Micro-computed tomographic analysis of progression of artificial enamel lesions in primary and permanent teeth after resin infiltration

Özgül, Betül Memiş; Orhan, Kaan; Öz, Firdevs Tulga

doi:10.2334/josnusd.57.177

Cited by 15 publications

(13 citation statements)

References 27 publications

(35 reference statements)

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“…Group6 (Irradiation+ Infiltration resin): When the maximum cumulative radiation dose of 68.25Gy is reached, in accordance with the manufacturer’s instructions [18], the dentins were etched with 15% HCL gel for 120 s, rinsed for 30 s, and dehydrated with 100% ethanol for 30 s. Infiltration resin (Icon™, DMG, Hamburg, Germany) was applied with a micro brush for 3 min, excess material was gently removed by air blowing and flossing, then the resin was light-cured for 40 s. Infiltration resin was applied a second time for an additional 1 min, light curing for 40s.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, infiltration resin can significantly improve the microhardness of demineralized dental hard tissues and reduce the loss of minerals [17]. It was reported that infiltration resin had combined effects with CPP-ACP and fluoride in preventing early caries [18, 19]. To the best of our knowledge, whether this anti-cariogenic effect will be the same when infiltration resin applied alone or in combination with CPP-ACP and fluoride to irradiated dentin is still unknown.…”

Section: Introductionmentioning

confidence: 99%

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Effects of different anti-caries agents on microhardness and superficial microstructure of irradiated permanent dentin: an in vitro study

Geng

Gao

2019

BMC Oral Health

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Background: To compare different anti-caries agents on microhardness and micromorphology of irradiated permanent dentin in vitro, and try to find the most effective agent to prevent radiation-dentin-destruction. Methods: A total of 120 dentin samples were prepared from 60 human teeth and randomly divided into 8 groups (n = 15), [ (1)] blank control [2]; irradiation control [3]; irradiation+ fluoride [4]; irradiation+ casein phosphate polypeptideamorphous calcium phosphate (CPP-ACP) [5]; irradiation+ CPP-ACP+ fluoride [6]; irradiation+ infiltration resin [7]; irradiation+ infiltration resin+ fluoride [8]; irradiation+ infiltration resin+ CPP-ACP. Seven samples of each groups were chosen randomly for microhardness test and eight for scanning electron microscope observation. Results: A decrease of microhardness (P < 0.05) and an obvious morphological change were presented on dentin surface after radiotherapy. After applications of anti-caries agents, the morphological destructions were effectively restored. The infiltration resin plus fluoride group (56.00 ± 4.02 Kg/mm 2 ), infiltration resin plus CPP-ACP group (56.05 ± 3.69 Kg/mm 2 ), infiltration resin group (54.70 ± 4.42Kg/mm 2 ) and CPP-ACP plus fluoride group (53.84 ± 6.23Kg/mm 2 ) had the highest dentin microhardness value after radiotherapy, and no statistically significant difference were found between them. Conclusions:Infiltration resin, CPP-ACP, fluoride and their pairwise combination can effectively prevent radiation-dentindestruction. Among them, infiltration resin with CPP-ACP, infiltration resin with fluoride, CPP-ACP with fluoride, and infiltration resin have the most protective effects on irradiation-dentin-destructions.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of different anti-caries agents on microhardness and superficial microstructure of irradiated permanent dentin: an in vitro study

Geng

Gao

2019

BMC Oral Health

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“…With regard to the studies that evaluated the filtration capacity of the resins, their penetrance, or their ability to inhibit the progression of the carious lesion, they used a common methodology, separating study groups where the use, application and result of the materials used were assessed [ 9 , 10 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding infiltrated resins, ICON ® caries infiltrant (DMG, Hamburg, Germany) is the only product in the world that currently exists commercially and thus, the only resin that is studied in the set of articles reviewed. On the contrary, when combined with remineralizing agents, the use of Tooth Mousse Plus ® [ 11 ] or Duraphat [ 9 ] will modify the final result. It must be noted that the combination of infiltrated resins together with alternative methods of microabrasion (37% phosphoric acid or Opalustre) would be another valid option for the treatment of enamel defects.…”

