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The constitution of enamel demineralization or white spot lesion (WSL) at the side of fixed orthodontic appliance is a usual complexity seen at the period of fixed orthodontic treatment and after completion of this treatment, which scupper the accomplishment of a successfully completed case. Restraining programmes for managing this orthodontic side effect must be accentuated for all orthodontic patients. The concern of an orthodontist is to abate the risk of decalcification as a sequence of orthodontic treatment by instructing and motivating the patients for good oral hygiene care. Recognition of WSL before the orthodontic treatment might allow performing preventive measures to counteract the process of progression of lesion. Modern strategies of managing WSL during and after the orthodontic treatment are reviewed coevally in this article. This review represents the prevention and management of white spot lesion by topical fluoride releasing materials (bonding agent resin modified glass ionomer cements [RMGICs], toothpaste, gel, mouthwash, varnishes), pro-biotic, polyols, antiseptic, sealants, casein supplements, laser, tooth bleaching agent, micro-abrasion and resin infiltration which are effectual. Nevertheless the implementation of RMGICs, casein phosphopeptide amorphous calcium phosphate, micro-abrasion, resin infiltration can be more adjuvant than only the fluoride rinses in the abatement of white spot lesion or demineralization spots.

Managing White Spot Lesion During and After The Orthodontic Treatment