Seminars in Orthodontics
Volume 14, Issue 3 , Pages 209-219 , September 2008

White Spot Lesions After Orthodontic Treatment

  • Derrick Willmot

      Affiliations

    • Corresponding Author InformationAddress correspondence to Derrick Willmot, PhD, BDS, FDS, MOrth, University of Sheffield, Charles Clifford Dental Hospital, Wellesley Road, Sheffield, UK S10 2SZ. Phone: +44 114 2717809

References 

  1. O'Reilly MM, Featherstone JDB. Decalcification and remineralization around orthodontic appliances: an in vivo study. J Dent Res. 1985;64:301
  2. Zachrisson BU. A post treatment evaluation of direct bonding in orthodontics. Am J Orthod Dentofacial Orthop. 1977;71:173–189
  3. Gorelick L, Geiger A, Gwinnet AJ. Incidence of white spot formation after bonding and banding. Am J Orthod Dentofacial Orthop. 1982;81:93–98
  4. Mizrahi E. Enamel demineralization following orthodontic treatment. Am J Orthod Dentofacial Orthop. 1982;82:62–67
  5. Mitchell L. An investigation into the effect of a fluoride-releasing adhesive on the prevalence of enamel surface changes associated with directly bonded orthodontic attachments. Br J Orthod. 1992;19:207–214
  6. Marcusson A, Norevall LI, Persson M. White spot reduction when using glass ionomer cement for bonding in orthodontics; a longitudinal and comparative study. Eur J Orthod. 1997;19:233–242
  7. Banks PA, Chadwick SM, Asher-McDade C, et al. Fluoride releasing elastomerics—a prospective controlled clinical trial. Br J Orthod. 2000;22:401–407
  8. Shannon IL. Prevention of decalcification in orthodontic patients. J Clin Orthod. 1981;694–705
  9. Benson P, Shah AA, Millett DT, et al. Fluorides, orthodontics and demineralization: a systematic review. J Orthod. 2005;32:102–114
  10. Artun J, Brobakken BO. Prevalence of carious white spots after orthodontic treatment with multibanded appliances. Eur J Orthod. 1986;8:229–234
  11. Downer MC, Blinkhorn AS, Holt RD, et al. Dental caries experience and defects of dental enamel among 12 year old children in North London, Edinburgh. Glasgow and Dublin Community Dent Oral Epidemiol. 1994;22(5):283–285
  12. von der Fehr F. The effect of fluorides on the caries resistance of enamel. Acta Odont Scand. 1961;19:431–442
  13. Zachrisson BU, Zachrisson S. Caries incidence and oral hygiene during orthodontic treatment. Scan J Dent Res. 1971;79:394–401
  14. Stratemann MW, Shannon IL. Control of decalcification in orthodontic patients by daily self administered application of a water free 0.4% stannous fluoride gel. Am J Orthod Dentofacial Orthop. 1974;66:273–279
  15. Mizrahi E. Surface distribution of enamel opacities following orthodontic treatment. Am J Orthod Dentofacial Orthop. 1983;84:323–331
  16. Wisth PJ, Nord A. Caries experience in orthodontically treated individuals. Angle Orthod. 1977;47:59–64
  17. Willmot DR, Brook AH. The incidence of post-orthodontic demineralized enamel lesions in an orthodontic clinic. J Dent Res. 1999;78:1049
  18. Samawi S. Localisation and surface area measurement of post-orthodontic white lesions by computerized image analysis. University of Sheffield; 2005;Masters dissertation
  19. Leach SA. Factors relating to demineralization and remineralization of the teeth, in Antalya, Turkey. In:  Leach SA editors. Proceedings of a Workshop. Oxford: Pub IRL Press; 1985;
  20. Backer-Dirks O. Post eruptive changes in dental enamel. J Dent Res. 1966;45:503–522
  21. Mellberg JR, Chomicki WG, Mallon DE, et al. Remineralization in vivo of artificial caries lesions by a monofluorophosphate dentifrice. Caries Res. 1985;19:126–135
  22. Benson PE, Shah AA, Willmot DR. Measurement if white lesions surrounding orthodontic brackets: captured slides vs. digital camera images. Angle Orthod. 2005;75:222–226
  23. Willmot DR. White lesions after orthodontic treatment: does low fluoride make a difference?. J Orthod. 2004;31:233–240
  24. Van der Veen MH, Mattousch T, Boersma JG. Longitudinal development of caries lesions after orthodontic treatment evaluated by quantitative light induced fluorescence. Am J Orthod Dentofacial Orthop. 2007;131:223–228
  25. Ogaard B, Rolla G, Arends J, et al. Orthodontic appliances and enamel demineralization (Part 2: prevention and treatment of lesions). Am J Orthod Dentofacial Orthop. 1988;93:123–128
  26. Silverstone LM. Remineralization and enamel caries: significance of fluoride and effect on crystal diameters. In:  Leach I,  Edgar WM editor. Demineralization and Remineralization of the Teeth. Oxford: IRL Press; 1983;p. 185–205
