scholarly journals Systematic Review on White Spot Lesions Treatments

2021 ◽  
Author(s):  
Francesco Puleio ◽  
Luca Fiorillo ◽  
Francesca Gorassini ◽  
Alfredo Iandolo ◽  
Aida Meto ◽  
...  
Keyword(s):  
Systematic Review ◽  
White Spot ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Efficient Treatment ◽  
Resin Infiltration ◽  
Ovid Medline ◽  
Infiltration Technique ◽  
The Difference ◽  
The Aesthetic

AbstractThe difference in refractive index between the healthy enamel and the demineralized area generates a lesion with a milky white opaque appearance, clearly distinguishable from the surrounding healthy enamel. The aim of this systematic review is to evaluate if the infiltration technique is the most efficient treatment to resolve a white spot lesion when compared with remineralization and microabrasion techniques. The Population/Intervention/Comparison/Outcome question investigated: “in enamel WS lesion, the infiltration treatment compared to remineralization or microabrasion treatments is more or less effective in the camouflage effect?” The research was performed on electronic databases, including Ovid MEDLINE, PubMed, and web of science. The search was conducted up to April 1, 2020. The scientific search engines produced 324 results. Only 14 were screened after screening. Based on the articles analyzed in this systematic review, the resin infiltration technique seems to be the most effective and predictable treatment for the aesthetic resolution of WSLs.

scholarly journals Use of Resin Infiltrate for the Treatment of White spot Lesions on Dental Enamel: Case Report

2019 ◽  
Vol 21 (2) ◽  
pp. 134
Author(s):  
Rosa Maria Pereira Moisés Barbosa de Andrade ◽  
Ruchele Dias Nogueira ◽  
Maria Angélica Hueb Menezes-Oliveira ◽  
Cesar Penazzo Lepri ◽  
Vinícius Rangel Geraldo-Martins
Keyword(s):  
Tooth Enamel ◽  
Dental Enamel ◽  
Composite Resins ◽  
White Spot ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Invasive Treatment ◽  
Resin Infiltration ◽  
Non Invasive ◽  
Infiltration Technique

Abstract Early diagnosis of white spot lesions allows non-invasive treatment to be indicated for the remineralization of active lesions. The goal was to report the clinical Protocol for the treatment of white spot lesion of a patient by the technique of resin infiltration, observing whether there is change of color on the white spot of the dental enamel after its treatment. The selected patient was 16 years old with good overall health, who featured white spot lesion of the dental enamel on tooth 13, classified as ICDAS score 2. The tooth was photographed, and its color was evaluated with the spectrophotometer in accordance with the CIELhC system. For comparison purposes, the color of tooth enamel in an area adjacent to the lesion was evaluated. The treatment of the lesion was performed with the resin infiltrate Icon (DMG, Hamburg, Germany), following the manufacturer's instructions. The color of the tooth was re-evaluated after the application of the resin infiltrate. At the end of the procedure, it was observed that the treatment of white spot lesion by resin infiltration technique reached its goal because, in addition to being minimally invasive, it was highly approved by patient and it provided the masking of the white spot lesion on the dental enamel. Keywords: Dental Caries. Dental Enamel. Composite Resins. ResumoO diagnóstico precoce de lesões de mancha branca permite que um tratamento não invasivo seja indicado para a remineralização das lesões ativas. O objetivo foi relatar o protocolo clínico para tratamento de lesão de mancha branca ativa de um paciente pela técnica do infiltrante resinoso, observando se existe alteração de cor da mancha branca do esmalte dental após o seu tratamento. Foi selecionada uma paciente, de 16 anos de idade, com boa saúde geral e que apresentava lesão de mancha branca no esmalte dental do dente 13, classificada pelo escore 2 do ICDAS. O dente foi fotografado e sua cor foi avaliada com o espectrofotômetro de acordo com o sistema CIELhC. Para fins de comparação, foi avaliada a cor do esmalte dental em uma área adjacente à lesão. O tratamento da lesão foi realizado com a resina infiltrante Icon (DMG, Hamburgo, Alemanha), seguindo as recomendações do fabricante.  A cor do dente foi reavaliada após a aplicação do infiltrante. Ao final do procedimento, observou-se que o tratamento da lesão de mancha branca pela técnica da resina infiltrante atingiu seu objetivo pois, além de ter sido minimamente invasiva, foi bem avaliada pela paciente e proporcionou o mascaramento da lesão de mancha branca do esmalte dental. Palavras-chave: Cárie Dentária. Esmalte Dentário. Resinas Compostas.

scholarly journals Unconventional Non-Invasive Diagnostic Techniques and Treatment of White Spot Lesions in Paediatric Dentistry and Orthodontics

2017 ◽  
Vol 13 (15) ◽  
pp. 339
Author(s):  
Ogodescu Alexandru ◽  
Igna Andreea ◽  
Ogodescu Emilia ◽  
Luca Magda
Keyword(s):  
Early Stage ◽  
New Technology ◽  
Diagnostic Techniques ◽  
White Spot ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Resin Infiltration ◽  
Non Invasive ◽  
Infiltration Technique ◽  
Carious Process

