Alternative Esthetic Management of Fluorosis and Hypoplasia Stains: Blending Effect Obtained with Resin Infiltration Techniques

Muñoz, Miguel Angel; Arana-Gordillo, Luis Alfonso; Gomes, Giovanna Mongruel; Gómes, Osnara María Mongruel; Bombarda, Nara Hellen Campanha; Reis, Alessandra; Loguércio, Alessandro Dourado

doi:10.1111/j.1708-8240.2012.00527.x

Cited by 82 publications

(76 citation statements)

References 31 publications

(55 reference statements)

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“…Beyond the ambit of postorthodontic WSL, the technique of resin infiltration has been shown to be have abilities not only for inhibiting the progression of caries lesions and concealing WSL but also for improving the appearance of dental fluorosis 30,31 or penetrating enamel affected by molar-incisor hypomineralization. 32 It may be expected that infiltration will be an established treatment option for these indications in a few years.…”

Section: Total Effect On Summarized Color and Lightness Development Amentioning

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: Total Effect On Summarized Color and Lightness Development Amentioning

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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“…1 Since the fluorotic and hypomineralized enamel exhibits a subsurface reduced mineral content, similar to an initial caries lesion, the indication of the low-viscosity infiltration resin technique was recently broadened to mask the undesirable esthetic appearance in these cases. 19,24 Nevertheless, because of the high variety of traumatic hypomineralization topographic characteristics, the results of treatment using infiltration are difficult to predict. In fact, this case series presents an improvement of the esthetic appearance of the white discolorations, with patient satisfaction.…”

Section: Discussionmentioning

confidence: 99%

Color Masking of Developmental Enamel Defects: A Case Series

Torres

Borges

2015

Operative Dentistry

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SUMMARY Developmental defects involving color alteration of enamel frequently compromise the esthetic appearance of the tooth. The resin infiltration technique represents an alternative treatment for color masking of these lesions and uniformization of tooth color. This technique is considered relatively simple and microinvasive, since only a minimal portion of enamel is removed. This article illustrates the color-masking effect with resin infiltration of fluorosis and traumatic hypomineralization lesions with a case series. The final esthetic outcomes demonstrated the ability of the resin infiltrant to mask the color of white developmental defect lesions, resulting in satisfactory clinical esthetic improvements. However, in more severe cases, the color-masking effect was not complete.

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“…In a contemporary publication, Wang et al 9 proposed a resin infiltration technique following macroabrasion and microabrison combined with home bleaching therapy as a minimally invasive approach for the esthetic correction of a severe fluorosis case. Munoz et al 13 preferred to apply the resin infiltration technique alone and the outcome of the treatment for a mild case was satisfying. The ability of resins to penetrate into the porous lesion body of enamel lesions was described over 30 years ago 14 .…”

Section: Combined Esthetic Therapy Of Severe Dental Fluorosismentioning

confidence: 99%

“…First of all, in order to protect soft tissues from any damage of the microabrasion paste, a light-cured resin barrier (OpalDam Green, Ultradent Products Inc, [12][13][14][15][16][17] UT, USA) and a lip&cheek retractor (OptraGate, Ivoclar Vivadent Inc, NY, USA) were applied. Both patient and clinician wore protective glasses for protection of their eyes.…”

Section: Case Reportmentioning

confidence: 99%

Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

Gözetici¹,

Kuşdemir²,

Bozkurt³

2016

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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In todays' modern dentistry, the undesirable appearence of dental fluorosis need to be improved to satisfy patients' esthetic requirements in a minimally invasive manner. The approach proposed for the treatment should remove the stained enamel defects, provide blending effect for chalky white appearence and strengthen the enamel against caries development. The purpose of this case report is to present the clinical results of a combined esthetic treatment of a severe fluorosis case with microabrasion, bleaching and resin infiltration. Treatment plan was based on a combined approach of microabrasion, home bleaching and resin infiltration. An improvement in the esthetic appearence was achieved and remained stable in the 6-months follow-up. The technique might be more minimally invasive, less time consuming and cheaper compared to restorative techniques.

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Alternative Esthetic Management of Fluorosis and Hypoplasia Stains: Blending Effect Obtained with Resin Infiltration Techniques

Abstract: This case study allows a better understanding of the concept of the resin infiltration technique applied in other types of porous lesions, increasing its use as a therapeutic alternative for esthetic purposes in the philosophy of minimally invasive dentistry.

Cited by 82 publications

References 31 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

Color Masking of Developmental Enamel Defects: A Case Series

Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

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