Intervention of White Spot Lesions. A Contemporary Review of 20 years


  • Kun Mun Phang Department of Restorative Dentistry, University of Malaya
  • Prema Sukumaran Department of Restorative Dentistry, University of Malaya
  • Noor Azlin Yahya Department of Restorative Dentistry, University of Malaya
  • Mohideen Salihu Farook Department of Restorative Dentistry, University of Malaya



WSLs, Demineralisation, Remineralisation, Microinvasive treatment


White spot lesion is incipient caries and it manifests as white opacity lesion on the demineralised enamel surface. White spot lesions are a common adverse effect among post orthodontic patients. The prevalence of white spot lesions in post orthodontic patients varies from 2% to 97%. Therefore, it is imperative for dental practitioners to be able to manage white spot lesions. Thus, this article is a contemporary review on the management of white spot lesions. After reviewing this article, it comes to a consensus that non- invasive treatments should be the first line management of white spot lesions. Non-invasive treatments such as patient education, motivation, oral hygiene reinforcement, and attempts to remineralise with various forms of fluoride preparation should be prioritised in the treatment plan. If the white spot lesions fail to respond more invasive treatment options might be considered.


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