Shahreen Zahid Khan, Muhammad Kaleem, Shahab-ud Din, Haroon Ahmed Khan, Saba Waqar Qureshi.
The current use of anti-cariogenic agents and fluoride agents to cure write spot lesion: a systematic analysis..
J Pak Med Assoc Jan ;69(12):1876-82.

To find the best option to treat White Spot Lesion in existing caries treatments, and to identify the selected articles discussing etiology of caries along with White spot lesion. Null hypothesis was that "Only anticariogenic agent can cure White Spot Lesion". PRISMA guidelines were used to conduct the systematic analysis. An electronic customized search was performed using mesh terminologies on PubMed database based on inclusion criteria that included studies with; any treatment option that can treat or prevent WSL; and minimally invasive treatment options that may be altered to treat WSL. While exclusion criteria comprised studies with treatment of rampant caries, severe early childhood caries and root caries. Inclusion criteria for etiological factors incorporated studies with factors that lead to white spot lesion or carious lesion. Finally, therapeutic agents of dental caries were analyzed. Only the use of anti-cariogenic agent cannot cure White Spot Lesion. Hence study fails to prove the null hypothesis. Although combination of anti-cariogenic agents with a re-mineralizing agent can provide additional options for the treatment or prevention of WSL.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com