scholarly journals Conservative treatment of interproximal incipient caries lesions by resin infiltration

2021 ◽  
Vol 20 ◽  
pp. e219022
Author(s):  
Priscila Regis Pedreira ◽  
Janaina Emanuela Damasceno ◽  
Ana Ferreira Souza ◽  
Gabriela Alves de Cerqueira ◽  
Flávio Henrique Baggio Aguiar ◽  
...  

Minimally invasive dentistry is based on conservative techniques for the treatment of initial caries lesions, the so-called white spot lesions. One of the conservative maneuvers includes the use of enamel resin infiltrant: a low viscosity material that penetrates the enamel pores to stop lesion progression. Aim: Therefore, this case report aimed to describe the clinical case of a 28-year-old female patient under routine consultation, in which a radiographic examination showed the presence of two incipient caries lesions in the left upper premolars. Methods: The application of a resin infiltrating agent (Icon®, DMG – Hamburg, Germany) was chosen as treatment to stop caries lesions progression. Conclusion: The use of this conservative technique can be considered a promising approach for the prevention of dental tissue wear, and the resin infiltrant is considered an effective material.

2017 ◽  
Vol 68 (11) ◽  
pp. 2588-2592
Author(s):  
Ruxandra Sava Rosianu ◽  
Angela Codruta Podariu ◽  
Meda Lavinia Negrutiu ◽  
Camelia Szuhanek ◽  
Cosmin Sinescu

Resin infiltration is considered a treatment option for initial caries lesions. To prevent enamel lesion s from further demineralization a complete and homogeneous penetration of low-viscosity resins should be accomplished. The aim of this study was to compare the penetration abilities of 3 commercial products: Icon (DMG, Germany), Fluorodose (Centrix Inc. USA) and Tetric flow (IvoclarVivadent, Schaan, Liechtenstein).Artificial white spot lesions were produced in 60 orthodontic extracted human premolars. The samples were randomly divided into 3 groups: F - weeklyapplication of 5%fluoride gel; IC � resin infiltration (Icon1-DMG) and T - treatment with composite resins (Tetric flow). Specimens were studied using confocal microscopy and penetration depths were determined. A good correlation between PC and penetration depth was thereby observed (Pearson correlation coefficient, r=0.820).


2016 ◽  
Vol 10 (1) ◽  
pp. 505-515 ◽  
Author(s):  
Wolfgang H. Arnold ◽  
Ann-Kathrin Meyer ◽  
Ella A. Naumova

Background:Low viscosity resin infiltration of initial caries lesions is a modern microinvasive method to treat initial cries lesions. However, only scarce information is available about the long-term surface alterations of infiltrated lesions.Methods:Twenty-eight premolar teeth exhibiting non-cavitated initial caries lesions (International Caries Detection and Assessment System (ICDAS code 1&2)) were divided into two groups, one of which was infiltrated with resin, and the other remained untreated. The teeth underwent two thermocycling procedures. The surface roughness was determined quantitatively, and the results were evaluated statistically. In addition, the surfaces of the lesions were investigated by scanning electron microscopy (SEM), and the surface was analyzed visually with respect to surface irregularities.Results:The results showed a reduction in the surface roughness that was significant after 2500 thermocycles compared to the untreated surface. In the control specimens, no change in the surface roughness was found. The qualitative SEM data also showed a smooth surface after thermocycling, which supported the statistical findings.Conclusion:After thermocycling, resin-infiltrated enamel surfaces become smoother and had no additional risk for plaque accumulation.


2020 ◽  
Vol 33 (2) ◽  
pp. 92-97
Author(s):  
Yagmur Lena Sezici ◽  
◽  
Hasan Cinarcik ◽  
Enver Yetkiner ◽  
Rengin Attin ◽  
...  

2016 ◽  
Vol 41 (4) ◽  
pp. 357-362 ◽  
Author(s):  
AR Cocco ◽  
RG Lund ◽  
EdN Torre ◽  
J Martos

SUMMARY The aim of this study was to report a clinical case of moderate fluorosis spots treated with infiltration of low-viscosity resin. A commercial resin was applied to the facial surfaces on the anterior teeth in both the maxillary and mandibular arches. The white spots of fluorosis lost their whitish appearance and appeared similar to sound enamel. This technique, which might constitute an alternative to white-masking of fluorosis spots, showed optimal esthetic results.


