Τίτλος:
Management of post-orthodontic white spot lesions: an updated systematic
review
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background/objectives: The management of post-orthodontic white spot
lesions is based on remineralization strategies or a minimal-invasive
camouflage of the lesions.
Aim: The aim of this systematic review was to identify and assess the
quality of evidence for the various clinical technologies.
Search methods: Four databases were searched for relevant literature
published in English between 2011 and 31 October 2015 according to a
pre-determined PICO. Only controlled clinical studies were considered.
Abstract lists and the selected full-text papers were independently
examined by two reviewers and any differences were solved in consensus.
The Cochrane handbook and the AMSTAR tool were used for grading the risk
of bias. The quality of evidence was rated according to GRADE.
Results: Out of 280 identified publications, seven studies on
remineralization, micro-abrasion and resin infiltration met the
inclusion criteria. Two of them were assessed with low risk of bias. No
pooling of results was possible due to study heterogeneity. The quality
of evidence for all technologies was graded as very low.
Limitations: Only papers published in English with more than 20
adolescents or young adults were considered. Furthermore, a follow-up
period of at least 8 weeks was required. The publication bias could not
be assessed due to the paucity of included trials.
Conclusions/clinical implications: There is a lack of reliable
scientific evidence to support remineralizing or camouflaging strategies
to manage post-orthodontic white spot lesions. Further well-performed
controlled clinical trials with long-term follow-up are needed to
establish best clinical practice.
Συγγραφείς:
Sonesson, Mikael
Bergstrand, Fredrik
Gizani, Sotiria and
Twetman, Svante
Περιοδικό:
EUROPEAN JOURNAL OF ORTHODONTICS
Εκδότης:
Oxford University Press
