GC America Suggested White Spot Reversal Protocol*
• Suggest to take photos of white spot lesions prior to the start and at the conclusion of treatment.
• It is important not to over-etch the tooth surface; careful attention needs to be applied to the etching material, the concentration and application time. Some clinicians prefer to pumice first, then etch.
• Apply 35 - 37% phosphoric acid gel to the white spot lesions (10-15 seconds to 30 seconds, no longer than one minute); Be conservative when etching, you can always re-etch a second time if necessary; rinse.
• Apply the etch material on the white spot lesion being treated, not the entire tooth surface.
• For microabrasion, gently pumice for 10 to 30 seconds, non-fluoridated, non-glycerin pumice — suggest “Flour of Pumice”; rinse.
• Dry the tooth and review the effect; sometimes you may have to re-etch/pumice a second time; the tooth will appear frosty after the etch/pumice application.
• It is suggested for in-office to use a prophy cup to apply MI Paste; use your finger or a cotton tip to apply MI Paste for home application.
• Apply layer of MI Paste on the etched tooth surfaces; leave on the tooth surface a minimum of 5 minutes; you can’t overuse MI Paste; you can leave MI Paste on the tooth surface longer to maximize the uptake of calcium and phosphate; this applies to both in-office and at-home applications.