Journal of Cosmetic Dentistry Winter 2011 Vol.26 Issue 4 : Page 81

Ritter, Roberts, Wright Abstract Dental caries results from the process of bacterially mediated acid dissolution or demineralization. Complex tooth-biofilm interactions play an important role in mediating the onset and progression of the disease. If the caries process is not controlled, chronic demineralization will result in a caries lesion. The first clinical sign of the active caries process on a smooth tooth surface is a change in the tooth enamel’s optical properties, evidenced as a white spot lesion. This article discusses current remineralization strategies that can be used in the management of these non-cavitated incipient enamel lesions, including the use of fluoride, xylitol, calcium phosphate, and other treatments. Also briefly discussed is the infiltration of enamel white spot lesions with low-viscosity resins as a means to arrest lesion progression. DentAl CArieS André V. Ritter, DDS, MS Michael W. Roberts, DDS, MScD J. Timothy Wright, DDS, MS Journal of Cosmetic Dentistry 81

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