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J Orthod Sci. 2013 Apr;2(2):43-9. doi: 10.4103/2278-0203.115081.

Risk factors and management of white spot lesions in orthodontics.

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Department of Orthodontics, BBDCODS, Lucknow, Uttar Pradesh, India.


The formation of white spot lesions or enamel demineralization around fixed orthodontic attachments is a common complication during and following fixed orthodontic treatment, which mars the result of a successfully completed case. This article is a contemporary review of the risk factors, preventive methods and fate of these orthodontics scars. The importance of excellent oral hygiene practice during fixed orthodontic treatment must be explained. Preventive programs must be emphasized to all orthodontic patients. Suggestions are offered in the literature for ways to prevent this condition from manifesting itself.


Fixed orthodontic treatment; oral hygiene; preventive measures; white spot lesions

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