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Donly KJ, Sasa IS. Semin Orthod 2008; 14: 220–225

A high impact complication associated with orthodontic treatment, are unaesthetic 'white spot lesions'. These can be minimised during active orthodontic treatment by meticulous home care and fluoride supplements. If white spots have occurred, it would appear that the authors favour the use of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) to encourage remineralisation. If the appearance is still unacceptable, microabrasion can be attempted. This results in 'a portion of the whitened enamel (being) removed and a portion camouflaged by the highly polished surface'. The authors also recommend tooth whitening to manage white spots.