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Post-orthodontic initial caries, seen as White Spot Lesions, in the aesthetic zone

  • E5
  • Prof. Gianna Maria Nardi, DH
  • Italy
  • Product: Curodont Repair
Before
  • Figure 1: Initial carious lesions (seen as a white spot lesion) on the cervical thirds of 11,21,12,22.​
After
  • Figure 2: The 3-month post-treatment follow-up revealed significant reduction is the lesion sizes and appearance, indicating lesion regression​

Patient Presentation and examination: 

  • Personal information and dental history: Young male patient, with a history of recently concluded fixed orthodontic treatment
  • Intraoral examination: White discolorations observed in the cervical thirds of the labial surfaces of multiple maxillary anterior teeth, including 12, 11, 21, and 22 along the gingival margin. These were visible both when the teeth were wet and dry. (Figure 1)

Diagnosis: 

  • 12, 11, 21, 22: Initial carious lesions (ICDAS Score 2) on the labial surfaces

Treatment: 

  • The lesions were treated with one application of Curodont Repair in the same appointment.
  • Curodont Protect was prescribed to be used twice a week at home at bedtime.

Follow-up: At the 3-month post-treatment follow-up, significant reduction in lesion sizes and appearance was observed, indicative of caries regression. (Figure 2)

Take-away: Fixed orthodontic treatment is often accompanied by development of initial caries around the bonded brackets.* These can be treated non-invasively with Curodont Repair in office, immediately after diagnosis, even around the bonded brackets.

*Richter AE et al. Am J Orthod Dentofacial Orthop. 2011;139:657-64​

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