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. 2022 Feb;16(1):41-48.
doi: 10.1055/s-0041-1731931. Epub 2021 Aug 27.

Systematic Review on White Spot Lesions Treatments

Francesco Puleio  1 , Luca Fiorillo  1   2   3 , Francesca Gorassini  1 , Alfredo Iandolo  4 , Aida Meto  5 , Cesare D'Amico  1 , Gabriele Cervino  1 , Mirta Pinizzotto  1 , Giancarlo Bruno  1 , Marco Portelli  1 , Alessandra Amato  2 , Roberto Lo Giudice  6
Affiliations

Systematic Review on White Spot Lesions Treatments

Francesco Puleio et al. Eur J Dent. 2022 Feb.

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.

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Conflict of interest statement

None declared.F.P. conceptualized the study. A.I. and C.D.A. developed the methodology of study. A.A. supported in software analysis. M.P. involved in data curation. G.B. and R.L.G. drafted the original manuscript. L.F. and F.G. reviewed and edited the manuscript. L.F., G.C., A.M., and M.P. supervised the study. All authors have read and agreed to the published version of the manuscript.

Figures

Fig. 1
Fig. 1
Preferred Reporting Items for Systematic Reviews and Meta-Analyses flow chart.
Fig. 2
Fig. 2
Dental isolation phase.
Fig. 3
Fig. 3
Result after resin infiltration.
See this image and copyright information in PMC

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