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White Spots Reduction

White spots on the teeth are early signs of demineralization (mineral loss), which may or may not lead to the development of dental cavity. The tooth surface becomes porous and rough. If demineralization overcomes the rate of remineralization (mineral gain), the surface of the white spot lesion breaks down, producing frank caries.

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White Spot Lesions

  • Patients undergoing orthodontic treatment are predisposed to development of white spot lesions and are associated with poor oral hygiene. They often have trouble properly brushing their teeth and the result is a build-up of plaque. Studies report that as many as 37% to 97% of patients with fixed orthodontic appliances have at least one new white spot lesion after therapy. Younger patients tend to have more white spot lesions than older ones, possibly because young are less concerned about oral hygiene than their older counterparts.
  • White spot lesions can form within 1 month of the start of orthodontic treatment because the accumulation of plaque around brackets and bands increases, which causes enamel demineralization.
  • White spots can appear in connection with a condition called fluorosis, which is the result of having an excessive intake of fluoride. People who live in areas where drinking water contains a high fluoride level often encounter this problem.
  • Sometimes these spots are caused by nutrition or genetics.
  • Some children also develop white spots on their teeth as they are developing.

How to Treat White Spots on Your Teeth?

Certainly, there are invasive methods such as: composite filling material, bonding and porcelain veneer placement, depending on the severity of the problem.

Dr. Kakos and his Staff provide minimally invasive treatments that maintain a conservative approach to patients.
We have been very successful with eliminating white spot lesions using MI Paste that generally supports process of remineralization – ( ions replacement that were dissolved by demineralization).

MI Paste is a sugar-free crème containing RECALDENT ( CPP – ACP) Technology. Recaldent combines calcium and phosphate and a natural milk protein that promotes REMINERALIZATION by binding to dental plaque. MI Paste promotes the uptake of fluoride ions that are also in the oral environment.

Treatment involves several short visits (not longer than 30 min), each a week apart. Amount of appointments may differ and depends of severity of the problem.

On the etched tooth surface we apply layer of MI Paste using polishing cup. Patient is advised not to eat or drink for 30 minutes after treatment, what maximize the uptake of the calcium and phosphate into the dental tubules.
Patient is instructed to apply MI Paste in a custom tray, two times daily for a minimum 5 minutes. Again no rinsing or drinking for 30 min. He should allow the paste to slowly dissolve overnight.

Recaldent is not to be used on patients allergic to milk protein or benzoate preservatives.

Contact Us If you Notice White Spots on Your Teeth

Remineralization therapy is a fairly simple and inexpensive way to promote tooth structure preservation.

Remember the white spots on your teeth may be reversible in a very conservative way with the use of MI Paste and fluoride treatments.

If you notice white spot lesions on your teeth, or if unexpected tooth pain or an accident have you suffering, give us a call and schedule an appointment. Reach out to our office by calling 847-758-0100 at your earliest convenience!