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Year : 2019  |  Volume : 11  |  Issue : 4  |  Page : 172-180

White spot lesions in orthodontic patients: An expert opinion

1 Smile Care, Mumbai, Maharashtra, India
2 Smiles n Faces Orthodontic and Face Clinic, Mumbai, Maharashtra, India
3 Department of Orthodontics and Dentofacial Orthopedics, Sri Balaji Dental College, Hyderabad, Telangana, India
4 Orthodontic Clinic, Pune, Maharashtra, India
5 Gupta Dental Centre, Delhi, India

Correspondence Address:
Dr. Ashok Karad
Smile Care-India, I/C 3-3, 2, Sujata Niwas, S. V. Road, Bandra (W), Mumbai 400050, Maharashtra.
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jioh.jioh_129_19

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Formation of white spot lesions (WSLs) has remained a common occurrence during fixed orthodontic treatments, particularly in patients with poor oral hygiene. Such lesions, if not addressed, may progress to caries, thereby leading to poor aesthetics and patient dissatisfaction. Given the complexities and the alarming rise in the prevalence of WSLs in orthodontic patients, there is a need to develop a set of recommendations based on the Indian scenario to address unmet patient needs in managing WSLs. This paper is an outcome of expert group discussion convened with the primary objective to discuss the knowledge–practice gaps in the field of orthodontics, to understand the prevailing clinical practice patterns in managing WSLs in Indian settings, and to facilitate information exchange among subject matter experts. In brief, patient education and motivation regarding the importance of maintaining good dietary compliance and excellent oral hygiene are the cornerstones for the prevention and management of WSLs. Moreover, identification and management of various risk factors could prove beneficial. Noninvasive treatment of early or active WSLs by means of remineralizing agents could ensure better prognosis and could help prevent WSL progression.

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