White Spots Unveiled: An Expert Opinion to Navigate Challenges in Diagnosis and Management

White spot lesions (WSLs) present a significant challenge in orthodontic practice, particularly in India, where they exhibit high prevalence rates. Despite the increased intricacy and notable surge in WSL occurrences among orthodontic patients in recent years, there is still a lack of sufficient preventive measures and effective management strategies. This expert opinion article synthesizes evidence from literature and expert insights to delineate the clinico-epidemiological factors, diagnosis, prevention, and treatment modalities for WSLs in the Indian context. Notably, the use of calcium sucrose phosphate (CaSP), known as Anticay, emerges as a promising remineralizing agent due to its multifaceted benefits, including remineralization and plaque acid neutralization. A comprehensive approach integrating patient education, regular monitoring, and customized treatment plans is crucial for optimal outcomes. In vivo/clinical trials are necessary to explore the optimal concentration of CaSP, alongside investigating potential synergistic effects with fluoride and other remineralizing agents. Incorporating CaSP into existing protocols represents a promising avenue for addressing WSL challenges in orthodontic practice in India.