Aesthetic caries infiltration – Long-term masking efficacy after 6 years

Wierichs, Richard Johannes; Langer, Franzisker; Kobbe, Céline; Abou-Ayash, Bedram; Esteves‐Oliveira, Marcella; Wolf, Michael; Knaup, Isabel; Meyer-Lueckel, Hendrik

doi:10.1016/j.jdent.2023.104474

Cited by 9 publications

(8 citation statements)

References 32 publications

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“…Relative to conventional restorative techniques, caries infiltration is less invasive, requires only a negligible tooth substance to be sacrificed by etching and polishing, and represents a relatively fast treatment option for masking buccal non-cavitated caries lesions [ 14 ]. Similar to our study, Wierichs et al [ 7 ] reported that the resin infiltration method continued its success in masking white spot lesions even after 6 years in their recent research. One of the reasons for this long success may be that the resin infiltration protects the initial lesions against acid attacks.…”

Section: Discussionsupporting

confidence: 91%

“…However, multiple clinical studies demonstrated that these remineralization processes do not produce cosmetic improvements, as evaluated by the International Caries Detection and Assessment System criteria [5]. Apart from all these, the resin infiltration method, which is classified as a micro-invasive approach, has proven its success in various clinical and laboratory studies [6][7][8]. The idea of resin infiltration is based on the use of low-viscosity resins to fill the porous structure of the initial enamel carious lesions, which have an intact surface layer [9,10].…”

Section: Introductionmentioning

confidence: 99%

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Using Resin Infiltration Technique and Direct Composite Restorations for the Treatment of Carious Lesions with Different Depths

Sadıkoğlu

2023

Case Reports in Dentistry

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Minimally invasive treatment methods are of special interest in restorative dental practice, with numerous methods emerging in the last decade. Such methods are being developed to encompass various applications, an important one being the detection and treatment of caries in the early stages. White spot lesions are the earliest visible stage of the caries process. These lesions have a chalky, opaque appearance, which results in esthetic dissatisfaction. In contrast to the principles of minimally invasive dentistry, considerable amounts of sound tooth structure need to be sacrificed to get rid of these lesions. Therefore, caries infiltration has been introduced as an alternative treatment option for non-cavitated lesions. The resin infiltration technique only works in non-cavitated lesions. Replacement of lost dental tissue with resin composites remains the mainstay therapy in cases with cavity formation. This case report describes a case of caries with lesions of varying depths. In such cases, a combination of treatment methods may be used to provide satisfying esthetics with a minimally invasive approach.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Using Resin Infiltration Technique and Direct Composite Restorations for the Treatment of Carious Lesions with Different Depths

Sadıkoğlu

2023

Case Reports in Dentistry

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“…Nevertheless, certain researchers observe a higher prevalence in females [10]. Treatment options for WSLs include microabrasion [11,12], external bleaching [11,13], remineralization [14][15][16], resin infiltration [17][18][19][20][21][22], and ceramic veneer restoration [3,23]. Among these options, resin infiltration, a minimally invasive approach, has emerged as a "gold standard" intervention method.…”

Section: Introductionmentioning

confidence: 99%

“…This composition facilitates effective penetration into demineralized enamel, resulting in the formation of a resinmatrix complex during the curing process [22]. Both clinical and in-vitro studies have established its significant role in enhancing the aesthetic and mechanical properties of enamel affected by WSLs [17][18][19][20]. Aesthetically, resin infiltration is praised for its ability to replicate the natural translucency, reflectance, and fluorescence of healthy enamel [24,25].…”

Section: Introductionmentioning

confidence: 99%

Aesthetic impact of resin infiltration and its mechanical effect on ceramic bonding for white spot lesions

