Karthikeyan, M KRamaswamy, K2016-02-252016-02-252012-01Karthikeyan M K, Ramaswamy K. How to Combat White Spot Lesion In Orthodonticcases - Review Study.Annals and Essences of Dentistry. 2012 Jan-Mar; 4(1): 99-100.0975-8798http://imsear.searo.who.int/handle/123456789/174308All over the world fixed orthodontic cases face a common problem –enamel hypoplasia that is white spot lesion. It can be remineralised by brushing with fluoridated toothpaste, fluoride mouth rinses and topical application of fluoride gel/foam. Efficiency of remineralisation is enhanced with daily usage of 0.05%(225ppm) sodium fluoride or 0.2% (900ppm) weekly; or with 0.4%Stannous Fluoride gel. But Stannous Fluoride stains the enamel. Enamel can also be remineralised with casein phosphopeptide-amorphous calcium phosphate(CCP-ACP). Remineralised white spot lesion can be bleached to mask the colour and can be microabraded followed by bleaching leaving a highly polished surface with calcium phosphate packed into the interprismatic enamel surface area.enWhite lesionEnamel HypoplasiaRemineralisationCalcium PhosphateMicro abrasion Stannous FluorideBleachingArticle