Management of white spots: resin infiltration technique and microabrasion

Son, Jeong Hye; Hur, Bock; Kim, Hyeon‐Cheol; Park, Jeong-Kil

doi:10.5395/jkacd.2011.36.1.66

Cited by 25 publications

(20 citation statements)

References 13 publications

(17 reference statements)

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“…14,15 The components of microabrasion include 6.6% hydrochloric acid and 20to 160-lm-sized silicon carbide microparticles that removes superficial parts of a lesion by chemical erosion and mechanical abrasion. 16 One case report comparing the esthetic effect of resin infiltration and microabrasion for WSLs showed that the resin infiltration technique seemed more efficient, with a diminution of lesion size. 16 However, the long-term esthetic improvement of resin infiltration or microabrasion for WSLs is still unknown.…”

Section: Introductionmentioning

confidence: 99%

“…16 One case report comparing the esthetic effect of resin infiltration and microabrasion for WSLs showed that the resin infiltration technique seemed more efficient, with a diminution of lesion size. 16 However, the long-term esthetic improvement of resin infiltration or microabrasion for WSLs is still unknown. It is very difficult for clinicians to determine which method is better for treating WSLs.…”

Section: Introductionmentioning

confidence: 99%

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Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Yang

et al. 2019

The Angle Orthodontist

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Objective: To compare the esthetic improvement between postorthodontic white-spot lesions (WSLs) treated by resin infiltration and microabrasion for 12 months. Materials and Methods: A total of 20 patients with 128 teeth with postorthodontic WSLs were recruited. A simple randomized, split-mouth, positive controlled design was used to allocate patients to resin infiltration or microabrasion groups. The lesion area ratio (R value) was calculated between the area of a WSL and the labial surface of the corresponding tooth based on standardized clinical photographs. The color change (ΔE) of each tooth was measured with a Crystaleye spectrophotometer (Olympus, Tokyo, Japan). Every measurement was taken before treatment (T0) and at different time points after treatment: 1 week (T1), 6 months (T6), and 12 months (T12). Results: A total of 16 patients with 108 trial teeth were available at T12. Each group had 54 trial teeth. In both groups, there was a significant decrease in R value and ΔE between T1 and T0 (P < .0001). In the infiltration group, the R value and ΔE had no significant changes over time from T1 to T12. In the microabrasion group, the R value and ΔE decreased significantly from T1 to T6. The R value of resin infiltration was lower when compared with microabrasion at every recall point (P < .001). The ΔE had no significant differences between the two groups at any timepoint. Conclusions: Resin infiltration and microabrasion improved the esthetic appearance of WSLs and showed sufficient durability for 12 months. Resin infiltration showed a better esthetic improvement effect when compared with microabrasion at 12 months.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Yang

et al. 2019

The Angle Orthodontist

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“…23 When the low viscosity resin infiltrates these micro-porosities, which were earlier filled with water (RI=1.33), they became now filled with resin infiltrant (RI=1.46), whose RI matches more closely that of enamel (1.62). 24 The difference in RIs drops to a negligible level and the lesions lose their whitish appearance and blend well with the surrounding sound enamel, expressing a more translucent natural appearance. 25 The stability of resin infiltrant was explained by its properties of low viscosity, low contact angle and high penetration index, which enables it to penetrate into the deeper layers of the body of WSLs, leading to almost complete plugging of the porosities within WSLs.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of color changes of white spot lesions treated with three different treatment approaches: an in-vitro study

Hammad

El-Wassefy

Al-Sayed

2020

Dental Press J. Orthod.

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Objective: To qualitatively and quantitatively assess the color changes effect and the color stability of the resin infiltrant on white spot lesions (WSLs), in comparison with nano-hydroxyapatite (nano-HA) toothpaste and microabrasion. Methods: WSLs were artificially created on sixty human premolars enamel surfaces and randomly assigned to equal four groups (n = 15 each): nano-HA toothpaste, microabrasion (Opalusture), resin infiltrant (Icon) treatment, or artificial saliva (control group). The color change (ΔE) of each specimen was measured by dental spectrophotometer (Vita Easyshade) at different time points: baseline, after WSLs’ creation, after application of treatments, one month, three and six months after treatments application. Results: The ΔE value did not differ significantly for the four groups at baseline measurement before treatment (p> 0.05). Icon resin infiltrant improved the color of WSLs significantly immediately after its application, giving the lowest ΔE value (3.00 ± 0.59), when compared to other treatments (p< 0.001). There were no significant changes in ΔE (p> 0.05) for all groups during the follow up intervals (one month, three and six months after treatments application). Conclusion: Resin infiltrant can improve the color of WSLs and restore the natural appearance of enamel better than nano-HA toothpaste and microabrasion.

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“…Resin infiltration of white spot lesions is the least invasive technique in comparison to the conventional methods. 15 In fact, it is considered a truly micro-invasive procedure, and the quantity of removed enamel is only a few microns (30-40 µm), because of the etching and polishing. 5,10,12 However, the final outcome of resin infiltration cannot be pre-cisely predicted.…”

Section: Discussionmentioning

confidence: 99%

Aesthetic Improvement of White Spot Fluorosis Lesions with Resin Infiltration

Todorova¹,

Filipov²,

Khaliq³

et al. 2020

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Dental fluorosis changes the colour and/or structure of enamel, leading to an unaesthetic appearance. One of the main goals in the treatment is aesthetic improvement of the affected teeth. Two clinical cases of patients with white spot fluorosis lesions on frontal teeth are presented. All treated teeth are infiltrated with low-viscous light-curing resin (ICON, DMG). A significant improvement in the aesthetic appearance of all the treated tooth surfaces is visible immediately after resin infiltration, and in most of the teeth - a complete disappearance of the white spots. Resin infiltration is an alternative micro-invasive approach for treatment of white spot lesions of different origin. It allows a quick and natural recovery of the affected teeth.

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Management of white spots: resin infiltration technique and microabrasion

Cited by 25 publications

References 13 publications

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Evaluation of color changes of white spot lesions treated with three different treatment approaches: an in-vitro study

Aesthetic Improvement of White Spot Fluorosis Lesions with Resin Infiltration

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