Therapies for White Spot Lesions-A Systematic Review

J Evid Based Dent Pract. 2017 Mar;17(1):23-38. doi: 10.1016/j.jebdp.2016.10.003. Epub 2016 Nov 1.

Abstract

Introduction: The first sign of dental caries is denoted by white spot lesions (WSLs) which can be defined as a demineralization of the enamel surface and subsurface, although these lesions can be reversed and do not form cavities. The aim of this systematic review was investigate which remineralization agents are effective for the treatment of WSLs.

Materials and methods: For this systematic review a literature search was conducted on Pubmed, Cochrane Library and ScienceDirect.

Results: The initial search resulted in 273 references. After elimination of duplicate articles, 236 references remained. After reading titles and abstracts, all non-relevant results were excluded, resulting in 45 potentially relevant studies. After reading the full text, 13 references were included.

Conclusion: More studies are required for scientific evidence in order to reach a conclusion of the most suitable therapeutic method for the treatment of surface and subsurface demineralization of the enamel.

Keywords: CPP-ACP; ICON; fluorides; prevention; treatment; white spot lesions.

Publication types

  • Systematic Review

MeSH terms

  • Cariostatic Agents
  • Caseins
  • Dental Caries*
  • Dental Enamel
  • Humans
  • Tooth Remineralization*

Substances

  • Cariostatic Agents
  • Caseins