Primary study · included by 1 review

Remineralization of post-orthodontic white spot lesions with a fluoride varnish and a self-assembling P 11 - 4 peptides: a prospective in-vivo-study.

Güven 2024 · Güven Ecem, Eden Ece, Attin Rengin, et al. · Clinical oral investigations · 2024

Included by

Effect of Self-Assembling Peptide on White Spot Lesions in Orthodontic Patients: A Systematic Review and Meta-Analysis.
Non-Cochrane · intervention · 2026 · cited as Güven 2024 · Table 1; Figure 3
Outcome this study informsPooled effectEvidenceCertainty
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -2.18 [-3.92, -0.45]5 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.43 [-14.11, 11.25]2 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.68 [-2.71, -0.67]8 studies · 395 participantsVery low
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.85 [-3.81, 0.11]5 studies · 206 participantsGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.63 [-3.65, 0.4]3 studies · 158 participantsGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.8 [-7.49, 3.89]3 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -2.13 [-4.61, 0.35]2 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.8 [-3.14, -0.47]6 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.75 [-2.99, -0.53]7 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.8 [-3.14, -0.47]6 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -1.43 [-14.11, 11.25]2 studiesGRADE not reported
White spot lesion quantification (score, lesion size, fluorescence loss, microhardness, color change, mineral content)
Self-assembling peptide P11-4 (alone or with fluoride or ACP) vs Fluoride varnish, ACP varnish or no treatment · 6 weeks to 6 months
SMD -0.68 [-2.21, 0.85]2 studiesGRADE not reported

1 including review in total.