An in vivo study on the clinical efficacy of resin infiltration technique on treatment of white spot lesions

2018 ◽  
Vol 21 (2) ◽  
pp. 127-133
Author(s):  
Ahmed Goda ◽  
Khalid Noaman ◽  
Belal Saleh
Keyword(s):  
Clinical Efficacy ◽  
White Spot ◽  
In Vivo Study ◽  
White Spot Lesions ◽  
Resin Infiltration ◽  
Infiltration Technique

scholarly journals Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up

2015 ◽  
Vol 85 (3) ◽  
pp. 374-380 ◽  
Author(s):  
Amely Eckstein ◽  
Hans-Joachim Helms ◽  
Michael Knösel
Keyword(s):  
White Spot ◽  
White Spot Lesions ◽  
Female Ratio ◽  
Significance Level ◽  
Resin Infiltration ◽  
Male Female Ratio ◽  
The Difference ◽  
One Year

ABSTRACT Objective:  To assess camouflage effects by concealment of postorthodontic white-spot lesions (WSLs) to sound adjacent enamel (SAE) achieved over 12 months with resin infiltration (Icon, DMG, Hamburg, Germany). Methods:   Twenty subjects (trial teeth nteeth = 111) who had received resin infiltration treatment of noncavitated postorthodontic WSLs were contacted for a 1-year follow-up assessment of CIE-L*a*b* colors (T12). Color and lightness (CIE-L*a*b*) data for WSLs and SAE were compared to baseline data assessed before infiltration (T0) and those assessed after 6 months (T6), using a spectrophotometer. The target parameter was the difference between the summarized color and lightness values (ΔEWSL/SAE). Intergroup (WSL, SAE) and intertime comparisons (T0 vs T6, T12) were performed using paired t-tests at a significance level of α = 5%. Results:  Nine subjects (trial teeth nteeth = 49; male/female ratio 5/4; age range 13–19 years) were available at T12. After the highly significant reduction of ΔEWSL/SAE discrepancies between T0 and T6, analysis of 12-month records revealed color and lightness discrepancy of WSL vs SAE that was significantly decreased compared with baseline, indicating an assimilation of WSL color to SAE appearance after infiltration, while an additional reduction of discrepancies between T6 and T12 was not significant. Conclusion:  As color and lightness characteristics of the Icon infiltrant as well as the esthetic camouflage effects achieved by WSL infiltration were not altered significantly or clinically relevant after 12 months, the method of resin infiltration can be recommended for an enduring esthetic improvement of postorthodontic WSL. (Angle Orthod. 2015;85:374–380.)

scholarly journals Use of Resin Infiltrate for the Treatment of White spot Lesions on Dental Enamel: Case Report

2019 ◽  
Vol 21 (2) ◽  
pp. 134
Author(s):  
Rosa Maria Pereira Moisés Barbosa de Andrade ◽  
Ruchele Dias Nogueira ◽  
Maria Angélica Hueb Menezes-Oliveira ◽  
Cesar Penazzo Lepri ◽  
Vinícius Rangel Geraldo-Martins
Keyword(s):  
Tooth Enamel ◽  
Dental Enamel ◽  
Composite Resins ◽  
White Spot ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Invasive Treatment ◽  
Resin Infiltration ◽  
Non Invasive ◽  
Infiltration Technique

