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CC BY 4.0 · Eur J Dent 2022; 16(01): 41-48
DOI: 10.1055/s-0041-1731931
Review Article

Systematic Review on White Spot Lesions Treatments

Authors

  • Francesco Puleio

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Luca Fiorillo

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy
    2   Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli,” Naples, Italy
    3   Department of Implantology, Faculty of Dentistry, University of Aldent, Tirana, Albania

  • Francesca Gorassini

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Alfredo Iandolo

    4   Department of Medicine and Surgery, University of Salerno, Salerno, Italy

  • Aida Meto 

    5   Department of Dental Therapy, Faculty of Dental Medicine, University of Medicine, Tirana, Albania

  • Cesare D’Amico 

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Gabriele Cervino

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Mirta Pinizzotto

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Giancarlo Bruno

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Marco Portelli

    1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, Messina University, Messina, Italy

  • Alessandra Amato

    2   Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania “Luigi Vanvitelli,” Naples, Italy

  • Roberto Lo Giudice

    6   Department of Clinical and Experimental Medicine, Messina University, Messina, Italy

Funding None.
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Abstract

The difference in refractive index between the healthy enamel and the demineralized area generates a lesion with a milky white opaque appearance, clearly distinguishable from the surrounding healthy enamel. The aim of this systematic review was to evaluate if the infiltration technique is the most efficient treatment to resolve a white spot lesion when compared with remineralization and microabrasion techniques. The Population/Intervention/Comparison/Outcome question investigated: “in enamel WS lesion, the infiltration treatment compared to remineralization or microabrasion treatments is more or less effective in the camouflage effect?.” The research was performed on electronic databases, including Ovid MEDLINE, PubMed, and web of science. The search was conducted up to April 1, 2020. The scientific search engines produced 324 results. Only 14 were screened after screening. Based on the articles analyzed in this systematic review, the resin infiltration technique seems to be the most effective and predictable treatment for the aesthetic resolution of WSLs.

Keywords

white spot lesion - resin infiltration - enamel demineralization - aesthetics - enamel remineralization - microabrasion


Publikationsverlauf

Artikel online veröffentlicht:
27. August 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/).

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