Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review

Borges, Alessandra Bühler; Caneppele, Taciana Marco Ferraz; Ferreira, Daniele Masterson Tavares Pereira; Maia, Lucianne Cople

doi:10.1016/j.jdent.2016.10.010

Cited by 99 publications

(109 citation statements)

References 29 publications

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“…Recently, a caries infiltration technique was introduced along with low‐viscosity light‐curing resins called infiltration resins, which can infiltrate the subsurface caries lesions by capillary action . Infiltration resins have been claimed as a promising approach for the treatment of uncavitated caries lesions such as “caries‐like lesion,” “white spot lesion,” or “enamel demineralization.” The resin infiltration is based on the hydrochloric acid erosion of the lesion surface and posterior infiltration of a low‐viscosity resin into the intercrystalline spaces of hypocalcified or demineralized enamel, and this alters the refractive index of the porous enamel, so this kind of resin contains less filler, which lead to a lower wear resisitance . Studies have shown that the infiltration of caries lesions with infiltration resins could inhibit further demineralization in vitro and prevent caries lesion progression in situ .…”

Section: Composite System Classification Of Dental Compositesmentioning

confidence: 99%

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Development and status of resin composite as dental restorative materials

Zhou

Huang

et al. 2019

J of Applied Polymer Sci

113

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Dental composites are comprised of a polymerizable matrix and reinforcing fillers that can be hardened into a solid restoration in the prepared tooth cavity. Composites are becoming increasingly popular due to their esthetics and improved mechanical and physical properties. However, dental composites still encounter several problems, mainly secondary (recurrent) caries, restoration fracture, excessive wear, marginal degradation, and tooth sensitivity. Therefore, extensive efforts are underway to improve the composite compositions and microstructure, and enhance their clinical performance and longevity. Relying on advances in materials science and technology, dental composites have been continuously improved and their clinical applications have been expanded. In this review article, the development of dental composites was summarized, including compositional changes, performance improvements in key areas, current research hot spots, and outlook for future direction. The intention is to provide a review of the history and development of dental composites with a discussion of strategies on addressing the current challenges facing dental composites. In addition, this review will provide a better understanding of dental composites and their properties for the practicing clinicians, to contribute to improving the quality of composite restorations. The review of literature indicates that while current composites are generally bio‐inert and can replace the missing tooth structure, future composites should be bioactive and therapeutic to inhibit caries, modulate biofilms, and protect the surrounding tooth structures, in order to increase the restoration longevity. © 2019 Wiley Periodicals, Inc. J. Appl. Polym. Sci. 2019, 136, 48180.

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Section: Composite System Classification Of Dental Compositesmentioning

confidence: 99%

“…The application of infiltration resins on interproximal caries lesions was also shown to be a novel treatment option for interproximal caries . However, the evidence for clinical recommendation of this technique is not strong, and further randomized controlled trial studies should be conducted …”

Section: Composite System Classification Of Dental Compositesmentioning

confidence: 99%

Development and status of resin composite as dental restorative materials

Zhou

Huang

et al. 2019

J of Applied Polymer Sci

113

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“…The resin infiltration technique (RIT) has been described as an effective non‐invasive treatment for white spot lesions (WSL) after orthodontic treatment . The RIT is founded on hydrochloric acid erosion of the lesion surface and infiltration of a low‐viscosity resin into the intercrystalline spaces of hypocalcified or demineralized enamel . Dental literature has analyzed the penetration and color masking efficacy of the resin infiltration technique .…”

mentioning

confidence: 99%

Silicone Additive Manufactured Indices Performed from a Virtual Diagnostic Waxing for Direct Composite Diastema Closure Combined with Resin Infiltration Technique on White Spot Lesions: A Case Report

