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Initial carious lesion appearing as a white spot lesion

  • E18
  • Sedlakova Kondelova P et al
  • Switzerland
  • Product: Curodont Repair
Before
  • Figure 1: Initial caries, appearing as a white spot lesion, on 13.
After
  • Figure 2: Gradual reduction in size and appearance over the months following treatment with Curodont Repair.​

This case is a part of a randomized controlled quadruple blinded clinical trial to evaluate the remineralization potential of Curodont Repair on initial carious lesions on buccal surfaces. (Sedlakova Kondelova P et al. Sci Rep 2020;10:20211)

Patient Presentation and examination: 

  • Intraoral examination: A chalky white discoloration was observed along the gingival margin on 13, both when the tooth was wet and dry. (Day 0)

Diagnosis: 

  • 13: Initial carious lesion (ICDAS Score 2), seen as a white spot lesion

Treatment: 

  • The lesion was treated with one application of Curodont Repair.
  • At the 3-month-follow up, fluoride varnish was applied on the lesion surface.

Follow-up: 

  • The lesion showed gradual reduction in size and appearance on the follow up appointments on Day 90, 180, and 270 after treatment.

Take-away: Initial caries on facial surfaces of anterior teeth present an additional challenge of being an aesthetic challenge. Treatment of these white spot lesions non-invasively with Curodont Repair can help reduce the size of these lesions and improve appearance.

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