Long-Term Chromatic Durability of White Spot Lesions through Employment of Infiltration Resin Treatment

Puleio, Francesco; Spirito, Federica Di; G, Lo Giudice; Pantaleo, Giuseppe; Rizzo, David M.; Giudice, Roberto Lo

doi:10.3390/medicina59040749

Cited by 6 publications

(5 citation statements)

References 37 publications

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“…Almost all mothers who participated in our study at least supervised and 92.9% reported brushing the teeth of their children by themselves. In line with our finding, in previous studies [5,34,46,47,49,55,73,74], most of the parents were aware and adhered to supervised toothbrushing. However, the outcomes of some reports [19,28,30,35,38,44,57,64,75] were not in accordance with our findings and showed a lack of knowledge and practice regarding parental supervised toothbrushing among most of the participant parents.…”

Section: Discussionsupporting

confidence: 92%

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Dentist Mothers’ Attitudes, Challenges and Facilitators in the Oral Health Promotion of Their Young Children

Akşit-Bıçak

2023

Children

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Twice daily parental supervised brushing (PSB) is recommended for the effective oral hygiene of children with toothpaste including fluoride. This cross-sectional study aimed to identify dentist mothers’ attitudes, challenges, and facilitators in the oral health promotion of their young children. An online questionnaire was prepared and distributed to dentists via e-mail with a link to the form. Of all the mothers, 46.50% started brushing their children’s teeth after the eruption of the first primary teeth. Nearly 50% of the mothers thought that they should brush their children’s teeth until at least the age of 7–8 years old. In terms of the main barriers to toothbrushing, 52.9% said children could fall asleep at home or in the car, while 27.5% of all mothers reported being tired as the main barrier to toothbrushing. Although dentist mothers have sufficient knowledge to promote oral and dental health, they do not always have ideal attitudes and behaviors and they may encounter various barriers regarding themselves and their children in practical applications. Providing oral care for young children goes beyond ‘knowledge’ and is sometimes ‘challenging’; however, it could be ‘possible’ by developing and implementing the most appropriate solution strategies suitable for each unique family and child.

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Section: Discussionsupporting

confidence: 92%

“…White spot lesions, as in opaque and milky-white color, are the early signs of dental caries and, if not treated, restorative treatment is mandatory [55]. Nearly 12% of all children had white spot lesions and 16.67% had cavitated carious lesions in this study.…”

Section: Discussionmentioning

confidence: 51%

Dentist Mothers’ Attitudes, Challenges and Facilitators in the Oral Health Promotion of Their Young Children

Akşit-Bıçak

2023

Children

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“…White spot lesions should be managed using a multifactorial approach. The most important strategy is to prevent demineralization and biofilm formation [42]. Certain approaches, such as professional fluoride applications, use of agents containing CPP-ACP and CPP-ACFP, microabrasion, macroabrasion, and resin infiltration, are preferred in the management of white spot lesions [39,42].…”

Section: Restorative and Aesthetic Approachesmentioning

confidence: 99%

“…The most important strategy is to prevent demineralization and biofilm formation [42]. Certain approaches, such as professional fluoride applications, use of agents containing CPP-ACP and CPP-ACFP, microabrasion, macroabrasion, and resin infiltration, are preferred in the management of white spot lesions [39,42]. It has been reported that the most effective approach among these treatment options is resin infiltration [39,42].…”

Section: Restorative and Aesthetic Approachesmentioning

confidence: 99%

“…Certain approaches, such as professional fluoride applications, use of agents containing CPP-ACP and CPP-ACFP, microabrasion, macroabrasion, and resin infiltration, are preferred in the management of white spot lesions [39,42]. It has been reported that the most effective approach among these treatment options is resin infiltration [39,42]. Studies show that the resin infiltration technique is immediately effective in the aesthetic treatment of white spot lesions and that the camouflage effect continues one year after the treatment [43].…”

Section: Restorative and Aesthetic Approachesmentioning

confidence: 99%

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Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review

