Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review
Background: Orthodontic treatment with fixed appliances is frequently associated with difficulties in maintaining good oral hygiene and creation of plaque-retentive areas on tooth surfaces that are typically more prone to the development of caries; such drawbacks may result in white spot lesion (WS...
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| Format: | Article |
| Language: | English |
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College of Dentistry/ University of Baghdad
2025-06-01
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| Series: | Journal of Baghdad College of Dentistry |
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| Online Access: | https://www.jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3970 |
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| author | Dana R Mohammed Ali I Ibrahim Sanjukta Deb |
| author_facet | Dana R Mohammed Ali I Ibrahim Sanjukta Deb |
| author_sort | Dana R Mohammed |
| collection | DOAJ |
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Background: Orthodontic treatment with fixed appliances is frequently associated with difficulties in maintaining good oral hygiene and creation of plaque-retentive areas on tooth surfaces that are typically more prone to the development of caries; such drawbacks may result in white spot lesion (WSL) development that affects the esthetic outcome following bracket debonding. This review article focuses on orthodontic WSLs development, prevention, and remineralization potential via incorporating various remineralizing / antibacterial additives into orthodontic adhesives. Results: Unbalanced enamel demineralization and remineralization processes, along with rapid alterations in the dental plaque bacterial ecology, particularly acidogenic bacteria, are the causes of the start and progression of a carious lesion. Without significantly compromising an adhesive mechanical performance, several antibacterial and remineralizing substances have been added to orthodontic adhesives in an effort to reduce bacterial colonization and promote remineralization. Conclusions: Antibacterial and/or remineralizing substances were utilized as additives in the creation of innovative orthodontic adhesive systems to address white spot lesions (WSLs) and improve the ability of enamel remineralization. Compared to adding only one agent, including multiple agents in an orthodontic adhesive system may have a greater impact on lowering enamel demineralization and improving enamel remineralization during orthodontic therapy.
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| format | Article |
| id | doaj-art-fdb467eeaf2b445ebf9f5830dc342b29 |
| institution | Kabale University |
| issn | 1817-1869 2311-5270 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | College of Dentistry/ University of Baghdad |
| record_format | Article |
| series | Journal of Baghdad College of Dentistry |
| spelling | doaj-art-fdb467eeaf2b445ebf9f5830dc342b292025-08-20T03:46:49ZengCollege of Dentistry/ University of BaghdadJournal of Baghdad College of Dentistry1817-18692311-52702025-06-0137210.26477/jbcd.v37i2.3970Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A reviewDana R Mohammed0https://orcid.org/0000-0001-8299-048XAli I Ibrahim1https://orcid.org/0000-0002-8476-3034Sanjukta Deb2https://orcid.org/0000-0001-5000-4390College of Dentistry, University of Baghdad, Baghdad, Iraq; Department of P.O.P., College of Dentistry, University of Basrah, Basrah, IraqCollege of Dentistry, University of Baghdad, Baghdad, Iraq; Centre for Oral Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, London, UKCentre for Oral Clinical and Translational Sciences, Faculty of Dentistry, Oral and Craniofacial Sciences, King’s College London, London, UK Background: Orthodontic treatment with fixed appliances is frequently associated with difficulties in maintaining good oral hygiene and creation of plaque-retentive areas on tooth surfaces that are typically more prone to the development of caries; such drawbacks may result in white spot lesion (WSL) development that affects the esthetic outcome following bracket debonding. This review article focuses on orthodontic WSLs development, prevention, and remineralization potential via incorporating various remineralizing / antibacterial additives into orthodontic adhesives. Results: Unbalanced enamel demineralization and remineralization processes, along with rapid alterations in the dental plaque bacterial ecology, particularly acidogenic bacteria, are the causes of the start and progression of a carious lesion. Without significantly compromising an adhesive mechanical performance, several antibacterial and remineralizing substances have been added to orthodontic adhesives in an effort to reduce bacterial colonization and promote remineralization. Conclusions: Antibacterial and/or remineralizing substances were utilized as additives in the creation of innovative orthodontic adhesive systems to address white spot lesions (WSLs) and improve the ability of enamel remineralization. Compared to adding only one agent, including multiple agents in an orthodontic adhesive system may have a greater impact on lowering enamel demineralization and improving enamel remineralization during orthodontic therapy. https://www.jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3970white spot lesionenamel remineralizationorthodontic adhesivebracket bondingantibacterial agents |
| spellingShingle | Dana R Mohammed Ali I Ibrahim Sanjukta Deb Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review Journal of Baghdad College of Dentistry white spot lesion enamel remineralization orthodontic adhesive bracket bonding antibacterial agents |
| title | Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review |
| title_full | Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review |
| title_fullStr | Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review |
| title_full_unstemmed | Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review |
| title_short | Combating white spot lesions via incorporation of remineralizing/ antibacterial additives into orthodontic adhesives: A review |
| title_sort | combating white spot lesions via incorporation of remineralizing antibacterial additives into orthodontic adhesives a review |
| topic | white spot lesion enamel remineralization orthodontic adhesive bracket bonding antibacterial agents |
| url | https://www.jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3970 |
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