scholarly journals Prevention and treatment of white spot lesions in orthodontic patients

2017 ◽  
Vol 8 (1) ◽  
pp. 11 ◽  
Author(s):  
Marzie Kachuie ◽  
Maryam Khoroushi
Keyword(s):  
White Spot ◽  
White Spot Lesions ◽  
Prevention And Treatment ◽  
Orthodontic Patients

scholarly journals Protocol for the development of a Core Outcome Set for trials on the prevention and treatment of Orthodontically induced enamel White Spot Lesions (COS-OWSL)

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Danchen Qin ◽  
Yunlei Wang ◽  
Colin Levey ◽  
Peter Ngan ◽  
Hong He ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Core Outcome Set ◽  
White Spot ◽  
Core Outcome ◽  
White Spot Lesions ◽  
Outcome Set ◽  
Prevention And Treatment ◽  
Dental Aesthetics ◽  
Orthodontic Patients ◽  
Dental Professionals

Abstract Background Enamel white spot lesions (WSLs), characterized by an opaque, matt, and chalky white appearance of enamel, are a sign of incipient caries. WSLs are common in orthodontic practice and can affect both the oral health and dental aesthetics of patients. Extensive studies have been conducted to evaluate the effectiveness of prevention or treatment for orthodontically induced enamel WSLs. However, substantial heterogeneity has been found in the outcomes used for the prevention and treatment of WSLs in literature, which prevents researchers from comparing and combining the results of different studies to draw more decisive conclusions. Therefore, we aim to develop a Core Outcome Set for trials on the prevention and treatment of Orthodontically induced enamel White Spot Lesions (COS-OWSL). Methods The development of COS-OWSL comprises four phases: (1) a scoping review to identify and summarize all existing outcomes that have been used in trials on the prevention or treatment of orthodontically induced WSLs; (2) qualitative interviews with orthodontic patients without (for prevention) and with WSL-affected teeth (for treatment) and relevant dental professionals to identify additional outcomes relevant to them; (3) Delphi surveys to collect opinions from key stakeholders including patients, dental professionals, and researchers and to reach a preliminary consensus; and (4) a consensus meeting to develop the final COS-OWSL. Discussion The COS-OWSL will be developed to facilitate the synthesis of evidence regarding the prevention and treatment of orthodontically induced WSLs and to promote the consistent use of relevant patient-important outcomes among future studies in this field. Trial registration Core Outcome Measures in Effectiveness Trials (COMET) initiative (the COS-WSL project) 1399

A longitudinal laser fluorescence study of white spot lesions in orthodontic patients

1998 ◽  
Vol 113 (6) ◽  
pp. 595-602 ◽  
Author(s):  
Susan AI-Khateeb ◽  
Carl-Magnus Forsberg ◽  
Elbert de Josselin de Jong ◽  
Birgit Angmar-Månsson
Keyword(s):  
Laser Fluorescence ◽  
White Spot ◽  
White Spot Lesions ◽  
Fluorescence Study ◽  
Orthodontic Patients

scholarly journals Effect of Chlorhexidine Varnish and Fluoride Varnish on White Spot Lesions in Orthodontic Patients- a Systematic Review

2021 ◽  
Vol 15 (1) ◽  
pp. 151-159
Author(s):  
Aravinthrajkumar Govindaraj ◽  
S.P. Saravana Dinesh
Keyword(s):  
Systematic Review ◽  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Significant Risk ◽  
White Spot ◽  
Fluoride Varnish ◽  
Cochrane Library ◽  
White Spot Lesions ◽  
Manual Search ◽  
Orthodontic Patients

Aim: The aim of this study is to critically review the studies that studied the effect of Chlorhexidine varnish and fluoride varnish on White Spot Lesion (WSL) in patients undergoing orthodontic treatment. Materials and Methods: The electronic database PubMed, The Cochrane Library, Medline, Embase, Google Scholar, Web of Knowledge along with a complimentary manual search of all orthodontic journals till the first week of December 2019 was searched. English language study performed on humans, randomized or nonrandomized clinical trials, comparing the effect of fluoride and chlorhexidine varnish on WSL was included in the review. Quality assessment of included studies was performed. Clinical Significance: The need for an adjunct oral hygiene aid to reduce the incidence and prevalence of white spot lesions in orthodontic patients is necessary. The use of these varnishes will aid in the same and thus make the adverse effects of fixed orthodontic treatment negligible. Review of Literature: Enamel demineralization is a significant risk associated with orthodontic treatment when oral hygiene is poor. Prevention of demineralization during orthodontic treatment is one of the greatest challenges faced by clinicians despite modern advances in caries prevention. The development of White Spot Lesions (WSLs) is attributed to prolonged plaque accumulation around the brackets. Results: The search identified a total of 3 studies that were included in this review. One study had Low risk of bias and the remaining 2 studies had moderate overall risk. Results showed that there was a reduction in the incidence of white spot lesions in orthodontic patients after application of chlorhexidine and Fluoride varnish. Conclusion: Low level evidence is available to conclude that the use of chlorhexidine varnishes and fluoride varnishes reduces the prevalence of white spot lesions in patients undergoing fixed orthodontic treatment. Due to its limitations, the results of this systematic review should be handled with caution and further well-planned Randomized Clinical Trial (RCT) are needed to provide a discrete conclusion.

White spot lesions in orthodontic patients: An expert opinion

2019 ◽  
Vol 11 (4) ◽  
pp. 172
Author(s):  
Ashok Karad ◽  
Prashant Dhole ◽  
ShubhakerRao Juvvadi ◽  
Shrirang Joshi ◽  
Ashish Gupta
Keyword(s):  
Expert Opinion ◽  
White Spot ◽  
White Spot Lesions ◽  
Orthodontic Patients
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