During the past ten years significant advances have been made in the development of glass-ionomer bonding adhesives. The beneficial effects of fluoride are well documented and an agent which reduces or prevents a white spot lesion that commonly occurs clinically, is desirable. There has been a notable lack of randomized clinical trials to determine the prevalence of white spot lesions after orthodontic treatment although it is often reported in the literature. White spot lesions pose health and esthetic problems and their proper clinical management has yet to be resolved. The objective of this paper Is to review the literature in this area and suggest a rationale for a clinical trial to assess the efficiency of glass-ionomer adhesives in facing the problem of decalcification and study the bond strength of these materials