Minimal Intervention Dentistry (MID), a concept that aims to minimize the interventional procedures applied on teeth affected by dental caries, emphasizes the importance of prevention and detection of lesions in early stage. The white spot lesion (WSL) is the first visible stage of the carious process, affecting the enamel. Their detection and treatment has been significantly improved in the last decade through new technology available. Our paper describes a non-invasive detection method, using a lighttransmission device (transillumination of the teeth using Diagnocam, by Kavo) , combined with a resin infiltration technique (using Icon, by DMG) of the WSL.

scholarly journals Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up

2015 ◽  
Vol 85 (3) ◽  
pp. 374-380 ◽  
Author(s):  
Amely Eckstein ◽  
Hans-Joachim Helms ◽  
Michael Knösel
Keyword(s):  
White Spot ◽  
White Spot Lesions ◽  
Female Ratio ◽  
Significance Level ◽  
Resin Infiltration ◽  
Male Female Ratio ◽  
The Difference ◽  
One Year

ABSTRACT 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 nteeth = 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 (ΔEWSL/SAE). Intergroup (WSL, SAE) and intertime comparisons (T0 vs T6, T12) were performed using paired t-tests at a significance level of α = 5%. Results:  Nine subjects (trial teeth nteeth = 49; male/female ratio 5/4; age range 13–19 years) were available at T12. After the highly significant reduction of ΔEWSL/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.)

scholarly journals Efficacy of fluoride varnish for prevention of white spot lesions during orthodontic treatment with fixed appliances: A systematic review study

2017 ◽  
Vol 4 (08) ◽  
pp. 1513 ◽  
Author(s):  
Farshad Rahimi ◽  
Masoud Sadeghi ◽  
Hamid Reza Mozaffari
Keyword(s):  
Systematic Review ◽  
Orthodontic Treatment ◽  
White Spot ◽  
Fluoride Varnish ◽  
Cochrane Library ◽  
White Spot Lesions ◽  
Resin Infiltration ◽  
Fixed Appliances ◽  
Review Study ◽  
Orthodontic Devices

Background: White spot lesions (WSLs) are a problem commonly found in patients who use orthodontic devices. Fluoride varnish can reduce WSLs during orthodontic treatment with fixed appliances. The aim of this systematic review was to evaluate the efficacy of fluoride varnish compared with other agents for preventing WSLs during orthodontic treatment. Methods: Studies were searched from four databases- PubMed, Scopus, Web of Science and Cochrane Library- from January 1980 to May 2017; only studies with English abstracts were included. Results: Out of 432 studies searched from the databases, 33 studies were evaluated for eligibility. Of the 33 studies, 19 were excluded with reasons and 14 studies were included in the systematic review. Parameters of WSLs (decalcification score, prevalence, incidence, progression score, ΔQ and ΔZ and DiagnoDent (DD) pen score) were compared for the various treatments. Conclusions: Although there were some limitations for this systematic review study, the review showed that fluoride varnish combined with chlorhexidine (CHX) may be a good treatment for WSLs after orthodontic treatment, especially for a 6-month period, and that resin infiltration might also be effective for preventing WSLs. More studies are needed to further investigate these observations.

scholarly journals Fluoride-Releasing Materials to Prevent White Spot Lesions around Orthodontic Brackets: A Systematic Review

2016 ◽  
Vol 27 (1) ◽  
pp. 101-107 ◽  
Author(s):  
Patrícia Layane de Menezes Macêdo Nascimento ◽  
Micaelle Tenório Guedes Fernandes ◽  
Fabricio Eneas Diniz de Figueiredo ◽  
André Luis Faria-e-Silva
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Confidence Interval ◽  
White Spot ◽  
Control Group ◽  
Orthodontic Appliances ◽  
White Spot Lesion ◽  
White Spot Lesions ◽  
Fixed Orthodontic Appliances ◽  
Experimental Group

Abstract The relation between orthodontic fixed appliances use and enamel demineralization is well established. Different preventive approaches have been suggested to this problem, but controversy remains about which is the best. The aim of this study was to perform a systematic review of clinical trials that investigated the effectiveness of materials containing fluorides to lute brackets or cover the bonding interface in order to inhibit the development and progression of white spot lesions. The null hypothesis was that fluoride materials do not affect the incidence of white spot lesions around brackets. A MEDLINE search was conducted for randomized clinical trials evaluating the development of white spot lesions in patients using fixed orthodontic appliances, followed by meta-analysis comparing the results for patients for whom dental materials containing fluorides were used (experimental group) to those for whom these materials were not used (control group). The pooled relative risk of developing white spot lesions for the experimental group was 0.42 (95% confidence interval: 0.25 to 0.72); hence, when fluoride-releasing materials are used, the patient has 58% less risk of white spot lesion development. Regarding white spot lesion extent, the pooled mean difference between the experimental and control groups was not statistically significant (-0.12; 95% confidence interval: -0.29 to 0.04). In conclusion, the results of the present systematic review suggest that fluoride-releasing materials can reduce the risk of white spot lesions around brackets. However, when white spot lesions had already occurred, there is no evidence that fluoride-releasing materials reduce the extent of these lesions.

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