Effectiveness of Bracket Sealants in Preventing White-Spot Lesions in Fixed Orthodontics

Authors

  • Tina Lange Private Orthodontic Practice, Magdeburg, Germany

DOI:

https://doi.org/10.17879/aods-2026-9585

Keywords:

White spot lesions, Sealants, Bracket, Flouride, Demineralisation

Abstract

AIM: To determine the extent to which sealants applied around orthodontic brackets reduce the risk of white-spot lesions (WSLs) as early signs of enamel demineralisation caused by inadequate oral hygiene.

METHODS: A search of the electronic database PubMed was performed and 35 English- or German-language articles published between 2015 and 2025 were included.

RESULTS: The use of bracket-area sealants can make a relevant contribution to the prevention of WSLs, particularly in high-risk patients. Effectiveness is material-dependent and influenced by correct application technique. In vivo data are heterogeneous, but in vitro studies consistently demonstrate the protective potential of sealants against enamel demineralisation adjacent to brackets.

CONCLUSION: Optimal oral hygiene combined with adjunctive fluoride measures remains the gold standard for WSL prevention. Sealants show promise and should be recommended as part of a comprehensive prevention strategy that includes personalised oral-hygiene instruction, dietary counselling and regular follow-up. Future developments in sealant materials and application methods offer further potential to enhance clinical effectiveness.

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Published

24-04-2026

How to Cite

Lange, T. (2026). Effectiveness of Bracket Sealants in Preventing White-Spot Lesions in Fixed Orthodontics. Archive of Orofacial Data Science, 3. https://doi.org/10.17879/aods-2026-9585

Issue

Vol. 3 (2026)

Section

Literature Review

License

Copyright (c) 2026 Tina Lange

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CC BY-NC-ND 4.0

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