Potential Remineralization of Postorthodontic Demineralized Enamel and the Use of Enamel Microabrasion and Bleaching for Esthetics

Prevention of enamel demineralization during orthodontic treatment is of utmost importance. Should enamel demineralization occur (white spot lesions), early diagnosis and intervention is appropriate. Improved brushing with fluoridated dentifrice and over-the-counter fluoride rinses would be the first recommended intervention. If more aggressive intervention is considered to be necessary due to the extent of demineralized enamel or expected noncompliance with oral hygiene by the patient, professionally applied and/or prescribed fluorides are recommended. Likewise, casein phosphopeptide-amorphous calcium phosphate systems have demonstrated remineralization effects.