RESIN INFILTRATION FOR APPROXIMAL CARIES LESIONS IN PRIMARY AND PERMANENT TEETH: CASE REPORTS

2021 ◽  
Vol 6 (1) ◽  
pp. 56-61
Author(s):  
Aline Borburema Neves ◽  
Bruna Ribeiro Mattosinhos da Rosa Fernandes ◽  
Laísa Inara Gracindo Lopes ◽  
Andrea Vaz Braga Pintor ◽  
Aline de Almeida Neves
Keyword(s):  
Case Reports ◽  
Permanent Teeth ◽  
Resin Infiltration ◽  
Caries Lesions ◽  
Approximal Caries

scholarly journals A retrospective clinical study on the resin infiltration of proximal caries lesions: the operator’s effect

2021 ◽  
Author(s):  
E. Diab ◽  
D. Hesse ◽  
C. C. Bonifacio
Keyword(s):  
Cox Regression ◽  
Side Surface ◽  
Dental Students ◽  
Permanent Teeth ◽  
Cox Regression Analysis ◽  
Resin Infiltration ◽  
Retrospective Clinical Study ◽  
Shared Frailty ◽  
Caries Lesions ◽  
And Training

Abstract Purpose This retrospective university-based study investigated the effect of operators’ training and previous experience on the success of resin infiltration (RI) in arresting proximal non-cavitated caries lesions in primary and permanent teeth. Methods Information was collected regarding RI of proximal non-cavitated caries lesions in primary and permanent teeth with a follow-up period up to 32 months. Factors investigated were: operators’ clinical experience and training, patient’s age, tooth, arch, mouth-side, surface treated, tooth separation, and baseline lesion depth. Kaplan–Meier survival and Cox regression analysis with shared frailty were used (α = 5%). Results A total of 130 proximal surfaces treated on 115 teeth of 43 children (11 ± 4.4 years) were evaluated. Survival of RI was 46% up to 32 months. Lesions treated by non-trained dentists were more likely-to-present progression than those performed by non-trained dental students under supervision (HR 2.41, 95% CI: 1.00–5.80); conversely, no difference was found between non-trained dental students under supervision and trained dentists (HR 0.52, 95% CI: 0.16–1.70). Additionally, dentin lesions were 59% more-likely-to-present progression than enamel lesions (HR 0.41, 95% CI: 0.17–0.99). Conclusion The operator’s experience and training could influence the success of RI on proximal non-cavitated caries lesions and it should be taken into consideration when choosing this treatment modality.

scholarly journals Management of Pulp Canal Obliteration—Systematic Review of Case Reports

Medicina ◽  
2021 ◽  
Vol 57 (11) ◽  
pp. 1237
Author(s):  
Alexandra Vinagre ◽  
Catarina Castanheira ◽  
Ana Messias ◽  
Paulo J. Palma ◽  
João C. Ramos
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Clinical Decision Making ◽  
Watchful Waiting ◽  
Case Reports ◽  
Intervention Strategy ◽  
Permanent Teeth ◽  
Clinical Approach ◽  
Treatment Pathways ◽  
Patient Reported

Background and Objectives: This systematic review aimed to assess the literature focusing on the clinical management of traumatized teeth with Pulp Canal Obliteration (PCO) and propose an updated clinical decision-making algorithm. The present review follows the PRISMA guidelines and was registered on PROSPERO database (CRD42020200656). Materials and Methods: An electronic search strategy was performed in Pubmed, EBSCOhost and LILACS from inception to March 2021. Only anterior permanent teeth with PCO due to dental trauma were included. Regarding clinical approaches, only teeth managed with a “watchful waiting” approach, tooth bleaching or root canal treatment (RCT) were included. Quality assessment was performed using the JBI Critical Appraisal Tool for Case Reports. Results: Twenty case reports were selected, resulting in a total of 27 patients. The number of traumatized teeth diagnosed with PCO was 33. The “watchful waiting” approach was the most implemented clinical strategy. Discolored non-symptomatic PCO teeth were mostly managed with external bleaching. The prevalence of pulp necrosis (PN) was 36.4%. For teeth diagnosed with PN, non-surgical RCT was performed in 10 teeth and surgical RCT in one tooth. Guided endodontic technique was performed in six of those teeth. Conclusions: For discolored non-symptomatic PCO teeth, external bleaching is advocated and the RCT approach should not be implemented as a preventive intervention strategy. Symptomatic PCO teeth should follow regular endodontic treatment pathways. Clinical approach of teeth with PCO should follow a decision-making algorithm incorporating clinical and radiographic signs and patient-reported symptoms.

