Pragmatic RCT on the Efficacy of Proximal Caries Infiltration

Meyer-Lueckel, Hendrik; Balbach, A; Schikowsky, Christian; Bitter, Kerstin; Paris, Sebastian

doi:10.1177/0022034516629116

Cited by 51 publications

(65 citation statements)

References 17 publications

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“…The results demonstrate that after 3.5 years, proximal sealing on the sound mesial surfaces of the first permanent molars were efficacious in preventing the development of dental caries. These are findings that are in line with the findings of recent reports showing that sealing and infiltration methods are efficacious in reducing the progression of non-cavitated proximal lesions [Dorri et al, 2015;Schwendicke et al, 2015;Meyer-Lueckel et al, 2016].…”

Section: Discussionsupporting

confidence: 88%

Preventive and Therapeutic Proximal Sealing: A 3.5-Year Randomized Controlled Clinical Trial Follow-Up

et al. 2017

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Objective: The aim of this split-mouth, randomized controlled clinical trial was to evaluate the efficacy of proximal sealing for avoiding the development of new caries lesions or arresting incipient caries lesions on the mesial surface of first permanent molars (6m) abutting lesions on the distal surface of second primary molars (05d) in children at high caries risk. Methods: A total of 61 children 8-10 years old were selected based on the caries status of the proximal sites of 05d and 6m. Children with caries on 05d and caries-free 6m were placed in the preventive sealing group and children with caries on both 05d and 6m in the therapeutic group. The children in each group had one 6m surface pair and in each pair one 6m surface was randomly allocated to receive a preventive or therapeutic sealing. Using a split-mouth design, the other 6m surface in the pair served as control. Results: After 3.5 years, standardized follow-up radiographs were obtained for the 45 children who remained. In the preventive sealing group, 4 out of 30 (13.3%) sealed and 16 out of 30 (53.3%) unsealed sound 6m surfaces had developed new caries lesions (p = 0.004, McNemar test). In the therapeutic sealing group, the progression of the carious lesions on 6m was observed in 3 out of 15 sealed (20.0%) and 8 out of 15 (53.3%) unsealed caries control surfaces (p = 0.06). Conclusions: Preventive sealing on sound 6m surfaces abutting 05d lesions in children at high caries risk efficaciously prevents the development of caries lesions. Therapeutically sealing active non-cavitated caries lesions reduces the progression.

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Section: Discussionsupporting

confidence: 88%

Preventive and Therapeutic Proximal Sealing: A 3.5-Year Randomized Controlled Clinical Trial Follow-Up

et al. 2017

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“…In this case, a false 8 8 positive result may be perceived as caries progression. These reasons may explain the lower rate of caries progression in this and other studies [11,16,17,21]. The results of this study in terms of caries progression were evaluated using DSR, in which to increase the noticeable changes in radiographs, the structured noise is reduced.…”

Section: Discussionmentioning

confidence: 82%

“…Likewise, resin infiltration was shown to be effective in the prevention of the progression of interface caries in both primary and permanent teeth in other studies [11,16,17,21,22,24,25]. Meyer-Lueckel et al [11] reported on the 3-year impact of resin infiltration to prevent the progression of proximal non-cavitated caries lesions compared to placebo treatment.…”

Section: Discussionmentioning

confidence: 97%

“…A study conducted by Paris et al [16] indicated that 10 out of 27 lesions (37%) in the control group and 2 out of 27 lesions (7%) in the test group showed progression after 18 months. Another study evaluated 238 pairs of proximal caries lesions and reported lesion progression recorded in 10 out of 186 test lesions (5%) and in 58 out of 186 control lesions (31%) after 18 months [17]. Ammari et al [21] observed caries progression in 11.9% (5 out of 42) of the test lesions compared to 33.3% (14 out of 42) of the control lesions.…”

Section: Discussionmentioning

confidence: 99%

“…Inter-measure consistency was assessed using the intraclass correlation coefficient. The McNemar test was used to analyze differences between the test and the control groups with regard to lesion progression and lesion stages at p < 0.05 [16,17].…”

Section: Treatmentmentioning

confidence: 99%

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The Effect of Resin Infiltration on the Progression of Proximal Caries Lesions: A Randomized Clinical Trial

Arslan¹,

Kaplan²

2019

Med Princ Pract

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The use of infiltrating resins is an efficient microinvasive treatment for interproximal caries in adolescents and young adults. • This method enables the treatment of lesions in a single session.• No significant adverse events or side effects were observed in patients 1 year following infiltration. AbstractObjective: The aim of this clinical trial was to assess the effect of resin infiltration on the progression of proximal caries lesions. Subjects and Methods: Forty-one patients, aged between 15 and 33 years, with 2 or more non-cavitated proximal caries lesions were included. In 41 of the adolescent and young adults, 45 pairs of proximal lesions with radiological extension into the inner and outer half of the enamel, or into the outer third of the dentin, were randomly allocated to the test groups (resin infiltration application + fluoridated toothpaste and flossing use) or to the control group (fluoridated toothpaste and flossing use). Standardized geometrically aligned digital bitewing radiographs were obtained using individual biting holders. The radiographic progression of the lesions was assessed after 1 year by digital-subtraction radiography. The McNemar test was used for statistical analysis. Results: In the test group 1/45 of the lesions (2.2%) and in the control group 9/45 of the lesions (20%) showed progression. The caries progression rate of the control group was significantly higher than that of the test group (p < 0.05). Conclusions: Resin infiltration of proximal caries lesions is effective in reducing progression of the lesion.

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Evaluating color stability and enamel surface roughness following resin infiltration treatment

Sabti,

Alfarhan,

Akbar

et al. 2024

Clinical & Exp Dental Res

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ObjectiveTo assess the impact of resin infiltration treatment on enamel color stability and surface roughness after simulating daily exposure to coffee stains and regular toothbrushing with standard toothpaste.Materials and MethodsIn this in vitro study, we utilized 47 caries‐free human enamel specimens, which were divided into two distinct groups. The teeth in the study group underwent artificial demineralization, Icon resin infiltration, and polishing, while the control group received only polishing. Following this, all teeth from both groups were regularly immersed in freshly brewed coffee for 15 min, twice daily, over a span of 30 days. After each staining session, the teeth underwent 10 heavy circular strokes using a soft toothbrush and standard toothpaste. Color changes were measured on Days 1 and 30 using a spectrophotometer. The L*, a*, b* color system defined by the International Commission on Illumination was used to assess the changes. Surface roughness was evaluated at baseline and after 30 days using a 3D surface Metrology Microscope.ResultsAfter 30 days of immersion in coffee, both the study and control groups showed significant changes in color. However, differences were statistically significant between groups for “L” and “a” parameter but not for “b.” The overall color change in the study group was higher than the control group. There were no significant differences in surface roughness within or between the groups before and after staining and brushing.ConclusionsResin infiltration leads to a significant increase in staining compared to untreated enamel. These staining properties should be taken into account when making clinical decisions regarding the treatment of white spot lesions.

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Pragmatic RCT on the Efficacy of Proximal Caries Infiltration

Cited by 51 publications

References 17 publications

Preventive and Therapeutic Proximal Sealing: A 3.5-Year Randomized Controlled Clinical Trial Follow-Up

Preventive and Therapeutic Proximal Sealing: A 3.5-Year Randomized Controlled Clinical Trial Follow-Up

The Effect of Resin Infiltration on the Progression of Proximal Caries Lesions: A Randomized Clinical Trial

Evaluating color stability and enamel surface roughness following resin infiltration treatment

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