2014 ◽  
Vol 49 (1) ◽  
pp. 50-55 ◽  
Author(s):  
Julian Lausch ◽  
Sebastian Paris ◽  
Timo Selje ◽  
Christof E. Dörfer ◽  
Hendrik Meyer-Lueckel

The resin infiltration technique might be used for occlusal caries lesions in order to arrest their progression. This in vitro study evaluated the influence of various modifications of the infiltration technique on the penetration abilities of the infiltrant into occlusal lesions. Extracted human molars and premolars (n = 140) with non-cavitated white spot lesions were randomly allocated to 7 groups. As control, specimens were etched with 15% hydrochloric acid (HCl) gel for 120 s and resin infiltrated for 180 s (Icon; DMG). As modification HCl gel reduced in surface tension and viscosity with and without abrasives was applied using 3 different types of brushes either to oscillate or rub the HCl gel onto the enamel surface. The median maximum lesion depth was 1,232 µm (interquartile range 882-1,513). Compared with the control procedure [23% (16/50)] a higher percentage penetration was observed if the HCl gel was mixed with a small amount of abrasives were rubbed into the fissures using a modified brush with stiff bristles that were adjusted to the fissure relief for either 120 s [100% (64/100)] or 30 s [98% (61/100); p < 0.05; Mann-Whitney test]. All other experimental treatments resulted in penetration results in-between. It can be concluded that the use of an abrasive HCl gel in conjunction with a modified brush mostly enhances resin infiltration into fissure caries lesions. © 2014 S. Karger AG, Basel


2014 ◽  
Vol 8 (1) ◽  
pp. 251-256 ◽  
Author(s):  
Wolfgang H Arnold ◽  
Lena Bachstaedter ◽  
Korbinian Benz ◽  
Ella A Naumova

Resin infiltration of initial caries lesions is a novel method of caries therapy. However, it has some limitations. Therefore, further experimental studies are needed to improve resin infiltration. It was the aim of this investigation to study resin infiltra-tion into different experimental carious lesions. Caries-free extracted human molars and premolars were demineralized for 3, 6, 9 and 12 days and infiltrated with resin. Prior to infiltration, the teeth were incubated with sodium fluorescein. After em-bedding, serial sections were cut through the experimental lesions, and the penetration of the resin was measured with fluo-rescence microscopy. Two infiltrated teeth from each time interval were not embedded and cut. Infiltration of the resin was then studied with EDS element analysis. The results showed that with increasing demineralization time, the lesion expansion was also increasing, and the resin infiltration was always almost complete. From these results it can be concluded that artifi-cial standardized caries-like lesions are suitable for experimental studies of resin infiltration.


2014 ◽  
Vol 2 (5) ◽  
pp. 418
Author(s):  
Diana Araújo ◽  
Marina Alencar ◽  
Maria Cristina Freitas ◽  
Larissa Azevedo ◽  
Maria Atta ◽  
...  

The concepts introduced by the Minimally Invasive Dentistry (MID) allowed the rising of new conservative treatment and assessment system for caries lesions’ classification.  In this context, the approaches of the incipient caries lesions surpass the use of only traditional restorative techniques. The aim of this study was to review the new caries classifications criteria (ICDAS and CAST), the importance of the early diagnosis of caries lesions and the clinical procedures for treatment in MID.


Author(s):  
Abdullah Fozan A. Alhammad ◽  
Adel Omer M. Alrayes ◽  
Mohammad Mogbil A. Alhedaithy ◽  
Abdulkarim Abdullah A. Alabdulkarim ◽  
Faisal Raafat F. Alhakeem ◽  
...  