Abstract Early diagnosis of white spot lesions allows non-invasive treatment to be indicated for the remineralization of active lesions. The goal was to report the clinical Protocol for the treatment of white spot lesion of a patient by the technique of resin infiltration, observing whether there is change of color on the white spot of the dental enamel after its treatment. The selected patient was 16 years old with good overall health, who featured white spot lesion of the dental enamel on tooth 13, classified as ICDAS score 2. The tooth was photographed, and its color was evaluated with the spectrophotometer in accordance with the CIELhC system. For comparison purposes, the color of tooth enamel in an area adjacent to the lesion was evaluated. The treatment of the lesion was performed with the resin infiltrate Icon (DMG, Hamburg, Germany), following the manufacturer's instructions. The color of the tooth was re-evaluated after the application of the resin infiltrate. At the end of the procedure, it was observed that the treatment of white spot lesion by resin infiltration technique reached its goal because, in addition to being minimally invasive, it was highly approved by patient and it provided the masking of the white spot lesion on the dental enamel. Keywords: Dental Caries. Dental Enamel. Composite Resins. ResumoO diagnóstico precoce de lesões de mancha branca permite que um tratamento não invasivo seja indicado para a remineralização das lesões ativas. O objetivo foi relatar o protocolo clínico para tratamento de lesão de mancha branca ativa de um paciente pela técnica do infiltrante resinoso, observando se existe alteração de cor da mancha branca do esmalte dental após o seu tratamento. Foi selecionada uma paciente, de 16 anos de idade, com boa saúde geral e que apresentava lesão de mancha branca no esmalte dental do dente 13, classificada pelo escore 2 do ICDAS. O dente foi fotografado e sua cor foi avaliada com o espectrofotômetro de acordo com o sistema CIELhC. Para fins de comparação, foi avaliada a cor do esmalte dental em uma área adjacente à lesão. O tratamento da lesão foi realizado com a resina infiltrante Icon (DMG, Hamburgo, Alemanha), seguindo as recomendações do fabricante.  A cor do dente foi reavaliada após a aplicação do infiltrante. Ao final do procedimento, observou-se que o tratamento da lesão de mancha branca pela técnica da resina infiltrante atingiu seu objetivo pois, além de ter sido minimamente invasiva, foi bem avaliada pela paciente e proporcionou o mascaramento da lesão de mancha branca do esmalte dental. Palavras-chave: Cárie Dentária. Esmalte Dentário. Resinas Compostas.

scholarly journals Unconventional Non-Invasive Diagnostic Techniques and Treatment of White Spot Lesions in Paediatric Dentistry and Orthodontics

2017 ◽  
Vol 13 (15) ◽  
pp. 339
Author(s):  
Ogodescu Alexandru ◽  
Igna Andreea ◽  
Ogodescu Emilia ◽  
Luca Magda
Keyword(s):  
Early Stage ◽  
New Technology ◽  
Diagnostic Techniques ◽  
White Spot ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Resin Infiltration ◽  
Non Invasive ◽  
Infiltration Technique ◽  
Carious Process

Minimal Intervention Dentistry (MID), a concept that aims to minimize the interventional procedures applied on teeth affected by dental caries, emphasizes the importance of prevention and detection of lesions in early stage. The white spot lesion (WSL) is the first visible stage of the carious process, affecting the enamel. Their detection and treatment has been significantly improved in the last decade through new technology available. Our paper describes a non-invasive detection method, using a lighttransmission device (transillumination of the teeth using Diagnocam, by Kavo) , combined with a resin infiltration technique (using Icon, by DMG) of the WSL.

scholarly journals Efficacy of Bleaching Treatment on Demineralized Enamel Treated with Resin Infiltration Technique

2012 ◽  
Vol 3 (4) ◽  
pp. 279-283 ◽  
Author(s):  
Cesar Rogério Pucci ◽  
Carlos Rocha Gomes Torres ◽  
Alessandra Bühler Borges ◽  
Luciana Floriani Thives de Freitas Santos ◽  
Heleine Maria Chagas Rêgo
Keyword(s):  
White Spot ◽  
Tooth Surface ◽  
White Spot Lesions ◽  
Carbamide Peroxide ◽  
Resin Infiltration ◽  
Tukey Test ◽  
Demineralized Enamel ◽  
Infiltration Technique ◽  
Color Alteration ◽  
Bleaching Treatment

