Lingual Braces Reduce Risk of White Spot Lesions in Energy Drink Consuming Teens: Study

Differences in white spot lesions rates between labial and lingual surfaces were analyzed using paired t-tests (α = 0.05). Results: A total of 38 patients (mean age 15.2 ± 1.4 years; 11 females, 27 males) with 912 tooth surfaces were included. At T0, 70 (15.4%) labial surfaces and 5 (1.1%) lingual surfaces showed white spot lesions. At T1, white spot lesions increased to 243 (51.4%) labial surfaces and 45 (9.9%) lingual surfaces. Although the appliance was bonded only to the lingual surface, the incidence of WSL per patient was four times higher on the non-bonded labial surfaces: 4.3 ± 2.1 (36.0%) labial versus 1.1 ± 1.9 (8.8%) lingual.

This difference was statistically significant (p < 0.001).

Orthodontic treatment with CCLAs in adolescents who frequently consumed energy drinks was associated with significantly fewer white spot lesions on bonded lingual surfaces compared to non-bonded labial surfaces.

Reference:

von Bremen, J., Kloukos, D., Bettenhäuser-Hartung, L. et al. Energy drink-induced white spot lesions on labial and lingual tooth surfaces in adolescents treated with lingual appliances: a retrospective cohort study. Clin Oral Invest 29, 370 (2025).https://doi.org/10.1007/s00784-025-06445-8