Effect of different non-invasive and micro-invasive treatment modalities of white spot lesions on microhardness of human enamel

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.

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Minimally invasive treatment of white spot lesions

Indian Journal of Oral Health and Research ◽

10.4103/2393-8692.196158 ◽

2016 ◽

Vol 2 (2) ◽

pp. 117

Author(s):

Kanika Yadav ◽

Idade Noronha de Ataide ◽

Marina Fernandes ◽

Rajan Lambor

Keyword(s):

Minimally Invasive ◽

Minimally Invasive Treatment ◽

White Spot ◽

White Spot Lesions ◽

Invasive Treatment

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A Survey of Pediatric Dentists on the Treatment Timing and Modalities for White Spot Lesions in the United States

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-43.1.6 ◽

2019 ◽

Vol 43 (1) ◽

pp. 27-33

Author(s):

Traci Saito ◽

Jae Hyun Park ◽

Curt Bay

Keyword(s):

United States ◽

The United States ◽

Pediatric Dentistry ◽

White Spot ◽

Treatment Modalities ◽

White Spot Lesions ◽

Electronic Survey ◽

Treatment Timing ◽

Pediatric Dentist ◽

Pediatric Dentists

Purpose: The purpose of this study was to estimate the prevalence of white spot lesions (WSLs) in various practice settings and patient populations, and to gather information about the treatment timing and modalities used by pediatric dentists in the United States. Study design: A fourteen question, multiple choice, electronic survey was developed and distributed to 6,092 active American Academy of Pediatric Dentistry (AAPD) members. Results: A total of 625 active members responded, garnering a 9.7% response rate. Before treatment, there were significantly more WSLs reported in Corporate practice than Multi-Doctor Practice (P=0.002), and significantly more WSLs in Academics/Hospital-Based Practices than in Multi-Doctor Practices (P=0.002). For WSLs after treatment, there were significantly more WSLs in Academic/Hospital-Based practices than in single-practitioner settings (P=0.003). Approximately 38% of pediatric dentists preferred to treat WSLs before, during or after orthodontic treatment, while 23% treat only before and 20% treat only after treatment. The three most common treatment modalities for WSLs, were prescription fluoride toothpaste (5000 ppm), fluoride varnish, and fluoride rinse. Approximately 47% of respondents reported they were “very comfortable” treating WSLs and 31.0% felt “comfortable.” Conclusions: The prevalence of WSLs differed across types of practice. There is no agreement among pediatric dentist as to timing and treatment modalities for WSLs.

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Current strategies for the treatment of aneurysmal bone cysts

Orthopedic Reviews ◽

10.4081/or.2015.6182 ◽

2015 ◽

Vol 7 (4) ◽

Cited By ~ 28

Author(s):

Panagiotis Tsagozis ◽

Otte Brosjö

Keyword(s):

Open Surgery ◽

Early Adulthood ◽

Surgical Excision ◽

Functional Results ◽

Treatment Modalities ◽

Bone Cysts ◽

Invasive Treatment ◽

Non Invasive ◽

Aneurysmal Bone Cysts ◽

Good Local Control

Aneurysmal bone cysts are benign bone tumors that usually present in childhood and early adulthood. They usually manifest as expansile osteolytic lesions with a varying potential to be locally aggressive. Since their first description in 1942, a variety of treatment methods has been proposed. Traditionally, these tumors were treated with open surgery. Either intralesional surgical procedures or <em>en</em> <em>bloc</em> excisions have been described. Furthermore, a variety of chemical or physical adjuvants has been utilized in order to reduce the risk for local recurrence after excision. Currently, there is a shift to more minimally invasive procedures in order to avoid the complications of open surgical excision. Good results have been reported during percutaneous surgery, or the use of embolization. Recently, sclerotherapy has emerged as a promising treatment, showing effective consolidation of the lesions and functional results that appear to be superior to the ones of open surgery. Lastly, non-invasive treatment, such as pharmaceutical intervention with denosumab or bisphosphonates has been reported to be effective in the management of the disease. Radiotherapy has also been shown to confer good local control, either alone or in conjunction to other treatment modalities, but is associated with serious adverse effects. Here, we review the current literature on the methods of treatment of aneurysmal bone cysts. The indication for each type of treatment along reported outcome of the intervention, as well as potential complications are systematically presented. Our review aims to increase awareness of the different treatment modalities and facilitate decision-making regarding each individual patient.

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Utility of Photodynamic Therapy in Dentistry: Current Concepts

Dentistry Journal ◽

10.3390/dj8020043 ◽

2020 ◽

Vol 8 (2) ◽

pp. 43

Author(s):

Anette Stájer ◽

Szilvia Kajári ◽

Márió Gajdács ◽

Aima Musah-Eroje ◽

Zoltán Baráth

Keyword(s):

Photodynamic Therapy ◽

Clinical Success ◽

Maxillofacial Surgery ◽

Treatment Method ◽

Treatment Modalities ◽

Oral And Maxillofacial Surgery ◽

Invasive Treatment ◽

Advantages And Disadvantages ◽

Non Invasive ◽

Wide Range

The significant growth in scientific and technological advancements within the field of dentistry has resulted in a wide range of novel treatment modalities for dentists to use. Photodynamic therapy (PDT) is an emerging, non-invasive treatment method, involving photosensitizers, light of a specific wavelength and the generation of singlet oxygen and reactive oxygen species (ROS) to eliminate unwanted eukaryotic cells (e.g., malignancies in the oral cavity) or pathogenic microorganisms. The aim of this review article is to summarize the history, general concepts, advantages and disadvantages of PDT and to provide examples for current indications of PDT in various subspecialties of dentistry (oral and maxillofacial surgery, oral medicine, endodontics, preventive dentistry, periodontology and implantology), in addition to presenting some images from our own experiences about the clinical success with PDT.

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Outcome of non-invasive treatment modalities on back pain: an evidence-based review

European Spine Journal ◽

10.1007/s00586-005-1048-6 ◽

2005 ◽

Vol 15 (S1) ◽

pp. S64-S81 ◽

Cited By ~ 204

Author(s):

Maurits W. van Tulder ◽

Bart Koes ◽

Antti Malmivaara

Keyword(s):

Back Pain ◽

Treatment Modalities ◽

Evidence Based ◽

Invasive Treatment ◽

Non Invasive

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REMINERALIZING AND COLOR RETRIEVAL EFFICACY OF DIFFERENT NANO-APATITE MATERIALS ON HUMAN ENAMEL WHITE SPOT LESIONS: AN IN-VITRO COMPARATIVE STUDY.

International Journal of Advanced Research ◽

10.21474/ijar01/6077 ◽

2017 ◽

Vol 5 (12) ◽

pp. 1202-1221

Author(s):

OmaimaH Ghallab ◽

◽

DinaM Abdelkhalik ◽

Keyword(s):

Comparative Study ◽

White Spot ◽

White Spot Lesions ◽

Human Enamel

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

European Scientific Journal ESJ ◽

10.19044/esj.2017.v13n15p339 ◽

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.

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