Enamel remineralization is indicated with localized decalcification, hypo calcification, demineralization, “white spots,” or other conditions resulting in an irregular enamel appearance.
After the teeth have been isolated, the enamel is prepped through micro abrasion in order to open up the “pores” by lightly pumicing the surface followed by a phosphoric etch. This will only affect the surface (in fact improving it), but not the subsurface. Regeneration of the subsurface immediately after micro abrasion can address the underlying opacity and maximize the aesthetic benefit of treatment. Once the tooth is condition, Calcium Phosphate, Sodium Fluoride and RECALDENT penetrate the “pores” (enamel rods), improving appearance, sensitivity and strength of the tooth. This process is repeated twice during each appointment with at least three appointments scheduled over 3 to 4 weeks ideally. Following the in-office treatment and for the duration of the 4 week cycle, the patient will need to apply MI Paste with a clean finger or tray to all treated teeth after their normal brushing routine morning and night.
Patients who have milk protein allergies should not use MI Paste (NOT the same as lactose intolerance)
It is also suggested that patient refrain from ingesting staining products during the remineralization cycle since, after etching; the dental tubules are wide open and can easily pick up stains. Avoid wine, tea, coffee, cola drinks, tomato sauce, etc…and if patients choose to indulge, keep to a minimum and always drinking through a straw
Results will vary from patient and even tooth to tooth depending on the depth of the white spot lesion. The deeper the lesion, the longer it may take for desired results and more cycles required
Optimal esthetic benefits cannot be guaranteed due to the many variation in lesion size and depth
The patient’s home compliance with applying the MI Paste 2x daily and avoiding stain causing materials is key in reaching desired results
Post op sensitivity may be a risk in patients with any root or dentin exposure
Surface roughness of enamel which typically subsides with patient’s home compliance of applying the MI paste 2x daily for up to 6 weeks

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