  27. O'Reilly MM, Featherstone JDB. Demineralization and remineralization around orthodontic appliances: an in-vivo study. Am J Orthod Dentofacial Orthop. 1987;92:33–40
  28. Lee Linton J. Quantitative measurements of remineralization of incipient caries. Am J Orthod Dentofacial Orthop. 1996;104:590–597
  29. Lagerweij MD, Damen JJM, Stookey GK. Remineralization of small lesions by fluoride. J Dent Res. 1997;76(Spec Issue:16
  30. Hicks MJ, Silverstone LM, Flaitz CM. A scanning electron microscopic and polarized light study of acid etching of caries like lesions in human enamel treated with sodium fluoride in-vitro. Arch Oral Biol. 1984;29:765–772
  31. Al-Khateeb S, Forsberg CM, De Josselin de Jong E, et al. A longitudinal laser fluorescence study of white spot lesions in orthodontic patients. Am J Orthod Dentofacial Orthop. 1998;113:595–602
  32. Benson PE, Pender N, Higham SM. Quantifying enamel demineralization from teeth with orthodontic brackets—a comparison of two methods (Part 1: repeatability and agreement). Eur J Orthod. 2003;25:149–158
  33. Benson PE, Pender N, Higham SM. Quantifying enamel demineralization from teeth with orthodontic brackets—a comparison of two methods (Part 2: validity). Eur J Orthod. 2003;25:159–165
  34. Aljehani A, Yousif MA, Angmar-Mansson B, et al. Longitudinal quantification of incipient caries lesions in post orthodontic patients using a fluorescence method. Eur J Oral Sci. 2006;114:430–434
  35. Reynolds EC. The prevention of sub-surface demineralization of bovine enamel and change in plaque composition by casein in an intra-oral model. J Dent Res. 1987;66:1120–1127
  36. Reynolds EC. Remineralization of enamel subsurface lesions by casein phosphopeptide-stabilized calcium phosphate solutions. J Dent Res. 1997;76:1587–1595
  37. Reynolds EC, Cai F, Shen P, et al. Retention and remineralization of enamel lesions by various forms of calcium in a mouthrinse or sugar free chewing gum. J Dent Res. 2003;82:206–211
  38. Sudjalim TR, Woods MG, Manton DJ. Prevention of white spot lesions in orthodontic practice; a contemporary review. Aust Dent J. 2006;51:284–289
  39. Leach SA, Lee GTR, Edgar WM. Remineralization of artificial caries like lesions in human enamel in-situ by chewing sorbitol gum. J Dent Res. 1989;68:1064–1068
  40. Manning RH, Edgar WMH. Salivary stimulation by chewing gum and its role in the remineralization of caries like lesions in human enamel in situ. J Clin Dent. 1992;3:71–74
  41. Manning RH, Edgar WM, Amalamanyi E. Effects of chewing gums sweetened with sorbitol or a sorbitol/xylitol mixture on the remineralization of human enamel lesions in situ. Caries Res. 1992;26:104–109
  42. Arends J, Christofferson J, Schuthof J, et al. Influence of xylitol on demineralization of enamel. Caries Res. 1984;18:296–301
  43. Lijima Y, Cai F, Shen P, et al. Acid resistance of enamel subsurface lesions remineralized by sugar free chewing gum containing phosphopeptide-amorphous calcium phosphate-amorphous calcium phosphate. Caries Res. 2004;38:551–556
  44. Shen P, Cai F, Nowicki A, et al. Remineralization of enamel subsurface lesions by sugar free chewing gum containing casein phosphopeptide-amorphous calcium phosphate. J Dent Res. 2001;80:2066–2070
  45. Pourghadiri M, Longhurst P, Watson TF. A new technique for the controlled removal of mottled enamel: measurement of enamel loss. Br Dent J. 1998;184:239–241
  46. Welbury RR, Shaw L. A simple technique for removal of mottling, opacities and pigmentation from enamel. Dent Update. 1990;17:161–163
  47. Rodd HD, Davidson LE. The aesthetic management of severe dental fluorosis in the young patient. Dent Update. 1997;24:408–411
  48. Welbury RR, Carter NE. The hydrochloric acid-pumice microabrasion technique in the treatment of post-orthodontic decalcification. Br J Orthod. 1993;20:181–185
  49. Croll TP, Bullock GA. Enamel microabrasion for removal of smooth surface decalcification lesions. J Clin Orthod. 1994;28:365–370
  50. Murphy TC, Willmot DR, Rodd HD. Management of post-orthodontic demineralized white lesions with microabrasion: a quantitative assessment. Am J Orthod Dentofacial Orthop. 2007;131:27–33

PII: S1073-8746(08)00023-6

doi: 10.1053/j.sodo.2008.03.006

Seminars in Orthodontics
Volume 14, Issue 3 , Pages 209-219 , September 2008