Browsing by Author "Lamorgese, Michela"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
- A review of different techniques for masking white spot lesions in pediatric patientsPublication . Lamorgese, Michela; Fidalgo-Pereira, Rita; Gomes, A. P. C.; Veiga, Nélio; Lopes, Sara; Correia, Maria; Lopes, Pedro
- White spot lesion treatment options : a review of different techniques for masking these lesionsPublication . Lamorgese, Michela; Lopes, Pedro André Ferreira Campos; Pereira, Rita Cristina Pais FidalgoIntroduction White spot lesions are early clinical stages of enamel demineralization, often related to orthodontic treatment or poor oral hygiene. The use of gels such as fluoride for topical application inhibits demineralization and promotes remineralization of dental tissues through various mechanisms. A variety of therapeutic approaches are available; however, recent research indicates that combined treatment strategies may yield superior clinical outcomes compared to monotherapy. Aim of the study The main aim of the present study is to critically compare the available literature on the efficacy of combining multiple treatment techniques for WSLs compared to using these techniques alone. Materials and Methods A systematic review was conducted according to PRISMA guidelines using PubMed, Scopus, and Cochrane databases. One limitation of this review is the exclusion of the Web of Science database, though its inclusion in future reviews could enhance search completeness. Another limitation is the inclusion of only English and Portuguese studies, which may have introduced language bias and excluded relevant research in other languages. The PICO strategy was used to formulate research question: Which clinical approaches combined or isolated (C) influence the treatment and prevention effectiveness (O) of white spot lesions (I) in humans (P) in the last ten years (T)? Inclusion criteria focused on clinical studies from the last ten years evaluating the combined use of at least two treatment techniques for white spot lesions. A total of 8 randomized controlled trials (RCTs) were selected from an initial pool of 1,185 articles, after removing duplicates and applying strict inclusion criteria. Results Findings suggest that combined treatment strategies, including resin infiltration with fluoride varnish and ozone therapy combined with fluoride application, demonstrated enhanced efficacy in lesion masking and remineralization compared to single-treatment approaches. CPP-ACP and hydroxyapatite-based creams improved aesthetic, particularly when used alongside fluoride varnish. The combination of remineralization agents like fluoride gel, infiltrative resins, and antimicrobial treatments offers superior outcomes on white spot lesion treatment. Conclusions Long-term clinical studies are needed to standardize treatment protocols and confirm durability. Clinical Relevance: White spot lesions can affect patients’ esthetics, moreover it is crucial to paralyze these early-stage lesions. Combined treatment approaches enable clinical and aesthetic outcomes for patients with white spot lesions.
- White spot lesion treatment options: a systematic review of different techniques for masking these lesionsPublication . Lamorgese, Michela; Veiga, Nélio; Correia, Maria J.; Gomes, Ana T. P. C.; Lopes, Sara; Lopes-Rocha, Lígia; Fidalgo-Pereira, Rita; Lopes, Pedro C.White spot lesions (WSLs) are early clinical stages of enamel demineralization, often related to orthodontic treatment or poor oral hygiene. The use of gels such as fluoride for topical application inhibits demineralization and promotes remineralization of dental tissues through various mechanisms. A variety of therapeutic approaches are available; however, recent research indicates that combined treatment strategies may yield superior clinical outcomes compared to monotherapy. The aim of this study was to critically compare the efficacy of combining multiple treatment techniques for WSLs compared to using these techniques alone. A systematic search was conducted in PubMed, Scopus, and Cochrane databases according to PRISMA guidelines. The PICO strategy was used to formulate the research question: Which clinical approaches combined or isolated (C) influence the treatment and prevention effectiveness (O) of white spot lesions (I) in humans (P) in the last ten years (T)? Inclusion criteria focused on clinical studies from the last ten years evaluating the combined use of at least two treatment techniques for WSL, resulting in a total of 8 randomized controlled trials selected from an initial pool of 1185 articles. Our results suggest that combined treatment strategies, including resin infiltration with fluoride varnish and ozone therapy combined with fluoride application, demonstrated enhanced efficacy in lesion masking and remineralization compared to single-treatment approaches. CPP-ACP and hydroxyapatite-based creams improved aesthetics, particularly when used alongside fluoride varnish. Our study concluded that the combination of remineralization agents like fluoride gel, infiltrative resins, and antimicrobial treatments offers superior outcomes on white spot lesion treatment than using these techniques alone. However, long-term clinical studies are needed to standardize treatment protocols and confirm durability.