Revilla‐León

Fountain²,

Piedra‐Cascón

et al. 2019

Journal of Prosthodontics

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The present article describes the resin infiltration technique to address white spots lesions presented on anterior and premolar teeth of a young patient after orthodontic treatment and the digital workflow for planning a diastema closure on the maxillary anterior teeth using facial photographs, an intraoral scanner, a facially driven diagnostic waxing using a dental computer‐aided design (CAD) software, and 3‐piece additive manufactured (AM) clear silicone indices. The virtual design of the silicone indices was completed using an open‐source CAD software and included a flexible clear buccal piece, flexible clear lingual piece, and rigid clear custom tray. The unique 3‐piece index design allows a horizontal path of insertion, controlled uniform thickness of the indices, flexible and rigid material properties combination, accurate translation of the diagnostic waxing into the patient´s mouth, and digital storage of the designs.

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“…6,11 This reinforcement of the compromised enamel structure prevents further surface disruption and avoids frank cavitation of the lesion. 7,8,15,22,23 Icon is currently the only commercial product that uses this approach. 11 Because this technique requires no tooth preparation (other than localized application of a special acid-etching solution of 15% hydrochloric acid gel) or anesthesia, the anatomy of the tooth is preserved and esthetic improvements are achieved without invasive restorative dental treatment.…”

Section: Introductionmentioning

confidence: 99%

“…11 Because this technique requires no tooth preparation (other than localized application of a special acid-etching solution of 15% hydrochloric acid gel) or anesthesia, the anatomy of the tooth is preserved and esthetic improvements are achieved without invasive restorative dental treatment. 8,22,24 It is widely known that resin-based restorative materials may undergo visual changes as a result of contact with the pigmentation of coloring agents in the diet, which may affect treatment longevity of esthetic outcomes. 25,26 For white spot lesions of the anterior teeth, the restorative selection is between conservative treatment using a resin infiltrative material, or a more aggressive approach using an esthetic resin composite.…”

Section: Introductionmentioning

confidence: 99%

Staining potential differences between an infiltrative resin and an esthetic, flowable composite

Silva

Reich

DeLeon

et al. 2018

J Esthet Restor Dent

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Objective To compare color change magnitude of an infiltrative resin and a flowable composite resin after immersion in commonly consumed beverages. Materials and Methods Disks (1 × 9 mm) of a flowable composite (Filtek Supreme Ultra Flowable) and a resin‐infiltrative product (Icon) were made. Specimens were dark‐stored in tap water (24 hours). Baseline color parameters (CIE L*a*b*) were obtained using a colorimeter (Easyshade V4, VITA). Specimens were immersed (dark stored, 37°C, 1 week) in commercial beverages: Kool‐Aid, coffee, Coca‐Cola, and tap water (control). ΔE00 between final and baseline conditions for each material/beverage combination was determined (N = 10/group). Initial analysis of variance indicated significant impact of major factors/interactions on ΔE00. Subsequently, t‐tests between ΔE00 values of restorative materials within each beverage was performed: alpha 0.05. Results Kool‐Aid produced the greatest color change for flowable composite, with a ΔE00 significantly greater than the infiltrative product. No significant ΔE00 differences were noted between products immersed in coffee, however color parameters causing these differences were not similar. Water or Coca‐Cola immersion showed lowest ΔE00 values for both materials, considered visually imperceptible: ΔE00 values <0.8. Conclusions Color change potential of infiltrative resin or resin composite was highly dependent on beverage type, with no general trends observed in which material was affected more. Clinical Significance Staining potential of an infiltrative restorative resin differs from that of a filled, flowable composite material on a beverage‐by‐beverage basis. The potential for color change seems not related to the presence or absence of fillers in the restorative material.

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Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review

Cited by 99 publications

References 29 publications

Development and status of resin composite as dental restorative materials

Development and status of resin composite as dental restorative materials

Silicone Additive Manufactured Indices Performed from a Virtual Diagnostic Waxing for Direct Composite Diastema Closure Combined with Resin Infiltration Technique on White Spot Lesions: A Case Report

Staining potential differences between an infiltrative resin and an esthetic, flowable composite

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