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Stomatologija 2023; 25 (2): 39-46 226 KB

White spot lesions risk management prior and during the orthodontic treatment
Ieva Gudeleviciute*, Nerija Spaicyte*, Indre Migoniene*, Arunas Vasiliauskas*

Summary

Objective. To evaluate the efficiency of various interventions performed before and during orthodontic treatment which aim to reduce the incidence of WSL.

Materials and methods. Using PRISMA guidelines in search of clinical trials published between 2017 and 2022, a literature analysis was performed. This search was conducted using following Medical Subject Heading (MeSH) terms in 2 databases: "prevention and control" AND "Orthodontics" AND "Tooth Demineralization". Supplementary, a manual search was conducted in Google Scholar.

Results. The literature search resulted in a total of 3626 study articles, of which 8 publications were used in the present review, according to a selection based on the pre-established eligibility criteria. The review showed that F varnish, 10% Xylitol varnish had positive outcomes in comparison with placebo. 0.44% APF formulated daily oral rinse and nanosilver mouthwash were better than 0.2% NaF weekly rinse and CHX, F mouthwashes respectively. NovaMin toothpaste (TP), MIPP and MIV, examined in different studies, proved no significant difference over regular F TP. MIV compared to ProSeal provided no statistically significant between-group differences as well. Clinpro 5000 provided superior protection against enamel decalcification when compared to Clinpro Tooth Creme and MI Paste.

Conclusion. The white spot lesions have improved, regressed, or eliminated using topical agents including fluoride, xylitol, or casein phosphopeptide-amorphous calcium phosphate during the fixed orthodontic treatment. More research is needed in order to determine the most effective therapeutic approach for the treatment of surface and subsurface demineralization of the enamel.

Key words: CPP-ACP, fluorides, prevention, treatment, white spot lesions.

Received: 08 12 2022

Accepted for publishing: 23 06 2023

*Department of Orthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania

Address correspondence to Ieva Gudeleviciute, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, J. Lukšos-Daumanto g. 6, LT-3009 Kaunas, Lithuania.

E-mail address: ievagudeleviciute@gmail.com



	Baltic Dental and Maxillofacial Journal

2023, Vol. 25, No. 2 CONTENTS SCIENTIFIC ARTICLE Evaluation of the effects of melatonin and vitamin D on wound healing in immunosuppressive rats following tooth extraction Dilber Celik, Hasan Ayberk Altug, Aydin Ozkan, Sibel Elif Gultekin, Metin Sencimen, Omer Orkun Cevizcioglu 31-37 REVIEW White spot lesions risk management prior and during the orthodontic treatment Ieva Gudeleviciute, Nerija Spaicyte, Indre Migoniene, Arunas Vasiliauskas 39-46 Emergence profile management in the esthetic zone Justina Gervyte, Zivile Zidonyte, Rita Trumpaite-Vanagiene, Tomas Linkevicius 47-54 CASE REPORT Twenty eight months marginal bone level follow-up of an immediate post-extractive implant with immediate definitive loading Graziano Montaruli, Alberto Dedola, Khrystyna Zhurakivska, Michele Laurenziello, Michele Tepedino, Renato Celletti, Giuseppe Troiano 55-60 © 2023 Stomatologija		Stomatologija 2023; 25 (2): 39-46 226 KB White spot lesions risk management prior and during the orthodontic treatment Ieva Gudeleviciute, Nerija Spaicyte, Indre Migoniene, Arunas Vasiliauskas Summary Objective. To evaluate the efficiency of various interventions performed before and during orthodontic treatment which aim to reduce the incidence of WSL. Materials and methods. Using PRISMA guidelines in search of clinical trials published between 2017 and 2022, a literature analysis was performed. This search was conducted using following Medical Subject Heading (MeSH) terms in 2 databases: "prevention and control" AND "Orthodontics" AND "Tooth Demineralization". Supplementary, a manual search was conducted in Google Scholar. Results. The literature search resulted in a total of 3626 study articles, of which 8 publications were used in the present review, according to a selection based on the pre-established eligibility criteria. The review showed that F varnish, 10% Xylitol varnish had positive outcomes in comparison with placebo. 0.44% APF formulated daily oral rinse and nanosilver mouthwash were better than 0.2% NaF weekly rinse and CHX, F mouthwashes respectively. NovaMin toothpaste (TP), MIPP and MIV, examined in different studies, proved no significant difference over regular F TP. MIV compared to ProSeal provided no statistically significant between-group differences as well. Clinpro 5000 provided superior protection against enamel decalcification when compared to Clinpro Tooth Creme and MI Paste. Conclusion. The white spot lesions have improved, regressed, or eliminated using topical agents including fluoride, xylitol, or casein phosphopeptide-amorphous calcium phosphate during the fixed orthodontic treatment. More research is needed in order to determine the most effective therapeutic approach for the treatment of surface and subsurface demineralization of the enamel. Key words: CPP-ACP, fluorides, prevention, treatment, white spot lesions. Received: 08 12 2022 Accepted for publishing: 23 06 2023 *Department of Orthodontics, Faculty of Odontology, Lithuanian University of Health Sciences, Kaunas, Lithuania Address correspondence to Ieva Gudeleviciute, Faculty of Odontology, Medical Academy, Lithuanian University of Health Sciences, J. Lukšos-Daumanto g. 6, LT-3009 Kaunas, Lithuania. E-mail address: ievagudeleviciute@gmail.com