Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Sep 10;25(1):605.
doi: 10.1186/s13063-024-07990-5.

The effectiveness of Bio-Min toothpaste in the management of white spot lesions: a randomised control trial

Affiliations

The effectiveness of Bio-Min toothpaste in the management of white spot lesions: a randomised control trial

Ama Johal et al. Trials. .

Abstract

Background: White spot lesions (WSL) are common side effects of orthodontic treatment with fixed appliances, in which the surface layer of enamel is demineralised. Thus, remineralisation, that is a partial or complete reversal, of these lesions can occur as they affect the surface enamel. Remineralisation with low-dose fluoride, in addition to optimal oral hygiene and diet, has been recommended to manage WSL. The aim of the planned trial is to assess the effectiveness of a fluoride-containing bioactive glass toothpaste (BioMin™) in its ability to remineralise post-orthodontic demineralised WSL.

Methods: A single-centre, double-blind randomised clinical trial to assess intervention with Bio-Min toothpaste on WSL forming on the teeth of young people completing orthodontic treatment.

Discussion: Remineralisation of WSL can vary depending on the individual and the site of the lesion. There is a range of oral fluoride delivery methods which include toothpastes, oral rinses, and gel preparations, which can aid remineralisation of these lesions. Identifying effective methods of remineralisation to manage this common and unsightly complication of fixed appliance therapy can improve the health and aesthetics of dentition.

Trial registration: ISRCTN.com International Standard Randomised Controlled Trials Number (ISRCTN) 14479893 . Registered on 14 May 2020.

Keywords: Bio-Min toothpaste; Fixed appliance treatment; Remineralisation; White spot lesion.

PubMed Disclaimer

Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Study scheme diagram
Fig. 2
Fig. 2
CONSORT flow diagram

Similar articles

References

    1. Holmes A. The prevalence of orthodontic treatment need. Br J Orthod. 1992;19:177–82. 10.1179/bjo.19.3.177 - DOI - PubMed
    1. Richmond S, Shaw WC, Stephens CD, Webb WG, Roberts CT, Andrews M. Orthodontics in the General Dental Services of England and Wales. Br Dent J. 1993;174:315–29. 10.1038/sj.bdj.4808166 - DOI - PubMed
    1. Chapman JA, Roberts WE, Eckert GJ, Kulu KS, Gonzalez-Cabezas C. Risk factors for incidence and severity of white spot lesions during treatment with fixed orthodontic appliances. Am J Orthod Dentofac Orthodont. 2010;138(2):188–94. 10.1016/j.ajodo.2008.10.019.10.1016/j.ajodo.2008.10.019 - DOI - PubMed
    1. Shungin D, Olsson AL, Persson M. Orthodontic treatment-related white spot lesions: a 14-year prospective quantitative follow-up, including bonding material assessment. Am J Orthod Dentofac Orthodont. 2010;138(2):136.e1–8. 10.1016/j.ajodo.2009.05.020. discussion 136–7.10.1016/j.ajodo.2009.05.020 - DOI - PubMed
    1. Richter AE, Arruda AO, Peters MC, Sohn W. Incidence of caries lesions among patients treated with comprehensive orthodontics. Am J Orthod Dentofac Orthodont. 2011;139(5):657–64. 10.1016/j.ajodo.2009.06.037.10.1016/j.ajodo.2009.06.037 - DOI - PubMed

Publication types

LinkOut - more resources