Immediate Result of Icon Infiltration in White Spot Lesions Caused by Fluorosis: A Case Report

Abstract

The Icon technique is designed to effectively restore non-cavitary lesions (porosity in deor hypomineralized enamel). Infiltration of the composite resin increases the strength of demineralized enamel. The results of clinical application indicate the effectiveness of the Icon infiltration method in combination with microabrasion and professional whitening, as well as an excellent aesthetic effect for 2 years after treatment.
 The Icon method may be a minimally invasive alternative to various methods of remineralization, especially in pediatric practice. Certain limitations in the application of the Icon method include its relatively high cost.
 This publication presents favorable treatment outcomes, obtained within a short time, in the therapy of fluorosis of permanent incisors in a 7-year-old girl after the application of the Icon infiltration method. This clinical case may be of practical interest to dentists in the wider use of this technique in pediatric dentistry, especially in the regions of endemic fluorosis. Before disseminating the results of the treatment, we obtained written informed consent from the patient's mother.
 We used the Icon infiltration method and obtained fast and reliable results, which was a key aspect to choose the treatment approaches in this clinical case.
 There were no restrictions as to the application of this approach in this clinical case. In the scientific literature, there is an unconfirmed theory that the prevalence of fluorosis and its severity increases over time after tooth eruption. However, recent studies have shown that very mild and moderate fluorosis tends to decrease in severity in adolescence. This trend continues into young adulthood and then slows down at the age of twenty. Given this information, the clinical effect reported by the manufacturers after treatment with Icon might be even longer than the declared period of 2 years after treatment for fluorosis.