What is management for leukonychia white spots caused by trauma?

• A. Regular manicures
• B. Use ridge filler
• C. There is no real treatment; artificial nails can be applied
• D. Prolonged exposure to water helps

Answer: (C)

Traumatic leukonychia is a cosmetic change caused by minor injury to the nail matrix, which creates white spots that grow out with the nail. There isn’t a medical treatment that will quickly fix or remove these spots; the natural course is for them to disappear as the nail grows. The practical approach is to acknowledge there’s nothing to cure and, if the client wants a smoother appearance, cosmetically concealment is an option—such as applying artificial nails or overlays—while the natural nail grows out. Regular manicures or ridge filler don’t address the underlying cause, and prolonged exposure to water doesn’t help and can even affect nail health.