Shu,

Huang,

et al. 2024

BMC Oral Health

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Background Treating white spot lesions (WSLs) with resin infiltration alone may not be sufficient, raising questions about its compatibility with other treatments amid controversial or incomplete data. Therefore, this study aimed to assess the aesthetic feasibility of resin infiltration combined with bleaching, as well as its potential mechanical effect on ceramic bonding to WSLs. Methods One hundred and fifty flat enamel surfaces of bovine incisors were prepared. Ninety specimens were deminerailized and randomly assigned to three groups(n = 30): post-bleaching resin infiltration (Bl-R), pre-bleaching resin infiltration (R-Bl), and only resin infiltration (R). Color, surface roughness and microhardness were assessed in immediate, thermocycling and pigmentation tests. The remaining sixty samples were randomly assigned to three groups (n = 20): control (Ctrl), bonding (Bo), pre-bonding resin infiltration (R-Bo). Shear bonding strength, failure mode, micro-leakage depth and interface morphology were evaluated after ceramic bonding. The Tukey test and analysis of variance (ANOVA) were used for statistical analysis. Results For the effect of resin infiltration and bleaching on WSLs, the R-Bl group showed the worst chromic masking ability, with the highest |ΔL|, |Δa|, |Δb|, and ΔE values after treatment. Compared with those in the Bl-R group, the R-Bl and R groups showed significant time-dependent staining, which is possibly attributed to their surface roughness. For the effect of resin infiltration on the adhesive properties of WSLs, resin infiltration reduced the staining penetration depth of WSLs from 2393.54 ± 1118.86 μm to 188.46 ± 89.96 μm (P < 0.05) while reducing WSLs porosity in SEM observation. Conclusions Post-bleaching resin infiltration proved to be advantageous in the aesthetic treatment of WSLs. Resin infiltration did not compromise bonding strength but it did reduce microleakage and enhance marginal sealing. Overall, resin infiltration can effectively enhance the chromatic results of treated WSLs and prevent long-term bonding failure between ceramics and enamel. Based on these findings, the use of post-bleaching resin infiltration is recommended, and resin infiltration before ceramic bonding is deemed viable in clinical practice.

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“…Several clinical studies have indicated that the remineralization processes do not result in any cosmetic enhancements, as assessed by the criteria of the International Caries Detection and Assessment System [ 6 ]. In addition to the techniques above, the resin infiltration method has demonstrated efficacy in various clinical and laboratory investigations and is categorized as a micro-invasive modality [ 7 , 8 ]. Resin infiltration is a concept that involves the utilization of resins with low viscosity to occupy the porous configuration of the primary enamel carious lesions that possess an unimpaired surface layer [ 9 , 10 ] in situations where the lesion's depth intensifies and results in cavity formation, the utilization of resin infiltration alone is inadequate.…”

Section: Introductionmentioning

confidence: 99%

Noninvasive Proximal Adhesive Restoration in the Treatment of Non-cavitated Interproximal Incipient Carious Lesions: A Case Report

Radwan¹

2023

Cureus

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The noninvasive proximal adhesive restoration (NIPAR) technique is a noninvasive approach that utilizes a one-component universal adhesive for infiltration and a filled flowable resin for impermeable sealing. This technique offers several benefits. The noninvasive treatment approach is particularly significant in restorative dentistry, as it entails identifying and managing caries in their initial phases. The efficacy of the noninvasive proximal adhesive restoration technique is limited to non-cavitated lesions. In this case report, a 24-year-old male patient with no relevant medical conditions with a history of dental extractions and restorations visited the University of Geneva Dental School for a complete dental check-up. Orthopantomogram (OPG) and bitewing radiographs revealed multiple initial proximal caries in teeth # 37 (mesial), # 36 (mesial & distal), and # 35 (distal). In addition, DIAGNOcam (KaVo) was used as a diagnostic tool to establish proximal caries' progression. After discussing treatment options with the patient, a decision was made to treat the lesions at the enamel level using NIPAR.

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Aesthetic caries infiltration – Long-term masking efficacy after 6 years

Cited by 9 publications

References 32 publications

Using Resin Infiltration Technique and Direct Composite Restorations for the Treatment of Carious Lesions with Different Depths

Using Resin Infiltration Technique and Direct Composite Restorations for the Treatment of Carious Lesions with Different Depths

Aesthetic impact of resin infiltration and its mechanical effect on ceramic bonding for white spot lesions

Noninvasive Proximal Adhesive Restoration in the Treatment of Non-cavitated Interproximal Incipient Carious Lesions: A Case Report

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