Minimally invasive resin infiltration of arrested white-spot lesions

Senestraro, Seth V.; Crowe, Jennifer J.; Wang, Mansen; Vo, Alex; Huang, Greg J.; Ferracane, Jack L.; Covell, David A.

doi:10.14219/jada.archive.2013.0225

Cited by 85 publications

(98 citation statements)

References 37 publications

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“…The Icon resin infiltrant's capability in concealing postorthodontic caries lesions has recently been the subject of short-term studies, case reports, and in vitro research, 20,21,[25][26][27] and those studies indicate a clinically relevant optical harmonization of infiltrated WSL with adjacent enamel. A recent 6-month randomized controlled trial on the longevity of this effect reported a stability of the infiltrants and achieved esthetic assimilation of color and lightness differences between infiltrated WSL and SAE, but no significant changes in untreated control WSL at the same time.…”

Section: Discussionmentioning

confidence: 99%

Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up

Eckstein

Helms

Knösel

2015

The Angle Orthodontist

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Objective: To assess camouflage effects by concealment of postorthodontic white-spot lesions (WSLs) to sound adjacent enamel (SAE) achieved over 12 months with resin infiltration (Icon, DMG, Hamburg, Germany). Methods: Twenty subjects (trial teeth n teeth 5 111) who had received resin infiltration treatment of noncavitated postorthodontic WSLs were contacted for a 1-year follow-up assessment of CIE-L*a*b* colors (T12). Color and lightness (CIE-L*a*b*) data for WSLs and SAE were compared to baseline data assessed before infiltration (T0) and those assessed after 6 months (T6), using a spectrophotometer. The target parameter was the difference between the summarized color and lightness values (DE WSL/SAE ). Intergroup (WSL, SAE) and intertime comparisons (T0 vs T6, T12) were performed using paired t-tests at a significance level of a 5 5%. Results: Nine subjects (trial teeth n teeth 5 49; male/female ratio 5/4; age range 13-19 years) were available at T12. After the highly significant reduction of DE WSL/SAE discrepancies between T0 and T6, analysis of 12-month records revealed color and lightness discrepancy of WSL vs SAE that was significantly decreased compared with baseline, indicating an assimilation of WSL color to SAE appearance after infiltration, while an additional reduction of discrepancies between T6 and T12 was not significant. Conclusion: As color and lightness characteristics of the Icon infiltrant as well as the esthetic camouflage effects achieved by WSL infiltration were not altered significantly or clinically relevant after 12 months, the method of resin infiltration can be recommended for an enduring esthetic improvement of postorthodontic WSL. (Angle Orthod. 2015;85:374-380.)

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Section: Discussionmentioning

confidence: 99%

Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up

Eckstein

Helms

Knösel

2015

The Angle Orthodontist

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“…[97] However, a recent study showed that bleaching incipient enamel caries with 10% carbamide peroxide could camouflage WSLs with no effect on the chemical and mechanical properties of the enamel; in addition, application of casein phosphopeptide-amorphous calcium phosphate was considered an adjunct treatment for promotion of mineral gain in the subsurface lesion. [98] Khoroushi et al .…”

Section: After the Orthodontic Treatmentmentioning

confidence: 99%

“…Although 1-year follow-up study demonstrated that the method can create an enduring esthetic improvement of postorthodontic WSLs. [104] Senestraro et al .,[97] Knösel et al .,[105] Feng and Chu[27] did not observe color changes after 2, 6, and 12 months, respectively. However, Tirlet et al .…”

Section: After the Orthodontic Treatmentmentioning

confidence: 99%

Prevention and treatment of white spot lesions in orthodontic patients

2017

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Decalcification of enamel, appearing as white spot lesions (WSLs), around fixed orthodontic appliances is a major challenge during and after fixed orthodontic treatment by considering the fact that the goal of orthodontic treatment is to enhance facial and dental esthetic appearance. Banded or bonded teeth exhibit a significantly higher rate of WSLs compared to the controls with no braces as fixed appliances and the bonding materials promote retention of biofilms. These lesions are managed in the first step by establishing good oral hygiene habits and prophylaxis with topical fluorides, including high-fluoride toothpastes, fluoride mouthwashes, gels, varnishes, fluoride-containing bonding materials, and elastic ligatures. Recently, other materials and methods have been recommended, including the application of casein phosphopeptides-amorphous calcium phosphate, antiseptics, probiotics, polyols, sealants, laser, tooth bleaching agents, resin infiltration, and microabrasion. This article reviews the currently used methods to manage enamel demineralization during and after orthodontic treatment and the risk factors and preventive measures based on the latest evidence.

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“…Several studies have been dedicated to the masking effects of post-orthodontic WSL by infiltration (9,34,35) . The effect of lesion progression as seen in approximal lesions was confirmed for labial lesions, also (34,36) .…”

Section: Post-orthodontic Wsl In Vivomentioning

confidence: 99%

“…The effect of lesion progression as seen in approximal lesions was confirmed for labial lesions, also (34,36) . Furthermore, case reports and short-term studies (9,32,34,35,(37)(38)(39)(40)(41)(42)(43)(44)(45) describe a masking of WSL, up until 1 year following infiltration (32,37,46) . Hammad et al distinguished between infiltration of visible WSLs without surface disruption and WSLs with a roughened surface not requiring restoration, and reported significant improvement in both groups following infiltration.…”

Section: Post-orthodontic Wsl In Vivomentioning

confidence: 99%

Infiltration of White-Spot-Lesions and developmental enamel defects

Knösel

Vogel

Sandoval

2017

Rev. Clin. Periodoncia Implantol. Rehabil. Oral

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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.

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Minimally invasive resin infiltration of arrested white-spot lesions

Cited by 85 publications

References 37 publications

Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up

Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up

Prevention and treatment of white spot lesions in orthodontic patients

Infiltration of White-Spot-Lesions and developmental enamel defects

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