Management of post-orthodontic white spot lesions : an updated systematic review

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Management of post-orthodontic white spot lesions : an updated systematic review

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dc.contributor.author Sonesson, Mikael sv
dc.contributor.author Bergstrand, Fredrik sv
dc.contributor.author Gizani, Sotiria sv
dc.contributor.author Twetman, Svante en_US
dc.date.accessioned 2016-12-19T14:19:54Z
dc.date.issued 2017 en_US
dc.identifier.issn 0141-5387 en_US
dc.identifier.uri http://hdl.handle.net/2043/21808
dc.description.abstract Background/objectives: The management of post-orthodontic white spot lesions is based on remineralization strategies or a minimal-invasive camouflage of the lesions. Aim: The aim of this systematic review was to identify and assess the quality of evidence for the various clinical technologies. Search methods: Four databases were searched for relevant literature published in English between 2011 and October 31 2015 according to a pre-determined PICO. Only controlled clinical studies were considered. Abstract lists and the selected full-text papers were independently examined by two reviewers and any differences were solved in consensus. The Cochrane handbook and the AMSTAR tool were used for grading the risk of bias. The quality of evidence was rated according to GRADE. Results: Out of 280 identified publications, 7 studies on remineralization, micro-abrasion and resin infiltration met the inclusion criteria. Two of them were assessed with low risk of bias. No pooling of results was possible due to study heterogeneity. The quality of evidence for all technologies was graded as very low. Limitations: Only papers published in English with more than 20 adolescents or young adults were considered. Furthermore, a follow-up period of at least 8 weeks was required. The publication bias could not be assessed due to the paucity of included trials. Conclusions/clinical implications: There is a lack of reliable scientific evidence to support re-mineralizing or camouflaging strategies to manage post-orthodontic white spot lesions. Further well-performed controlled clinical trials with long-term follow-up are needed to establish best clinical practice. en_US
dc.format.extent 6
dc.language.iso eng en_US
dc.publisher Oxford University Press
dc.subject management en_US
dc.subject Orthodontics en_US
dc.subject post-orthodontics en_US
dc.subject white spot lesions en_US
dc.subject.classification Medicine en_US
dc.title Management of post-orthodontic white spot lesions : an updated systematic review en_US
dc.type Article, review peer-reviewed scientific en_US
dc.contributor.department Malmö University. Faculty of Odontology
dc.identifier.doi 10.1093/ejo/cjw023 en_US
dc.subject.srsc Research Subject Categories::ODONTOLOGY en_US
dc.relation.ispartofpublication European Journal of Orthodontics;2
dc.relation.ispartofpublicationvolume 39
dc.description.embargo 2017-03-30
dc.description.authorversion Yes en_US
dc.format.ePage 121
dc.format.sPage 116
mahlocal.rights.oaType bronze
mahlocal.rights.oaType green
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