ABSTRACT The aim of this study was to investigate the effect of bleaching treatment with 10% carbamide peroxide in white spot lesions-affected teeth treated with caries infiltration technique. Cylindrical enamel-dentin specimens were prepared from bovine incisors. Baseline color measurement was performed by a spectro-photometer using the CIE L*a*b* system and specimens were divided in two groups: Sound (S) and demineralized (D) enamel. The group S was divided into two subgroups (n = 20): Nonbleached (SNB) and bleached (SB). The group D was divided in four subgroups (n = 20): Nonbleached (DNB), bleached (DB), resin infiltrated/nonbleached (DRNB) and resin infiltrated/bleached (DRB). Artificial white spot lesions were produced in all groups D, simulating the presence of active lesions in labial tooth surface, and after demineralization, caries infiltration with low viscosity resin was performed in the resin infiltrated groups. In the bleached groups, 10% carbamide peroxide gel was applied (2 hours/day for 14 days). New color measurements were performed after bleaching and color alteration was calculated using ΔE parameter. Data were submitted to one-way ANOVA and Tukey test (5%). There were significant differences among groups when ΔE was evaluated (p = 0.001). Means (± standard deviation) and results of Tukey test were: SNB (2.53 ± 0.48)a; DRNB (2.88 ± 1.03)ab; DNB (3.15 ± 0.65) ab; DRB (2.88 ± 1.03)bc; SB (4.33 ± 0.93)cd; DB (5.27 ± 1.33)d. The bleaching treatment with 10% carbamide peroxide produced no significant color alteration in demineralized enamel treated with resin infiltration technique. How to cite this article Santos LFTF, Rêgo HMC, Borges AB, Pucci CR, Torres CRG. Efficacy of Bleaching Treatment on Demineralized Enamel Treated with Resin Infiltration Technique. World J Dent 2012;3(4):279-283.

scholarly journals Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo

2018 ◽  
Vol 89 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Michael Knösel ◽  
Amely Eckstein ◽  
Hans-Joachim Helms
Keyword(s):  
Controlled Trial ◽  
White Spot ◽  
White Spot Lesions ◽  
Significance Level ◽  
Resin Infiltration ◽  
Long Term Follow Up ◽  
Age Range

ABSTRACT Objectives: To reassess the long-term camouflage effects of resin infiltration (Icon, DMG, Hamburg, Germany) of white spot lesions (WSL) and sound adjacent enamel (SAE) achieved in a previous trial. The null hypothesis was tested that there were no significantly different CIE-L*a*b*-ΔE-values between WSL and SAE areas of assessment after at least 24 months (T24) compared to those at baseline (T0). Materials and Methods: Of twenty subjects who received previous resin infiltration treatment of nteeth = 111 nonrestored, noncavitated postorthodontic WSL after multibracket treatment during a randomized controlled trial and were contacted 20 months after baseline, eight subjects (trial teeth nteeth = 40; m/f ratio 1/7; age range (mean; SD) 12–17 [15.25; 2.12] years); response rate: 40%) were available for follow-up after at least 24 months (T24). CIE-L*a*b* differences between summarized color and lightness values (ΔEWSL/SAE) of WSL and SAE were assessed using a spectrophotometer and compared to baseline data assessed prior to infiltration (T0), and those after 6 (T6), and 12 (T12) months using paired t tests at a significance level of α = 5%. Results: T24 assessments were performed after a mean 33.86 (SD: 8.64; Min: 24; Max: 45) months following T0. Mean (SD) ΔEWSL/SAE units of available teeth were 8.76 (5.33) at baseline; 5.5 (2.75) at T6; 5.2 (2.41) at T12; and 5.57 (2.6) at T24. Comparisons of T6, T12, and T24 with T0 yielded highly significant differences, whereas T6–T24 and T12–T24 differences were found to be not significant. Conclusions: Assimilation of infiltrated WSL to the color of adjacent enamel by resin infiltration is considered to be suitable for the long-term improvement in the esthetic appearance of postorthodontic WSL.

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