the common iatrogenic effects seen in patients undergoing orthodontic treatment with fixed appliances. Fixed orthodontic appliances act as food traps leading to prolonged plaque accumulation. The acidic by products of the bacteria in plaque are responsible for the subsequent enamel demineralization and formation of white spot lesions. These orthodontic scars lead to poor esthetics, patient dissatisfaction and legal complications. This concern raises the need for assessing the saliva, oral hygiene status and caries rate before beginning of treatment and initiating preventive measures. Orthodontists must take up the active responsibility to educate patients about the importance of maintaining good dietary compliance and excellent oral hygiene regime. A review of literature suggests that topical fluoride agents such as fluoridated toothpaste, fluoride-containing mouth rinse, gel and varnish prevent or minimize the formation of WSLs during orthodontic treatment.

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Keywords

White spot lesions (WSLs), Plaque, Demineralization, Prevention.

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