Aesthetic Improvement of White Spot Fluorosis Lesions with Resin Infiltration (original) (raw)
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JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
The advances in scientific developments in dentistry have led to the emergence of innovative technologies for early diagnosis, prevention, interception, and therapeutic strategies for the preservation of tooth structure loss due to carious destruction or tooth decay arresting the carious lesions in order to preserve the tooth structure loss. Minimal intervention techniques to replace, repair, and remove as little tissue as possible is gaining significant importance over traditional techniques, as the emphasis is given on the preservation of the original tooth structure. White spot lesions are a form of enamel demineralisation which usually occurs due to dental fluorosis or postorthodontic treatment, compromising the aesthetics and self-esteem of the patient. The resin infiltration technique is a reliable treatment option advocated for the treatment of white spot lesions and non cavitated carious lesions. It is a microinvasive intervention performed without drilling or sacrificing th...
Al-Azhar Journal of Dental Science
The caries infiltration technique was introduced with the aim of filling the intercrystalline spaces with a low-viscosity resin, to arrest lesions and treat the esthetic problem of white spot lesions. This study was designed to evaluate the effect and clinical efficacy of resin infiltration technique on masking of enamel white spot lesions compared to an ordinary adhesive system. Methods: A total number of 20 patients having 120 not cavitated anterior teeth with white spot lesions were subjected to this study. After scaling, polishing and oral hygiene measures, the six maxillary anterior teeth were isolated with rubber dam. The teeth were divided into two groups, the first group (central incisor, lateral incisor and canine on right side of patient) was treated with hydrochloric acid (Icon-Etch) then ethanol (Icon-Dry) followed with application of resin (Icon-Infiltrant), while the second group: (central incisor, lateral incisor and canine on left side of the same patient) was treated with phosphoric acid (N-Etch) and adhesive (ExciTE F).Durability of used resins were clinically assessed by six of the FDI World Dental Federation criteria which were selected to be suitable for the current study (Surface luster, Surface Staining, Postoperative hyper-sensitivity, Recurrence of caries, Adjacent mucosa, and Patient's view), Each property has five grades from excellent to poor. Results: Both of treated groups showed improved surface luster, decreased postoperative hypersensitivity, diminished recurrent caries and increased patient satisfaction. Icon resin infiltration was more durable than Excite F adhesive after one year follow up. Both groups showed no initial surface staining, but with timesurface stainingbeing more with icon infiltrated group. Both materials have no effect on adjacent mucosa at different aging times. Conclusions: Icon resin infiltration is an effective treatment for deminiralized white spot lesions but with frequent repolishing to overcome surface staining for long lasting esthetic outcome. Excite F adhesive can be used only for short time sealing of enamel surface to improve the esthetics of white spot lesions and control of caries progression.
International Journal of Clinical Pediatric Dentistry, 2023
Aim: White opacities have always been a major esthetic concern in young patients reporting for dental treatment. We aimed to achieve an esthetic noninvasive immediate correction of these lesions. Background: These discolorations of enamel have a multifactorial etiology and are mainly caused by dental fluorosis, early enamel caries, developmental defects, etc. Conventionally available treatment options for these white opacities include noninvasive and invasive approaches. Recently, a novel "microinvasive" technique has been introduced as an alternative therapeutic technique to manage these opacities esthetically and in a painless way, in a single sitting with no complications. Case description: This paper illustrates the use of resin infiltration to esthetically treat white spot lesions (WSLs) on the anterior maxillary teeth in a 24-year-old female caused due to orthodontic treatment. Conclusion: Resin infiltration can be an effective treatment option for the correction of WSLs on the labial surface of anterior teeth seen after orthodontic treatment. Clinical significance: The resin infiltration technique can be a preferred option for treating superficial WSLs and has a high patient acceptance rate with minimal risk of postoperative sensitivity.
Treatment of White Spot Lesions by Resin Infiltration
Annual Research & Review in Biology, 2014
To review the scientific principles of the treatment of white spot lesions with the resin infiltration technique and to discuss its application and limitations. Methodology: A PubMed database research was conducted and limited to articles published in English between the years of 2008 and 2013. Twenty-six articles were selected out of 48. Discussion: The resin infiltration procedure is a promising minimally invasive dentistry technique. Resin infiltration produces a positive effect on aesthetics, preserves tooth structure, delays or even eliminates the need for a restorative treatment and eliminates the risk of post-operative sensitivity and pulp inflammation. Although it has recently been developed, the results are very satisfactory. However, investigation is still needed (particularly with longer follow-ups and larger samples) as well as the development of specific and simplified protocols.
Resin Infiltration in Dental Fluorosis Treatment—1-Year Follow-Up
Medicina
Background and Objective: Dental fluorosis is a disease affecting dental hard tissues featured with white or yellowish lesions. Several treatments are proposed in the literature, some even invasive. This clinical study aimed to evaluate the effectiveness of resin infiltration in terms of lesions resolution, trend of sensitive teeth and satisfaction of patients over time. Methods and Material: 200 fluorosis lesions were treated using ICON infiltrating resin (DMG, Hamburg, Germany). Parameters related to patients were collected by a questionnaire and analyzed aesthetic dissatisfaction about lesions, Shiff Air Index Sensitive Scale, sensitive teeth after treatment, the satisfaction of duration of treatment. The same operator measured dimensions of lesions Tooth Surface Index of Fluorosis (TSIF) and numbers of etching cycles needed for treating lesions. Statistical analysis was performed. The follow-up was of 1-year a measurement were performed at baseline (t0), immediately after the tr...
