Restorative & Materials · patient case question
What is the treatment?
Patient case: White spots after heavy consumption of sugary drinks
Scenario: A patient who drank a LOT of sugary drinks presents with WHITE SPOTS on the teeth.
Show answer and explanation
Correct answer: B. MI Paste (CPP-ACP)
- A. Stainless steel crowns are full-coverage restorations for grossly broken-down primary teeth, not for incipient white spots.
- B. Correct. MI Paste is a water-based crème containing CPP-ACP (casein phosphopeptide-amorphous calcium phosphate). It delivers bioavailable CALCIUM and PHOSPHATE to the tooth surface and raises their concentration in saliva, driving REMINERALIZATION of demineralised lesions. It is used alongside fluoride and dietary counselling.
- C. Extraction is entirely inappropriate for reversible enamel lesions.
- D. Restoring non-cavitated white spot lesions is over-treatment — they are reversible and cutting them starts an irreversible restorative cycle.
Note: MI Paste Plus adds 900 ppm fluoride. Caution: the CPP is milk-derived, so it is contraindicated in patients with a milk protein allergy.
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