Introduction: Throughout the advancement of subsurface caries lesions, mineral is disbanded out of the enamel, causing enhanced penetrability that look like clinically as incipient or white spot lesions. Nowadays, these lesions are regularly treated by increasing remineralization, e.g., by enhancing the patient’s oral hygiene or fluoridation. Nevertheless, in uncooperative patients with cavitated proximal lesions, this approach has significant drawbacks. Methodology: A total of 508 dentists filled the online survey, which was distributed using social media and emails. Online questionnaire was constructed consisting of questions related to demographic data followed by questions linked to their knowledge and perception of Resin Infiltration use among their patients. Results: Overall knowledge reported by the participants regarding Resin Infiltration was 25.2% poor, 72.9% moderate and only 1.9% excellent. 64% of the dental professionals knew that RI is a micro-invasive procedure. Conclusion: It can be concluded from the findings that the knowledge of Riyadh based dental professionals regarding the use, indication and technique of Resin Infiltration is not satisfactory.


2014 ◽  
Vol 39 (4) ◽  
pp. 433-440 ◽  
Author(s):  
AB Borges ◽  
TMF Caneppele ◽  
M Luz ◽  
CR Pucci ◽  
CRG Torres

SUMMARY Purpose The aim of this study was to investigate the staining behavior of demineralized enamel infiltrated by low-viscosity resin. Methods and Materials Bovine enamel/dentin cylindrical samples (3 × 2 mm) were assigned into four groups (n=45) according to the enamel treatment: sound enamel (control), demineralization + artificial saliva, demineralization + daily application of 0.05% NaF, demineralization + resin infiltration (Icon, DMG). Artificial white spot lesions were produced in groups with demineralization. After the treatments, color was assessed by spectrophotometry, using the CIE L*a*b* system. The specimens (n=15) were then immersed in deionized water, red wine, or coffee for 10 minutes daily for eight days. Color was measured again, and the specimens were repolished with sandpaper discs. The final color was assessed. Data were analyzed by two-way analysis of variance and Tukey tests (α=0.05). A paired t-test was used for comparison between staining and repolishing conditions. Results There were significant differences for surface treatment and dye after staining and repolishing. Immersion in wine and coffee resulted in significantly increased color alteration (ΔE) compared with water (p=0.001). The resin-infiltrated group exhibited the highest staining values (p=0.001). The repolishing procedures resulted in significantly decreased color change. Conclusion The exposure of specimens to colored solutions resulted in significant color alteration. The demineralized enamel treated with resin infiltration showed significantly higher staining than all other tested groups; however, the repolishing of the specimens minimized the staining effect.


Author(s):  
A. U. Zamurayeva ◽  
Е. T. Supiyeva ◽  
B Sh. Orynbayeva

Relevance. The modern method of infiltration provides an opportunity to stop the spread of pathogenic bacteria and the development of caries at the white spot stage, replacing the destroyed enamel cells with special polymers having low viscosity and high penetrating ability. The stabilization of the process is achieved in a short time with the maximum safety of their tissues. Purpose. Treatment of initial tooth decay in children by infiltration, assessment of the effectiveness and advantages of modern technology. Materials and methods. Clinical examination was carried out according to generally accepted methods. Additionally, a laser diagnostic method was used using the KaVo DIAGNOdent device (Germany). The LLP Dentistry Center «Zhaik Dent» and the LLP «Concept» used the Icon system for the treatment of initial caries and after orthodontic treatment for 25 children with 54 teeth. Results. At the end of tooth treatment with the Icon infiltration method, parents and the child were given recommendations: from the next day, brush your teeth 2 times a day, rinse your mouth regularly after eating, do not drink drinks, products with coloring substances. To monitor the result of treatment, the child was prescribed for reexamination after 7-10 days, after one month, in the following periods – once a year.After working with the material of the Icon system, the authors noted the pronounced effects of the treatment of initial caries by the method of infiltration.Conclusions. 1. The method of infiltration is a modern and promising technology for the treatment of dental caries at an early stage without losing healthy tissues. 2. The Icon infiltration method makes it possible to stop the spread of pathogenic bacteria and develop tooth decay at the white spot stage, replacing the destroyed enamel cells with special polymers having low viscosity and high penetrating ability. 3. The stabilization of the carious process is achieved in a short time with the maximum preservation of the tooth's tissues. 


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