White Spot Lesion, the Silent Factor Killing Your Smile: An Overview

Abstract

Aim: The aim of this paper was to present an overview of white spot lesions adjacent to fixed orthodontic appliances, which destroys the enamel beauty and how to prevent and manage of this problem. Materials and Methods: This study was to search in six electronic databases where some keyword combinations were utilized to systematically search for those literatures until January 2016. Results: In view of the inclusion and exclusion criteria, of these, we identified 29 articles including original articles as well as literature reviews. Discussion: white spot lesion is very common problem associated with orthodontic treatment, various preventive and treatment options are available to prevent this problem. Conclusion: Management of white spot lesions starts with a good oral hygiene instruction and should be connected with utilization of fluoride agents, fluoride containing mouth rinse, fluoride toothpaste, Fluoride varnish, bonding materials, CPP-ACP (Casein Phosphopeptide - Amorphous Calcium Phosphate), tooth whitening and microabrasion.