What’s new for the clinician – summaries of recently published papers (July 2025)
DOI:
https://doi.org/10.17159/sadj.v80i06.23988Keywords:
remineralization, hypersensitivity, replenishAbstract
White spot lesions (WSLs) around orthodontic brackets are
areas of enamel demineralization caused by acid produced
by bacteria in dental plaque, especially when oral hygiene is
poor during fixed orthodontic treatment. These lesions can
appear as early as 4 weeks after bracket placement and
commonly form on the buccal surfaces near the gingival
margin, particularly around the lateral incisors and canines.
Males tend to be affected more than females.
Orthodontists have long attempted, with limited success,
to decrease demineralization. The preventive effects of
dentifrices and/or home use of fluoride solutions, for example,
have been established. However, patient compliance with
the traditional preventive measures is problematic. It has
been shown that 52.5% of the patients did not utilize fluoride
solutions at home1
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1. Elshenawy EA, Alawy SB, Alghonemy WY, El Dosoky AI. Preventing white spot lesions around orthodontic brackets: efficacy of pre-reacted glass-ionomer barrier coat versus
silver diamine fluoride: an in vitro study. BDJ open. 2025 May 5;11(1):45.
2. Saeed S, Choudhury P, Ahmad SA, Alam T, Panigrahi R, Aziz S, Kaleem SM, Priyadarshini SR, Sahoo PK, Hasan S. Vitamin D in the Treatment of Oral Lichen Planus: A Systematic Review. Biomedicines. 2022 Nov 17;10(11):2964. DOI: https://doi.org/10.3390/biomedicines10112964
3. Shalaby R, Nabil G, Ibrahim S, Kotb AA, Amer H, Afifi S. The role of vitamin D deficiency in the development and severity of oral lichen planus: a case-control study. Clinical Oral Investigations. 2025 Jun;29(6):1-2. DOI: https://doi.org/10.1007/s00784-025-06398-y
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