Restorative & Materials · single question

What is the best management for cervical enamel hypocalcification / white spot lesions?

  1. Immediate full-coverage crowns
  2. Composite veneers on all affected teeth
  3. No treatment is possible
  4. MI Paste (CPP-ACP) to promote remineralization
Show answer and explanation

Correct answer: D. MI Paste (CPP-ACP) to promote remineralization

  • A. Crowns are grossly over-treatment for a reversible enamel lesion.
  • B. Veneers are irreversible and unnecessary before conservative remineralization has been attempted.
  • C. Non-cavitated white spot lesions are the classic example of a reversible carious lesion.
  • D. Correct. Casein phosphopeptide-amorphous calcium phosphate delivers bioavailable calcium and phosphate to the subsurface lesion. Combined with fluoride and plaque control, it can remineralize and visually improve non-cavitated white spots — the most conservative option.

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