In-vivo colour stability of enamel after ICON® treatment at 6 years of follow-up: A prospective single center study.

Mazur, Marta; Westland, Stephen; Ndokaj, Artnora; Gm, Nardi; Guerra, Fabrizio; Ottolenghi, Livia

doi:10.1016/j.jdent.2021.103943

Cited by 20 publications

(12 citation statements)

References 28 publications

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“…It is interesting to note that in cases where a “clinically sufficient” result was not found ( Figure 4 B), an improvement was nevertheless detected at the follow-up, probably due to the continuous infiltration over time of the fluid resin inside of the enamel structure ( Figure 4 C,D). In addition, stability of the results obtained at the two-year follow-up was found, agreeing with the results of an in vivo study with a six-year follow-up [ 21 ] and an in vitro study [ 22 ] in which the elements treated with infiltrative technique, after being subjected to pH changes or to common home oral hygiene techniques, showed better color stability than control cases [ 22 ]. However, color variations were found following exposure to red tea or black coffee [ 23 ].…”

Section: Discussionsupporting

confidence: 83%

“…The transillumination technique [ 29 ] can help the operator to distinguish the deeper areas of the lesion from the more superficial without providing precise information. The superficial infiltration technique, although not the only procedure considered for treatment of enamel opacities [ 14 , 30 , 31 , 32 , 33 ], currently represents a very satisfactory and conservative technique from both an aesthetic point of view and as a function of the shorter working time, stability of the result, minor invasiveness, reduction of hypersensitivity, and improvement of structural resistance [ 6 , 8 , 9 , 15 , 16 , 18 , 19 , 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

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Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study

Brescia

Montesani²,

Fusaroli

et al. 2022

Children

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Background: Developmental Defects of Enamel (DDE) represent an aesthetic, functional, and often psychological problem, especially in young patients. Infiltrative treatment with resin (Icon-DMG, Hamburg, Germany) is a minimally invasive technique based on the infiltration of high viscosity resin inside the hypomineralized enamel, modifying its optical properties. The aim of this paper is to evaluate the clinical efficacy of superficial infiltration in the treatment of white enamel defects of the anterior sector with pre-eruptive etiology and its stability over time. Methods: Thirty-three patients affected by DDE associated with mild and moderate Molar Incisor Hypomineralization (MIH), mild and moderate fluorosis, and post-traumatic hypomineralization treated with resin infiltration were retrospectively retrieved. Results: In all cases an improvement in aesthetic appearance was achieved, and the 24-month follow-up confirmed the stability of the results. However, in the cases of traumatic hypomineralization the results were not completely satisfactory. Conclusions: The superficial infiltration technique can be considered a valid minimally invasive alternative to traditional treatment of mild or moderate fluorosis and mild MIH.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionmentioning

confidence: 99%

Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study

Brescia

Montesani²,

Fusaroli

et al. 2022

Children

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“…Although the present results showed that polishing neither influenced the caries-protective effect of resin infiltration nor the bacterial adhesion, from a clinical point of view and specially for labial white-spot lesions infiltrated for masking the whitish appearance, it is still probably more reasonable to polish then anyway. Data from previous clinical studies on this application showed that labial lesions may suffer from long-term staining, when not polished [41][42][43] . Moreover, contrary to the clinical studies on approximal lesions, which all did not report polishing procedures 29,[44][45][46][47] , for labial lesions most of the clinical studies have been performed including polishing steps after light curing of the infiltrant 41 .…”

Section: Discussionmentioning

confidence: 98%

Randomized in situ evaluation of surface polishing protocols on the caries-protective effect of resin Infiltrant

Esteves‐Oliveira

Passos

Russi

et al. 2022

Sci Rep

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The aim of this placebo-controlled randomized in situ study was to evaluate the effect of different surface polishing protocols on enamel roughness, bacterial adhesion and caries-protective effect of a resin infiltrant. Seventy-five bovine enamel samples having artificial caries lesions were treated with a resinous infiltrant and afterwards randomly dividided into five polishing protocols: aluminum oxide flexible disks (Al2O3-Disks), silicon carbide tips (SIC-Tips), silicon carbide brush (SIC-Brush), silicon carbide polyester strips (SIC-Strips) or no polishing [negative control (NC)]. Average surface roughness (Ra) was assessed by profilometry. Samples were mounted in palatal appliances under a mesh for biofilm accumulation. Fifteen volunteers wore the intraoral appliances (14-days) and cariogenic challenge was triggered by sucrose solutions. Biofilm formed was collected for microbiological analysis of caries-related bacteria (Streptococcus mutans, Lactobacillus acidophilus) and demineralization was assessed by cross-sectional microhardness. Mean Knoop hardness numbers (Kg/mm2) were plotted over lesion depth (µm) and area under the lesion curve was subtracted from sound enamel to determine demineralization (ΔS, Kg/mm2xµm). Data were analyzed by ANOVA and post-hoc comparisons (α = 0.05). NC resulted in significantly higher Ra means than Al2O3-Disks and SIC-Strips. Bacterial counts were not significantly different between the groups (p > 0.05). Regards ΔS means, however none of the groups were significantly different to NC (6983.3 kg/mm2xµm /CI 4246.1–9720.5, p > 0.05). Conclusions: Polishing protocols (Al2O3-Disks, SIC-Strips) significantly decreseased roughness of infiltrated-enamel, however none of the polishing protocols could signicantly decrease bacterial counts nor resulted in significant less demineralization.

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“…However, if a color change should occur, polishing or whitening treatment of the infiltrated area can be carried out. Studies have shown that polishing infiltrated lesions increases their resistance to staining and can minimize the staining effect [ 8 , 14 , 15 , 33 , 34 ]. In fact, polishing has resulted in a significant reduction in ΔE values, and this is since dyes are absorbed on the surface, with little penetration into resin materials or the dental substrate [ 19 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of Enamel Color Stability of Resins Infiltration Treatment in Human Teeth: A Systematic Review

Saccucci

Corridore

Carlo

et al. 2022

IJERPH

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(1) The evolution of techniques and materials used in dentistry has led to the introduction of a technique known as micro-infiltration, using ICON infiltrating resin. The purpose of this study was to evaluate whether the resin infiltrant can remain stable in the enamel color of human teeth over time or if it causes discoloration and review current knowledge on color stability based on the literature selected solely on studies performed on human teeth and to provide a perspective on the methods proposed by clinicians in the infiltration procedure; (2) Methods: This systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement; (3) Results: Twelve studies were selected for this review. The study results suggest that the device content is sufficiently comprehensive. The reviewers expressed strong support for the device’s content for assessing the quality of reviews. The paper summarizes current reports regarding the color stability assessment of enamel treated by in- filtration resin confirmed in in vitro and in vivo studies; (4) Conclusions: Based on these considerations, the resin infiltration method can be recommended to improve the appearance of enamel lesions. The infiltrated lesions remained chromatically stable, showing no significant color changes in the long term.

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In-vivo colour stability of enamel after ICON® treatment at 6 years of follow-up: A prospective single center study.

Cited by 20 publications

References 28 publications

Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study

Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study

Randomized in situ evaluation of surface polishing protocols on the caries-protective effect of resin Infiltrant

Assessment of Enamel Color Stability of Resins Infiltration Treatment in Human Teeth: A Systematic Review

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