Effect of Conditioning Protocols and Ultrasonic Application of an Infiltrant Resin in White Spot Lesions

López, Edgar Alexander López; Domínguez, John Alexis; Gomes, Giovana Mongruel; Pulido, Camilo; Bittencourt, Bruna Fortes; Gomes, João Carlos; Gómes, Osnara María Mongruel

doi:10.1590/0103-6440201902329

Cited by 10 publications

(22 citation statements)

References 23 publications

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“…In this systematic review, twenty-three articles reported information about microhardness , ten evaluated surface roughness, [27,31,37,47,[49][50][51][52][53][54], sixteen assessed the penetration depth [40,46,50,[55][56][57][58][59][60][61][62][63][64][65][66][67] and eight explored shear bond strength after resin infiltration [32,52,[68][69][70][71][72][73].…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

“…Overall, twelve studies included bovine teeth (n per group = 803) while twenty-five studies included human teeth (n per group = 865). Nine studies reported data without specimen demineralization previously to resin infiltration [47,54,55,57,59,[61][62][63][64]74] and thirty-nine articles included the demineralization process before the infiltrative resin [21,[27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][48][49][50][51][52][53]56,58,60,[65][66][67][69][70][71][72][73]. The demineralization process consists of emerging the teeth in a demineralization solution, with pH between 4 and 5 for a period of time that ranges from 1 min to 1200 h, to simulate the formation of WSLs (Table…”

Section: Characteristics Of the Studiesmentioning

confidence: 99%

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Effect of Resin Infiltration on Enamel: A Systematic Review and Meta-Analysis

Soveral

Machado

Botelho

et al. 2021

JFB

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Subsurface enamel demineralization beneath an intact surface layer or white spots lesions (WSL) can and should be treated with non-invasive procedures to impede the development of a cavitated lesion. We aim to analyze if infiltrative resin improves enamel roughness, microhardness, shear bond strength, and penetration depth. MEDLINE [via Pubmed], Cochrane Central Register of Controlled Trials, Embase, Web of Science, Scholar, and LILACS were searched until May 2021. Methodological quality was assessed using the Joanna Briggs Institute Clinical Appraisal Checklist for Experimental Studies. Pairwise ratio of means (ROM) meta-analyses were carried out to compare the enamel properties after treatment with infiltrative resin on sound enamel and WSLs. From a total of 1604 articles, 48 studies were included. Enamel surface roughness decreased 35% in sound enamel (95%CI: 0.49–0.85, I2 = 98.2%) and 54% in WSLs (95%CI: 0.29–0.74, I2 = 98.5%). Microhardness reduced 24% in sound enamel (95%CI: 0.73–0.80, I2 = 99.1%) and increased by 68% in WSLs (95%CI: 1.51; 1.86, I2 = 99.8%). Shear bond strength reduced of 25% in sound enamel (95%CI: 0.60; 0.95, I2 = 96.9%) and increased by 89% in WSLs (95%CI: 1.28–2.79, I2 = 99.8%). Penetration depth was 65.39% of the WSLs (95%CI: 56.11–74.66, I2 = 100%). Infiltrative resins effectively promote evident changes in enamel properties in sound and WSLs. Future studies with long-term follow-ups are necessary to corroborate these results from experimental studies.

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Section: Characteristics Of the Studiesmentioning

confidence: 99%

Section: Characteristics Of the Studiesmentioning

confidence: 99%

Effect of Resin Infiltration on Enamel: A Systematic Review and Meta-Analysis

Soveral

Machado

Botelho

et al. 2021

JFB

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“…No systematic review or meta-analysis of this subject area was found. All included articles were conducted in Egypt,[ 17 18 19 ] Korea,[ 20 ] USA,[ 18 21 ] Saudi Arabia,[ 22 ] India,[ 23 24 25 26 ] Germany,[ 8 21 , 27 28 29 ] Chile,[ 30 ] Brazil,[ 10 11 , 31 32 ] Romania,[ 33 ] and Switzerland. [ 26 ]…”

Section: R Esultsmentioning

confidence: 99%

“…All the reviewed articles were in vitro , describing a total of 1836 teeth. In 23 studies, 8 studies used natural enamel lesions,[ 8 20 , 21 27 28 29 , 33 34 ] 15 studies created artificial WSLs,[ 10 17 18 19 , 22 23 24 25 26 30 31 32 , 35 36 37 ] and 3 studies used bovine enamel. [ 10 32 , 35 ] To measure the penetration depth, most of the articles used confocal laser scanning microscopies (CLSM) (18 studies),[ 8 10 , 17 18 , 20 21 22 25 , 27 28 29 31 32 33 34 35 36 37 ] followed by polarized light microscopy (one study),[ 23 ] scanning electron microscopy (SEM) (one study),[ 30 ] stereomicroscope (two studies)[ 19 26 ] and optical profilometer (one study).…”