Sezer,

Çarıkçıoğlu

2024

Oral

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Today, molar incisor hypomineralization (MIH), which affects approximately one in seven children, is defined as a hypomineralized developmental enamel defect that often impacts at least one permanent first molar and frequently affects permanent incisors as well. Symptoms and signs include demarcated opacities of various colors, post-eruptive enamel deterioration, atypical caries and restorations, hypersensitivity, tooth loss due to MIH, and difficulty in achieving anesthesia. A detailed review of the scientific literature shows that there are many studies evaluating different treatment approaches for permanent first molars affected by MIH. On the other hand, there are very few scientific studies evaluating treatment approaches for affected incisors in patients with MIH. Most of these studies consist of case reports or series. White/creamy and/or yellow/brown demarcated opacities are commonly observed in affected incisors in patients with MIH. While these opacities increase the susceptibility of enamel to deterioration and dental caries, they also cause aesthetic problems and related psychosocial consequences. Treatment methods, such as resin infiltration, microabrasion, and/or dental bleaching, have been proposed for aesthetic and restorative purposes in affected incisors in patients with MIH. Additionally, various approaches to increase mineral content and relieve hypersensitivity have been recommended. The number of randomized controlled and prospective studies is quite low, but many case reports and case series have been encountered. The purpose of this review was to provide a comprehensive overview of the different treatment management modalities for permanent incisors affected by MIH. As a result, while resin infiltration, dental bleaching, microabrasion, and/or etch–bleach–seal techniques are preferred for aesthetic and restorative purposes in these teeth, it has been observed that agents containing casein phosphopeptide amorphous calcium phosphate, casein phosphopeptide amorphous calcium fluoride phosphate, fluoride, and calcium glycerophosphate increase the mineral content. Additionally, studies have reported that ozone and low-level laser therapy, in addition to these remineralizing agents, reduce hypersensitivity in these teeth. Although the findings of this review indicate that the level of evidence for current approaches is not high, clinicians may prefer one or more of the treatment approaches mentioned in this article based on experience and patient expectations.

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Equivalence study of the resin-dentine interface of internal tunnel restorations when using an enamel infiltrant resin with ethanol-wet dentine bonding

Kielbassa,

Summer,

Frank

et al. 2024

Sci Rep

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This preregistered ex vivo investigation examined the dentinal hybrid layer formation of a resinous infiltrant (Icon), with reference to both thickness (HLT) and homogeneity when combined with modified tunnel preparation (occlusal cavity only) and internal/external caries infiltration. The adhesives Syntac and Scotchbond MP were used as controls (Groups 1 and 3) or in combination with Icon (Groups 2 and 4). A split-tooth design using healthy third molars from 20 donors resulted in 20 prepared dentine cavities per experimental group. The cavity surfaces (n = 80) were etched (37% H3PO4), rinsed, and air-dried. Rewetting with ethanol was followed by application of the respective primers. After labeling with fluorescent dyes, either Syntac Adhesive/Heliobond or Scotchbond MP Adhesive was used alone or supplemented with Icon. HLT, as evaluated by scanning electron microscopy, did not significantly differ (P > 0.05), and confocal laser scanning microscopy revealed homogeneously mixed/polymerized resin-dentine interdiffusion zones in all groups. Icon can be successfully integrated into an ethanol-wet dentine bonding strategy, and will result in compact and homogeneous hybrid layers of comparable thickness considered equivalent to the non-Icon controls, thus allowing for preservation of the tooth’s marginal ridge and interdental space in the case of internal/external infiltration of proximal caries.

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Long-Term Chromatic Durability of White Spot Lesions through Employment of Infiltration Resin Treatment

Cited by 6 publications

References 37 publications

Dentist Mothers’ Attitudes, Challenges and Facilitators in the Oral Health Promotion of Their Young Children

Dentist Mothers’ Attitudes, Challenges and Facilitators in the Oral Health Promotion of Their Young Children

Treatment Strategies for Incisors of Children Affected by Molar Incisor Hypomineralization: A Narrative Review

Equivalence study of the resin-dentine interface of internal tunnel restorations when using an enamel infiltrant resin with ethanol-wet dentine bonding

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