Clear Aligners - White Spot Lesions & Periodontium: A Scoping Review

Clear Aligners - White Spot Lesions & Periodontium: A Scoping Review

Evaluation of White Spot Lesions and Periodontal Health between Clear Aligners and Fixed Orthodontic Therapy

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White spot lesions around orthodontic attachments are an unsightly, and one of the common side effect of orthodontic treatment. During fixed orthodontic treatment, plaque collection and retention occurs around the irregular surfaces of the attachments, limiting the self-cleansing mechanism of salivary flow. Furthermore, the levels of acidogenic bacteria, such as S. mutans, become significantly elevated in orthodontic patients. These bacteria produce acid by-products lowering the pH of the plaque. As the pH drops below the threshold for remineralisation, carious decalcification occurs. Moreover...