Section: Resultsmentioning

confidence: 99%

“…The STROBE statement ( Table 3 ) was used to assess the Moradi study [ 8 ]. The PEDro scale ( Table 4 ) was used for Hasmun [ 7 ], Hasmun [ 13 ], Bagher [ 14 ], Swami [ 10 ], Memis [ 9 ], Turska [ 15 ] and Kabaktchieva [ 16 ]. This same scale was used to estimate the validity of two RCTs, Bhandari [ 11 ], Ammari [ 18 ] and Mattos-Silveira [ 12 ], and the SCED scale ( Table 5 ) for the Muñoz [ 17 ] study.…”

Section: Resultsmentioning

confidence: 99%

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Management of Hypoplastic or Hypomineralized Defects with Resin Infiltration at Pediatric Ages: Systematic Review

Casaña-Ruiz

Martínez

Miralles

2023

IJERPH

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Hypoplastic or hypomineralized enamel defects represent a recurrent reason for consultation within the pediatric population, causing great discomfort due to their aesthetic appearance, as well as their functional limitations. Current conservative dentistry requires minimally invasive treatments in order to treat such defects and provide successful, definitive solutions. A systematic review of the literature has been carried out in accordance with the PRISMA recommendations. A search was carried out in the PubMed, Scopus, SciELO and Web of Science databases, completed with a manual search. The following variables were extracted from the selected studies: author, year, publication journal, type of study, sample, age of the participants and the materials used for its development. From the initial electronic search of the four databases, 282 articles were identified: 34 from PubMed, 240 from Scopus, 0 from SciELO and 8 from Web of Science. After eliminating duplicate articles, a total of 225 remained. After reading the title and abstract, 158 articles were eliminated, leaving 68. Upon reading the full text, the remaining studies were eliminated for not answering the research question or the inclusion criteria, leaving a total of 13 articles. Finally, 12 articles were used to carry out the systematic review. Treatments performed to date with the ICON™ system in pediatric patients have shown good results after their application. Since the variability of diagnostic methods has been observed, new diagnostic and assessment protocols should be created after treatment to objectify their effect on hypoplastic or hypomineralized enamel defects. In the same way, it has been described that treatment provides better results if combined with other opalustre-type or remineralizing materials. This review is registered in PROSPERO with the number CRD42021288738.

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Enamel demineralization model in primary teeth: Micro‐CT and SEM assessments of artificial incipient lesion

González-Sotelo

Contreras‐Bulnes

Rodríguez‐Vilchis

et al. 2021

Microscopy Res & Technique

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Many studies have analyzed different tooth demineralization models, which generate artificial incipient lesions; however, most of them are complex, slow, not clear and results could not be employed in both primary and permanent teeth because of chemical content differences among them. This study evaluates a demineralization model on primary enamel, under three incubation periods; quantifying artificial incipient lesions formation, and depth by micro‐CT, complementing with SEM for morphological characterization. Sixteen healthy human anterior primary teeth extracted for prolonged retention and orthopedic/orthodontic reasons were included in this study, previous informed consent. The sample was randomly assigned to four groups n = 4: G_Control, G_2D, G_4D, and G_7D. Micro‐CT and SEM were performed during two stages: before demineralization (BD) and after demineralization (AD). A t‐student test was carried out to determine differences among groups (p ≤ .05). No incipient lesions were observed in control group. Artificial lesion depth was similar among experimental groups; values were from 38.16 ± 05.40 μm to 42.61 ± 04.75 μm. An amount of 14 to 17 artificial incipient lesions were formed per group, the extension and distribution were different for each incubation period. Five erosive lesions were produced in G_7D. All experimental groups were able to form incipient artificial lesions in primary enamel. SEM characterization revealed more pronounced changes on the enamel surface, as the days of immersion in the demineralization solution increased. The 4‐day incubation period is the most recommended for the demineralization model, due to the formation of incipient lesions only and its extension, which facilitates their assessment.

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Micro-computed tomographic analysis of progression of artificial enamel lesions in primary and permanent teeth after resin infiltration

Cited by 15 publications

References 27 publications

Effects of different anti-caries agents on microhardness and superficial microstructure of irradiated permanent dentin: an in vitro study

Effects of different anti-caries agents on microhardness and superficial microstructure of irradiated permanent dentin: an in vitro study

Management of Hypoplastic or Hypomineralized Defects with Resin Infiltration at Pediatric Ages: Systematic Review

Enamel demineralization model in primary teeth: Micro‐CT and SEM assessments of artificial incipient lesion

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