Aesthetic Improvement of White Spot Fluorosis Lesions with Resin Infiltration

Todorova, Veselina I; Filipov, Ivan; Khaliq, Abdul F; Verma, Puja

doi:10.3897/folmed.62.e47731

Cited by 6 publications

(6 citation statements)

References 17 publications

(29 reference statements)

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“…One of the frequent causes of WSL is dental fluorosis, which is a developmental disturbance of enamel caused by successive exposures to high concentrations of fluoride during tooth development, and is characterized by enamel with lower mineral content and increased porosity. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Efficacy of microabrasion and resin infiltration techniques for masking of fluorotic white spot lesions: A randomized clinical study

Parmar,

Asthana,

Patel

2023

J Conserv Dent Endod

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Aim: The aim of the study was to compare the esthetic treatment outcome and quantification of tooth color changes using microabrasion and resin infiltration techniques of fluorotic white spot lesions (WSLs). Subjects and Methods: Sixty-six teeth with fluorotic small opaque white areas involving 25%–50% (very mild/mild fluorosis) of the surface were randomly assigned into two groups for microabrasion and resin infiltration techniques. To quantify tooth color changes, depicted by Delta E (DE), photographic analysis was performed using Adobe Photoshop CS5 Extended version by measuring Commission Internationale de l’Eclairage L*a*b* values of each tooth at two points, i.e. one at WSL and the other one at sound adjacent enamel. Statistical Analysis Used: Data were analyzed with t-test using SPSS software version 23. Results: L*value (decrease in whiteness) of posttreatment WSL decreased in both groups but was higher in the resin infiltration group, which was statistically significant. There were no statistically significant changes observed in a* and b* values of WSL in both groups. DE value difference of pre and postoperative was higher in the resin infiltration group, which was statistically significant which indicated the stability of color obtained by the resin infiltration group. Conclusions: Resin infiltration technique is more efficient in the immediate elimination of fluorotic WSL than microabrasion.

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Section: Discussionmentioning

confidence: 99%

Efficacy of microabrasion and resin infiltration techniques for masking of fluorotic white spot lesions: A randomized clinical study

Parmar,

Asthana,

Patel

2023

J Conserv Dent Endod

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“…Finalmente, la técnica de infiltración de resina que utiliza DMG-ICON representa un tratamiento mínimamente invasivo altamente eficaz en casos de fluorosis dental leve y moderada 9,11,12 . Múltiples estudios 2,[17][18][19] , han demostrado y coinciden con los resultados de esta revisión reconociéndolo como una opción viable para enmascarar las lesiones blancas sin cavitación en este tipo de casos. En cuanto, al protocolo es importante tomar en consideración, que se han observado mejores resultados ampliando el tiempo de infiltración a dos aplicaciones de 3 minutos 9,11 y de grabado ácido de la superficie hasta máximo 3 veces 18 .…”

Section: Discussionunclassified

Tratamientos mínimamente invasivos para casos de fluorosis dental en Odontopediatría. Una revisión sistemática

Jarrín¹,

Jaramillo²,

Ojeda³

2022

OdontoInvestigación

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Objetivo. El objetivo de este estudio fue determinar el tratamiento mínimamente invasivo más eficaz para casos de fluorosis en niños y adolescentes, tomando en cuenta el grado de severidad mediante una revisión bibliográfica. Materiales y métodos. Se realizaron búsquedas en la literatura desde enero de 2017 a octubre de 2021 sobre tratamientos mínimanente invasivos para casos de fluorosis dental en niños y adolescentes en cinco bases de datos científicamente reconocidas en el campo de la salud (Pubmed Central, Medline, Scopus, Science Direct y Cochrane Library). Siguiendo la Metodología PRISMA, de 900 artículos resultantes de la búsqueda inicial, mediante el análisis de criterios de inclusión/ exclusión y calidad de evidencia científica; se incluyen, para su evaluación cualitativa, 5 artículos científicos. Resultados. Para efectos de esta revisión, los cinco estudios seleccionados con una calidad de evidencia alta fueron ensayos clínicos. El número total de niñas/niños y adolescentes participantes fue de 287 con un rango de edad de los 6 a 17 años. Estos casos de fluorosis dental fueron tratados con microabrasión, blanqueamiento, aplicación de resina infiltrante (ICON, DMG) y terapias combinadas. Dichas técnicas presentan una eficacia inversamente proporcional al grado de severidad de fluorosis dental., siendo altamente efectivos en temas de enmascaramiento de lesiones leves. Conclusión. La técnica de infiltración de resina con doble infiltración durante 3 minutos y combinada con blanqueamiento exhibe mejores resultados a nivel estético y menos limitaciones/efectos adversos para casos de fluorosis dental leve y moderada (en estadíos 1 al 4 dentro del índice de Thylstrup y Fejerskov) en pacientes pediátricos y adolescentes.

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“…They also emphasized the need for regular follow-up visits to observe the discolorations of the infiltrated area and to re-polish the applied layer of the preparation. [16].…”

Section: Discussionmentioning

confidence: 99%

“…For this reason, the first step to prepare tissues for the use of an infiltrant is to etch them with a 15% hydrochloric acid solution for 120 s. In the infiltration method, the use of hydrochloric acid as an etching agent is more effective than the use of 37% orthophosphoric acid (as a classic etching agent), as proved by Paris et al and Meyer-Lueckel H et al in their studies. [15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Use of Ytterbium Trifluoride in the Field of Microinvasive Dentistry—An In Vitro Preliminary Study

et al. 2020

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Background: The aim of this study was an attempt at determining the quantity of the degree of the addition of ytterbium trifluoride as a marker, aimed at facilitating the observation and assessment of the effectiveness of penetration into the decalcified enamel of human teeth of an experimental preparation with the characteristics of a dental infiltrant and a commercially available commercial preparation called Icon. Methods: The test material was 20 decalcified human teeth. The first half of the batch was soaked in Icon, the second half in an experimental preparation with the characteristics of a dental infiltrant and with a component responsible for bacteriostaticity. Ytterbium trifluoride was added to both preparations to facilitate the microscopic observations: 20 mg/1 g in the first phase of the experiment, 60 mg/1 g in the second phase. Results: YbF3 particles could not be found in the teeth from the first phase of the experiment. Particles rich in ytterbium could be found only in the teeth from the second phase of the experiment, with three times the content of ytterbium. Conclusion: The addition of 6% ytterbium trifluoride (both commercial and laboratory synthesized) facilitates microscopic observation, allowing the conclusion that both Icon and the experimental preparation with the characteristics of a dental infiltrant penetrate the decalcified enamel of a human tooth. The SEM analysis of the preparations in terms of content and particle size of ytterbium trifluoride shows that the distribution is heterogeneous. Large size particles predominate, yet particles with a diameter of less than 1 µm were also found. This may confirm the fact that most of them have probably agglomerated. The method of scattering YbF3 nanoparticles in the infiltrant resin requires further work so that they do not appear as agglomerates.

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Aesthetic Improvement of White Spot Fluorosis Lesions with Resin Infiltration

Cited by 6 publications

References 17 publications

Efficacy of microabrasion and resin infiltration techniques for masking of fluorotic white spot lesions: A randomized clinical study

Efficacy of microabrasion and resin infiltration techniques for masking of fluorotic white spot lesions: A randomized clinical study

Tratamientos mínimamente invasivos para casos de fluorosis dental en Odontopediatría. Una revisión sistemática

Use of Ytterbium Trifluoride in the Field of Microinvasive Dentistry—An In Vitro Preliminary Study

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