Changes in the Color and Brightness of White Spots Associated with Orthodontic Treatment 6 Months after the Application of Infiltrative Resins: Systematic Review and Meta-Analysis

Abstract

One of the risks that we find after orthodontic treatment is the secondary appearance of white spot lesions (WLS) after the removal of fixed multi-bracket appliances. Today, there are several treatment methods, resin infiltration being the most used in the most serious cases. The objective of this study is to carry out a systematic review and meta-analysis to determine the efficacy and stability in the variables of color and gloss, six months after resin infiltration. A comprehensive search was performed in the following databases: PubMed, Embase, Google Scholar, Scopus, Medline, and Web of Science. Articles published in the last 10 years were selected, including in vivo studies with a six-month follow-up. PRISMA guidelines were followed to carry out this systematic review. All studies where the application of resin was performed on carious lesions were discarded. Once the inclusion and exclusion criteria were applied, a final sample of four articles was obtained, on which the review and meta-analysis were carried out. Once examined, all authors considered that there was an immediate improvement in both variables. However, statistically significant differences were obtained in the color change outcome, but not in the brightness outcome in the subgroup analysis after six months of icon resin infiltration.

Esthetic effects and color stability of resin infiltration on demineralized enamel lesions: A systematic review

“…[ 26 ] In deeper lesions, infiltration is more difficult because the pores are narrower and debris, saliva, organic material, and air may be present in the pores, making resin infiltration into the porous enamel more difficult. [ 27 ] This contradicts the findings of Ou et al ,[ 28 ] who investigated the impact of resin infiltration on enamel demineralization to varying degrees. The outcomes showed that both low- and high-enamel demineralization interventions had comparable concealing effects.…”