Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review

Ahmed S. Albasso; Khawla M. Awni; Niam Alsaleem; Sarmad S. Salih Al Qassar

doi:10.5455/EJDR.20260323014544

Eu J Dent Res. 2026; 3(3): 26-34

doi: 10.5455/EJDR.20260323014544

Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review

Ahmed S. Albasso, Khawla M. Awni, Niam Alsaleem, Sarmad S. Salih Al Qassar.

Abstract
White spot lesions are the most common complication post orthodontic therapy, it is an undesirable appearance that affects the patient's smile and jeopardizes the satisfactory outcomes of well-treated cases. This review aims to identify the clinically used minimally invasive strategies in the treatment of orthodontically-induced WSL after orthodontic appliance debonding and their clinical outcome evidence. PubMed and ScienceDirect databases were used to search for specific keywords: "Bioactive glass", "CPP-ACP", "Bleaching", "Microabrasion", "Self-assembling peptide", "Icon" OR "Resin infiltration", combined with "Post orthodontic white spot lesions" OR "De-Bracketing" OR "Orthodontic de-bonding". Clinical studies and randomized controlled trials published from 2015 to 2025 related to treatment modalities of orthodontically-induced WSL were included. The total number of included studies was 24. Resin infiltration seems to be the best clinical treatment option for orthodontically-induced WSL in terms of matching color and stability, despite its high cost and technically sensitive limitations.

Key words: Microinvasive, Minimal invasive, Esthetics, Orthodontics, white spot lesion

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How to Cite this Article

Pubmed Style

Albasso AS, Awni KM, Alsaleem N, Qassar SSSA. Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. Eu J Dent Res. 2026; 3(3): 26-34. doi:10.5455/EJDR.20260323014544

Web Style

Albasso AS, Awni KM, Alsaleem N, Qassar SSSA. Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. https://www.wisdomgale.com/ejdr/?mno=314855 [Access: July 27, 2026]. doi:10.5455/EJDR.20260323014544

AMA (American Medical Association) Style

Albasso AS, Awni KM, Alsaleem N, Qassar SSSA. Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. Eu J Dent Res. 2026; 3(3): 26-34. doi:10.5455/EJDR.20260323014544

Vancouver/ICMJE Style

Albasso AS, Awni KM, Alsaleem N, Qassar SSSA. Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. Eu J Dent Res. (2026), [cited July 27, 2026]; 3(3): 26-34. doi:10.5455/EJDR.20260323014544

Harvard Style

Albasso, A. S., Awni, . K. M., Alsaleem, . N. & Qassar, . S. S. S. A. (2026) Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. Eu J Dent Res, 3 (3), 26-34. doi:10.5455/EJDR.20260323014544

Turabian Style

Albasso, Ahmed S., Khawla M. Awni, Niam Alsaleem, and Sarmad S. Salih Al Qassar. 2026. Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. European Journal of Dental Research, 3 (3), 26-34. doi:10.5455/EJDR.20260323014544

Chicago Style

Albasso, Ahmed S., Khawla M. Awni, Niam Alsaleem, and Sarmad S. Salih Al Qassar. "Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review." European Journal of Dental Research 3 (2026), 26-34. doi:10.5455/EJDR.20260323014544

MLA (The Modern Language Association) Style

Albasso, Ahmed S., Khawla M. Awni, Niam Alsaleem, and Sarmad S. Salih Al Qassar. "Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review." European Journal of Dental Research 3.3 (2026), 26-34. Print. doi:10.5455/EJDR.20260323014544

APA (American Psychological Association) Style

Albasso, A. S., Awni, . K. M., Alsaleem, . N. & Qassar, . S. S. S. A. (2026) Minimally Invasive Clinical Modalities in Management of White Spot Lesions in Post Orthodontic Patients: A Review. European Journal of Dental Research, 3 (3), 26-34. doi:10.5455/EJDR.20260323014544