Novel treatment of white spot lesions: A report of two cases

Abstract

This case report describes a technique used to treat smooth surface white spot lesions microinvasively. It is based on the infiltration of an initial enamel caries lesion with low-viscosity light-curing resins called infiltrants. The surface layer is eroded and desiccated, followed by resin infiltrant application. The resin penetrates into the lesion microporosities driven by capillary force and is hardened by light curing. Infiltrated lesions lose their whitish appearance and look similar to sound enamel. Additionally, the treatment prevents lesion progression. This technique might be an alternative to microabrasion and restorative treatment in treating of white spot lesions of esthetically relevant teeth.

Erosion infiltration technique': A novel alternative for masking enamel white spot lesion

“…[ 6 ] Extending the application of this technique to other conditions that exhibit white spots such as fluorosis, hypoplasia, erosion, and trauma are also to be evaluated. [ 12 ]…”

Non-destructive management of white spot lesions by using tooth jewelry

“…Murphy et al5 showed 83% success in the reduction of white spot lesions by microabrasion. Resin infiltration, a new minimally invasive technique for treating white spot lesion has the advantage that, when their microporosities are filled with the resin, the whitish appearance of the enamel lesions disappear and look similar to sound enamel 6,7. But this technique is contraindicated in other causes of white spot lesion, such as flurosis, hypoplasia, hypocalcification, erosion and tetracycline staining.…”

Spectrophotometric evaluation of white spot lesion treatment using novel resin infiltration material (ICON®)

“…Bleaching, invasive approaches such as microabrasion, conventional bonding, and various types of veneers are the other modes of treatment for WSLs. [ 2 ]…”