CURRENT APPROACHES IN THE TREATMENT OF WHİTE SPOT LESIONS AFTER ORTHODONTIC TREATMENT

Öz

Initial caries, referred to as white spot lesions (WSLs), derives its name from the characteristic discoloration of the enamel surface caused by the acid attack of cariogenic bacteria present in saliva. These lesions are commonly associated with orthodontic treatment and, if left untreated, may progress to caries, leading to negative impacts on oral health and dental aesthetics. This review aims to identify the most effective prophylaxis strategies for preventing WSLs during and after orthodontic treatment, as well as the most accurate and effective approaches for treating existing lesions, based on the current literature. The comprehensive literature review has revealed that maintaining oral hygiene plays a critical role in the prevention of lesions. Furthermore, the use of fluoride and casein-based products has been identified as effective in supporting remineralization. Among minimally invasive techniques, resin infiltration has emerged as the most widely accepted material in clinical practice.

Anahtar Kelimeler

• White spot lesions (WSL)
• Prevention of WSL
• Treatment of WSL

ORTODONTİK TEDAVİ SONRASI OLUŞAN BEYAZ NOKTA LEZYONLARI TEDAVİSİNDE GÜNCEL YAKLAŞIMLAR

Öz

Başlangıç çürüğü,-beyaz nokta lezyonu (BNL) olarak adlandırılır ve bu isim, mine yüzeyinin tükürükte bulunan karyojenik bakterilerin asit saldırısı nedeniyle aldığı karakteristik renkten kaynaklanır. Genellikle ortodontik tedavi ile ilişkilendirilen bu lezyonlar, tedavi edilmediği takdirde çürüğe dönüşerek ağız sağlığı ve diş estetiği üzerinde olumsuz etkiler yaratabilir. Bu derleme, ortodontik tedavi sırasında*ve sonrasında*beyaz nokta lezyonu oluşumunu önlemek için en etkili profilaksi stratejilerini ve oluşan lezyonlarının en doğru ve etkili şekilde tedavisini güncel literatüre dayanarak belirlemeyi amaçlamaktadır. Yapılan literatür taraması sonucunda, ağız hijyeni sağlanmasının lezyonların önlenmesinde çok önemli olduğu, florür kullanımı ve kazein içerikli ürünlerin remineralizasyonu desteklediği belirtilmiştir. Rezin infiltrasyon yönteminin minimal invaziv yöntemlerde en kabul gören materyal olduğu görülmüştür.

Anahtar Kelimeler

• Beyaz nokta lezyonu (BNL)
• BNL önleme
• BNL tedavisi

Kaynakça

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