Resin infiltration as a minimal invasive esthetic treatment for a mild fluorosis case
STOMATOLOGY EDU JOURNAL
The present case report aimed to describe a minimally invasive method to mask the white opaque lesions of enamel in a mild fluorosis case (Dean's Index code 3) to improve its esthetic outcome. Summary: Dental fluorosis (DF) is a developmental disturbance of enamel caused by excessive ingestion of fluoride on ameloblasts during enamel formation. The clinical manifestations depend on the severity of fluorosis. In mild cases, there are white opaque striations across the enamel surface, whereas in more severe cases, the porous regions increase in size, with enamel pitting, and secondary discoloration of the enamel surface. Patients often suffer from the discoloration and the pitted surface of the teeth which are the major characteristics leading to an unaesthetic appearance. A minimally invasive treatment approach of inoffice bleaching followed by a resin infiltration technique was applied to enhance the porous fluorosed enamel surface. The combination of the two techniques resulted in a perfectly satisfactory aesthetic outcome with a clinical follow-up for 12 months.
TREATMENT OF POST-ORTHODONTIC WHITE SPOT LESIONS BY RESIN INFILTRATION: A CASE SERIES
J Stoma 2018; 71, 6: 490-496, 2019
A B S T R AC T Introduction: White spot lesions (WSLs) are the most common side effects found in orthodontically treated patients. Icon treatment has been reported to revert colorimetric alterations of WSLs and halt carious progression. Material and methods: Four young patients with post-orthodontic WSLs, who were treated with resin infiltration. Results: In all patients, existing WSLs were successfully treated by Icon resin application. Given the minimal substance loss due to the erosion infiltration procedure, all patients were extremely satisfied with the results, although some WSLs could still be seen. Conclusions: Our case series shows the capability of treating WSLs due to orthodontic treatment with Icon resin infiltration. Longer observation periods in studies with larger patient populations are needed to validate the clinical significance found in these case series.
Al-Azhar Journal of Dental Science
The caries infiltration technique was introduced with the aim of filling the intercrystalline spaces with a low-viscosity resin, to arrest lesions and treat the esthetic problem of white spot lesions. This study was designed to evaluate the color effect and durability of resin infiltration technique on masking of enamel white spot lesions compared to an ordinary adhesive system. Methods: a total number of 20 patients having 120 not cavitated anterior teeth with white spot lesions were subjected to this study. The six maxillary anterior teeth were isolated with rubber dam. The teeth were divided into two groups, the first group (central incisor, lateral incisor and canine on right side of patient) was treated with hydrochloric acid (Icon-Etch) then ethanol (Icon-Dry) followed with application of resin (Icon-Infiltrate), while the second group: (central incisor, lateral incisor and canine on left side of the same patient) was treated with phosphoric acid (N-Etch) and adhesive (ExciTE F).Evaluation of color was done using VITA Easyshade V (VITA Germany) at the following intervals (pre-operative, immediate, one week, three months, six months and twelve months post-operatively). Results: the highest mean value of color change was found immediately post-operatively for icon resin infiltration group presented as positive (ΔL) and negative (ΔC) that means decrease in the whitish discoloration of teeth. Conclusions: Icon resin infiltration is an effective treatment for deminiralized white spot lesions, while Excite F adhesive can be used for short time sealing of enamel surface to improve the esthetics of white spot lesions.
Wipe Out White Spots with Resin Infiltration Technique: Case Series
2020
White spots or patches on newly erupted permanent incisors are common among young adolescents; this may cause aesthetic concerns for both the patient and the parents. Conventional treatment for managing this lesion is usually invasive. Resin infiltration technique is simple, conservative, and a generally well accepted procedure by patients. The material was introduced in the market to treat white spot lesions, enamel hypoplasia and for post orthodontic opacities. It is noticed that enamel lesions treated with resin infiltration have tendency to lose their whitish appearance as the porosities are filled with the resin. In this case series, we have demonstrated the successful use of resin infiltration (ICON®) for masking the white spot. The pleasing aesthetic results and the conservative nature of this approach makes it a good alternative to micro abrasion and conventional resin restorations.
International journal of odontostomatology, 2016
To treat initial caries lesions using the technique of resin infiltration for a restoration of natural enamel appearance. Case report of a 19 year old female who presented with moderate post-orthodontic white-spot lesions (WSLs) at the upper central and lateral incisors following two years of active treatment with a fixed orthodontic appliance, and requested an aesthetic improvement of decalcified enamel surfaces. The technique of resin infiltration (Icon®, DMG, Hamburg, Germany) is presented as a means for not only inhibiting lesion progression, but also for an adequate rehabilitation of dentofacial esthetics. Practical tips and cues for clinical handling of the infiltration technique are provided. Resin infiltration augments the therapeutic spectrum for orthodontist as well as pediatric or general dentists in that enamel areas affected by post-orthodontic WSLs can be restored to their original appearance.