Resin Infiltration of Natural Caries Lesions

2007 ◽  
Vol 86 (7) ◽  
pp. 662-666 ◽  
Author(s):  
S. Paris ◽  
H. Meyer-Lueckel ◽  
A.M. Kielbassa
Keyword(s):  
Resin Infiltration ◽  
Caries Lesions

Acid Profiles and pH of Carious Dentin in Active and Arrested Lesions

1994 ◽  
Vol 73 (12) ◽  
pp. 1853-1857 ◽  
Author(s):  
S. Hojo ◽  
M. Komatsu ◽  
R. Okuda ◽  
N. Takahashi ◽  
T. Yamada
Keyword(s):  
Dental Caries ◽  
Organic Acids ◽  
Clear Relationship ◽  
Permanent Teeth ◽  
Clinical Classification ◽  
Dentin Caries ◽  
Caries Lesions

Organic acids in caries lesions play important roles in initiation and progress of dental caries. We investigated relationships between clinical types of dentin caries and acid profile or pH in the lesions. Caries lesions in dentin from 76 permanent teeth were classified into active, arrested, situated beneath a restoration, and unclassified types. The pH of carious dentin was distinctly lower than that of sound dentin (p < 0.001). Carious dentin with a high percentage of lactate had a lower pH than that with a high percentage of acetate and propionate (p < 0.001). Dentin from active lesions showed a mean pH of 4.9, and the dominant acid was lactate (mean percentage, 88.2). In contrast, carious dentin from arrested lesions showed a higher pH, 5.7, with acetate and propionate as the dominant acids (mean percentages of acetate and propionate, 64.0 and 18.2, respectively). The acid profile (mean percentages of acetate and propionate, 54.0 and 27.7, respectively) and pH (mean 5.8) of carious dentin sampled from lesions beneath a restoration were similar to those of dentin from arrested lesions. This study showed a clear relationship between clinical classification of dentin caries and acid profile and pH, suggesting that both factors are important in dentin caries etiology.

scholarly journals Does the addition of a lead foil to digital radiographic receptors influence image contrast and approximal caries lesions diagnosis?

2020 ◽  
Vol 49 (4) ◽  
pp. 20190384
Author(s):  
Rocharles Cavalcante Fontenele ◽  
Yuri Nejaim ◽  
Amanda Farias Gomes ◽  
Hugo Gaêta-Araujo ◽  
Francisco Haiter-Neto ◽  
...  
Keyword(s):  
Standard Deviation ◽  
Image Contrast ◽  
Contrast Variation ◽  
Radiographic Images ◽  
Posterior Teeth ◽  
Diagnostic Values ◽  
Caries Lesions ◽  
Approximal Caries ◽  
Gray Values ◽  
Lead Foil

Objectives: To access the influence of the addition of a lead foil to intraoral digital radiographic receptors on image contrast and approximal caries lesions diagnosis. Methods: 40 posterior teeth were distributed in silicone phantoms composed of two premolars, two molars and a non-test canine. Radiographic images of the phantoms were obtained with and without the incorporation of a lead foil, using the Digora Optime and Digora Toto systems. Four observers scored the images for the presence of caries lesions, using a 5-point scale. Images of an aluminum step wedge were acquired with and without the incorporation of a lead foil. Gray values and standard deviation of gray values were calculated in different thickness of the step wedge and, then, contrast variation was calculated. Results: Presence of a lead foil did not influence caries lesions diagnostic values, regardless of the type of digital system (p > 0.05). In general, the objective analysis was not influenced by the presence of a lead foil in any of the tested systems (p > 0.05). However, Digora Toto images showed greater gray values, lower standard deviation of gray values and lower contrast variation, regardless of the presence of the lead foil (p < 0.05). Conclusions: The addition of a lead foil to intraoral digital receptors did not influence image contrast nor caries lesions diagnosis.

Evaluation of the value of re-wetting prior to resin infiltration of post-orthodontic caries lesions

2019 ◽  
Vol 91 ◽  
pp. 103243 ◽  
Author(s):  
C. Kobbe ◽  
U. Fritz ◽  
R.J. Wierichs ◽  
H. Meyer-Lueckel
Keyword(s):  
Resin Infiltration ◽  
Caries Lesions
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