Infiltration of White-Spot-Lesions and developmental enamel defects

Abstract

Purpose: To provide an overview of different indications suitable for treatment with the technique of resin infiltration (Icon, DMG), such as white-spot lesions (WSL), enamel fluorosis, and molar-incisor hypomineralisation (MIH), and to propose a valid and strategy feasible in dental surgeries for screening of dental color improvement and -stability. Method: A non-systematic review of the literature was performed to characterise inhibition of lesion progression, and the esthetic effects induced by resin infiltration of decalcified enamel, enamel fluorosis, and molar-incisor hypomineralisation (MIH), using the online database Pubmed and a suitable search strategy. Database search was complemented by a hand-search of references of retrieved articles. Results: Of 34 retrieved articles, 29 were included in the review. Evidence of an assimilation of WSL color to surrounding enamel following infiltration is available on the level of RCTs, and the results were found to be stable in color with no significant changes over at least twelve months. Evidence of an esthetic improvement of fluorotic or MIH affected teeth is available on the level of case reports and case control studies. Conclusion: As a micro-invasive approach to infiltrate and seal different types of enamel lesions, with a subsequent improvement of the esthetic appearance, resin infiltration is considered to be a useful complementation of the dental therapeutic specter.

Impact of the First Archwires Placement on the Everyday Activities of Orthodontics Patients

“…This finding corroborates the study by Rakhshan & Rakhshan, who assert that tooth-brushing induces primarily mild pain. Although the pain caused by brushing is not great (Rakhshan & Rakhshan), it affects a large proportion of patients and can have a negative effect on oral hygiene, thus increasing the chances of developing other diseases related with poor oral hygiene, such as caries, gingival/ periodontal disease, and white spot lesions (Knösel et al, 2017). In the present investigation we observed the presence of other limitations on EDAs related with pain caused by orthodontic tooth movement.…”

Management of Teeth Affected by Molar Incisor Hypomineralization Using a Resin Infiltration Technique—A Systematic Review

“…It is an innovative technology which fills the gap between the prevention and restoration of caries changes to one third of the dentine (D-1) [32]. It has many advantages: it retains the structure of the tooth, its effect is achieved in one visit, a mechanical stabilization of the demineralized enamel occurs, retention of the demineralization occurs, the risk of leakage of fillings and secondary caries is minimized, the aesthetic effect is better, and it is broadly accepted by patients [33][34][35].…”

Spectrophotometric Evaluation of Color Change in Tooth Enamel Defects Using Resin Infiltrate: An In Vivo Study

“…In 2017 improvement in esthetics by this material was further reported by Knösel in developmental defects, i.e., molar incisor hypoplasia and enamel fluorosis. 17 Hence, the present study was conducted to evaluate effect of resin infiltration technique [DMG-Icon] for masking non cavitated white spot lesions of fluorosis.…”