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

Abstract

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.

Uso De Infiltrante Resinoso Como Tratamento De Hmi

“…Isso é particularmente relevante em casos severos de hipomineralização molar, visto que as superfícies tratadas com resina apresentaram uma textura mais lisas e uma redução significativa na sensibilidade ao longo do período de acompanhamento. Adicionalmente, a técnica de infiltração superficial é reconhecida como uma alternativa válida e minimamente invasiva para o tratamento convencional de casos leves a moderados de fluorose e hipomineralização molar (Brescia et al, 2022).…”

Evaluation of the therapeutic performance of ICON infiltration resin in the treatment of White Spot Lesions in esthetic dental areas. Clinical Report.

“…The procedure is characterized by its minimally invasive nature as it does not necessitate the mechanical removal of dental tissues, obviates the need for local anaesthesia, and boasts a relatively quick completion time [12,13].…”

Abordaje de mínima intervención en el tratamiento lesiones de manchas blancas post ortodoncia con Resina Infiltrativa ICON®. Reporte de caso.

“…La prevalencia de lesiones de mancha blanca en pacientes con tratamiento de ortodoncia varía de 2% a 96%, siendo la superficie vestibular del incisivo lateral superior el sitio más común para encontrarla, seguido de los caninos mandibulares y primeros premolares 6-8 , es menos frecuente es el incisivo central inferior [4][5][6][7][8] . La forma en que se evalúan las lesiones puede afectar estos valores, tomando en cuenta que existen estrategias clínicas como el uso de fotografías o dispositivos y técnicas que permiten identificar la presencia de lesiones de manchas blancas en estadíos tempranos.…”