Systematic Review on White Spot Lesions Treatments

Author:

Puleio Francesco1,Fiorillo Luca123,Gorassini Francesca1,Iandolo Alfredo4,Meto Aida5,D’Amico Cesare1,Cervino Gabriele1,Pinizzotto Mirta1,Bruno Giancarlo1,Portelli Marco1,Amato Alessandra2,Lo Giudice Roberto6

Affiliation:

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

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

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

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

Abstract

AbstractThe 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 is 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.

Publisher

Georg Thieme Verlag KG

Subject

General Dentistry

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