How effective is Casein phosphopeptide-amorphous calcium phosphate in the management of post-orthodontic white spot lesions? Do we have strong evidence?
Unable to find quality evidence. Needs good quality RCT. Please go for it.
CPP-ACP paste alone does not significantly improve the fluorescence value (ie, the mineral content) of WSLs. Microabrasion treatment with or without CPP-ACP improved the fluorescence and thus reduced WSLs.
Pliska BT, Warner G a, Tantbirojn D, Larson BE. Treatment of white spot lesions with ACP paste and microabrasion. Angle Orthod 2012; 82: 765–769.
Microabrasion followed by long-term daily home application of CCP-ACP may be considered an interesting alternative to the restorative approach for treatment of white spot lesions.
Ardu S, Castioni NV, Benbachir N, Krejci I. Minimally invasive treatment of white spot enamel lesions. Quintessence Int 2007; 38: 633–6.
Best wishes
Ulrich Kritzler
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