Preventive dentistry in orthodontic patients - how to prevent and treat white spot lesions? a review

Abstract

Malocclusion problems are considered as the third bigger public health problem by the World Health Organization and the search for correction of morphological deviations from normal occlusion has caused the increasing on demand for orthodontic treatment. However, a major problem related to the use of orthodontic appliances has been the development of white spot lesions. It is considered as the precursor of the cavitated caries lesion and must be correctly diagnosed and prevented. Thus, the aim of this study is to conduct a narrative review of the literature about the etiology, treatment and prevention of white spot lesions in orthodontic patients. It is a descriptive and exploratory study, conducted through a survey in electronic databases in the public domain. It was concluded that the cooperation of the patient and the use of mouthwash with sodium fluoride 0.05% solution becomes a combination therapy of success, allowing the final outcome be satisfactory in terms of functional, aesthetic and promotion oral health.