Section: R Esultsmentioning

confidence: 99%

The penetration depth of resin infiltration into enamel: A systematic review

Ibrahim

Venkiteswaran

Hasmun

2023

JISPCD

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Aims and Objectives: Studies on resin infiltration and its penetration capability are becoming the focus of emerging dentistry. The depth of resin penetration could be a key determining factor in creating a diffusion barrier and in the success of infiltration. The aim of this review article was to evaluate the penetration depth of commercially available resin infiltration in early caries lesions and to identify factors that influence the penetration capability of resin infiltration. Materials and Methods: A literature search was performed in four databases (PubMed, Science Direct, Scopus, and Web of Science) and manual searching from 2009 to December 2022. Eligibility criteria included in vitro studies pertaining to factors affecting the penetration depth of resin infiltration into the enamel. The risk of bias assessment was done by using checklist for reporting in vitro studies (CRIS). Results: The initial search resulted in a total of 297 studies. Twenty-nine were assessed for eligibility, and 23 were selected in the qualitative synthesis. According to the CRIS guidelines, all of the studies were classified as moderate risk of bias. The penetration of resin infiltration is influenced by the enamel surface treatment with hydrochloric acid, formulations containing triethylene glycol dimethacrylate (TEGDMA), the addition of ethanol, penetration time, duration of penetration time, saliva contamination, caries activity, and type of tooth. The hypermineralized surface layer needs to be removed for better resin perfusion. Conclusion: The key to optimal resin infiltration depends on the enamel surface treatment with hydrochloric acid and application technique, infiltration duration, formulation of TEGDMA and ethanol in the resin composition, as well as the type and caries activity of involved teeth. Resin infiltration has superior penetrability compared to fissure sealant, casein phosphopeptide-amorphous calcium phosphate nanocomplexes, flowable composite, adhesive and fluoride varnish. Resin penetration depth may be a critical factor in forming a diffusion barrier and the effectiveness of infiltration in halting the progression of caries.

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“…The previous preparation with hydrochloric acid to 15% for 120 seconds showed better results in studies that analyzed the different pre-treatments for surfaces to be infiltrated, being recommended by the technique currently used 35 . In addition, the literature suggests that the use of ultrasonic application with the resinous infiltration can increase the depth of the material penetration in the carious lesions 36 .…”

Section: Effect Of Inhibition On the Progression Of The Incipient Carious Lesion: Clinical Studiesmentioning

confidence: 99%

The Use of Resinous Infiltrants for the Management of Incipient Carious Lesions: a Literature Review

et al. 2019

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The objective of this work was to analyze scientific evidence from a literature review pertaining to the effectiveness of resinous infiltrants for minimally invasive treatment of incipient carious lesions. Studies published between 2002 and 2019 were queried from the following databases: Capes, PubMed, Medline, BBO, Lilacs and SciELO. The search keywords included "Dental Caries", "Tooth Remineralization", "Dental Leakage". Most of the studies found resin-infiltrating treatment to be a viable option for the minimally invasive treatment of incipient carious lesions; this treatment was able to fulfill the primary expected effects: inhibition of carious progression and the lesions esthetic improvement. However, some issues need to be clarified to improve the safety of this treatment because it can be recommended in clinical practice. In conclusion, the use of resinous infiltrants has been reported as promising for the treatment of incipient carious lesions. However, there is a need for long-term studies to confirm the effectiveness of this treatment to determine its applicability for clinical use. Keywords: Dental Caries. Dental Leakage. Tooth Remineralization. ResumoO objetivo desse trabalho foi analisar evidências científicas, por meio de uma revisão de literatura, sobre a eficácia do uso de infiltrantes resinosos para o tratamento minimamente invasivo de lesões cariosas incipientes. A seleção do material literário utilizado foi realizada por pesquisa sobre o tema nas bases de dados: portal de periódicos Capes, PubMed, Medline, BBO, Lilacs e SciELO, abrangendo prioritariamente, o período de 2002 a 2019. Para busca nas bases de dados foram utilizadas palavras-chave como “Cárie Dentária”, “Remineralização Dentária”, “Infiltração Dentária”, assim como suas correspondentes na língua inglesa. A maioria dos estudos encontrados aponta o tratamento infiltrante resinoso como uma opção viável para o tratamento minimamente invasivo de lesões cariosas incipientes sendo capaz de cumprir os principais efeitos esperados: inibição da progressão cariosa e melhoria estética das lesões. Entretanto, alguns impasses necessitam ser esclarecidos para que o tratamento seja recomendado com mais segurança na prática clínica. Conclui-se que o uso de infiltrantes resinosos tem sido relatado como promissor para o tratamento de lesões cariosas incipientes, contudo há necessidade de novas pesquisas e estudos a longo prazo para confirmar sua eficácia em todos aspectos desejáveis para seu uso clínico. Palavras-chave: Cárie Dentária. Infiltração Dentária. Remineralização Dentária.

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Effect of Conditioning Protocols and Ultrasonic Application of an Infiltrant Resin in White Spot Lesions

Cited by 10 publications

References 23 publications

Effect of Resin Infiltration on Enamel: A Systematic Review and Meta-Analysis

Effect of Resin Infiltration on Enamel: A Systematic Review and Meta-Analysis

The penetration depth of resin infiltration into enamel: A systematic review

The Use of Resinous Infiltrants for the Management of Incipient Carious Lesions: a Literature Review

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