EVALUATION OF RESIN INFILTRATION TECHNIQUE AS A TREATMENT OPTION OF INITIAL CARIES LESIONS

Abstract

Tooth decay is one of the major diseases affecting the oral cavity. In modern communities by rising expectance of cosmetic and esthetic, the patients prefer cheaper treatment options without any anesthetics or drilling. The preservation of natural tooth issues through non-invasive approaches drives the mainstream concepts in minimum intervention dentistry (MID). The white spot lesions are the active incipient enamel carious lesion and characterized by mineral loss in the bulk of the enamel, whilst the surface of the lesion remains relatively intact. The main reasons for their occurrence are unsuitable oral care routines at home, high sugar concentrated or acidic foods and orthodontic braces appliance. The treatment options of white spot lesions are known as microabrasion, fluorid and casein phosphopeptideamorpheus calcium phosphate applications and restorative treatments. White spot lesions could lead to cavitation but in case of early diagnosis, these lesions may regress as a result of the remineralization so that they are not suggested to be restorated. The aim of this review was to explain how initial caries lesions occur, treatment options and introducing a recently developed technique to arrest incipient caries lesions in a micro-invasive concept called resin infiltration

Keywords

• Infiltrative,Initial caries lesions,resin infiltration,white spots

BAŞLANGIÇ LEZYONLARININ TEDAVISINDE REZIN INFILTRASYON TEKNIĞININ ETKINLIĞININ DEĞERLENDIRILMESI

Abstract

Diş çürüğü ağız boşluğunu etkileyen en önemli hastalıklardan birisidir. Modern toplumlarda estetik ve kozmetik beklentilerin artması hastaları anestezi veya aşındırma gerektirmeyen daha ucuz tedavilere yönlen- dirmiştir. Doğal diş dokularının girişimsel olmayan yaklaşımlarla muhafaza edilmesi, en az müdahale diş hekimliğinin (Minimum intervention dentistry-MID) temel konseptini oluşturmaktadır. Aktif başlangıç mine çürük lezyonları olan beyaz nokta lezyonları, lezyon yüzeyi göreceli bütünlüğünü korumaya devam eder- ken, mine gövdesinde mineral kaybı ile karakterize- dirler. Oluşumlarının temel nedenleri arasında uygun olmayan ev ağız bakım alışkanlıkları, yüksek şeker içe- rikli veya asidik gıdaların sık tüketilmesi ve ortodontik braket uygulamaları yer almaktadır. Beyaz nokta lez- yonlarının tedavi seçenekleri; mikroabrazyon, fluorid ve kazein fosfopeptid-amorföz kalsiyum fosfat uygula- maları ve restoratif tedaviler olarak bilinmektedir. Beyaz nokta lezyonları kavitasyona öncülük edebilmek- tedirler. Ancak erken dönemde teşhis edilebildiklerinde remineralizasyon döngüsünün sonucu olarak gerileyebildikleri belirtilmekte bu nedenle restore edilmemeleri tavsiye edilmektedir. Bu derlemenin amacı başlangıç çürük lezyonlarının gelişimini, tedavi seçeneklerini açıklamak ve bu lezyonları durdurmak adına yeni geliştirilmiş minimal girişimsel bir konsept olan rezin infiltrasyon tekniğini tanıtmaktır. 

Keywords

• Başlangıç çürük lezyonları,Beyaz lezyonlar,İnfiltratif,Rezin infiltrasyon

References

1. Shivanna V, Shikumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent 2011; 14: 423-6.
2. Belli R, Rahiotis C, Schubert EW, Baratieri LN, Petschelt A, Lohbauer U. Wear and morphology of infiltrated white spot lesions. J Dent 2011; 39: 376-85.
3. Martignon S, Ekstrand KR, Gomez J, Lara JS, Cortes A. Infiltrating/ Sealing proksimal caries lesions: A 3-year randomized clinical trial. J Dent Res 2012; 91: 288-92.
4. Torres CRG, Borges AB, Torres LMS, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluorid therapy on the colour masking of white spot lesions. J Dent 2011; 39: 202-7.
5. Torres CRG, Rosa PCF, FerRezin infiltrantra NS, Borges AB. Effect of caries infiltration technique and fluorid therapy on microhardness of enamel carious lesions. Oper Dent 2012; 37: 363-9.
6. Paris S, Meyer-Lueckel H. Infiltrants inhibit progression of natural caries lesions in vitro. J Dent Res 2010; 89: 1276-80.
7. Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficiacy randomized trial. J Dent Res 2010; 89: 823-6.
8. Paris S, Meyer-Lueckel H. Inhibition of caries progression by resin infiltration in situ. Caries Res 2010; 44: 47-54.

9. Oogard B. White spot lesions during orthodontic treatment: mechanisms and fluorid preventive aspects. Seminars in Orthod 2008; 14: 183-93.
10. Ekizer A, Zorba YO, Uysal T, Ayrikcil S. Effects of demineralization-inhibiton procedures on the bond strength of brakets bonded to demineralized enamel surface. Korean J Orthod 2012; 42: 17-22.
11. Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent 2011; 21: 241-8.
12. Kielbasa AM, Müller J, Gernhardt CR. Closing the gap between oral hygiene and minimally invasive dentistry: a review on the resin infiltration technique of incipient (proximal) enamel lesions. Quintessence Int 2009; 40: 663-81.
13. http://www.dmg-dental.com/products/caries- infiltration/icon/.
14. Meyer-Lueckel H, Paris S. Infiltration of natural caries lesions with experimental resins differing in penetration coefficents and ethanol addition. Caries Res 2010; 44: 408-14.
15. Ekstrand KR, Bakhshandeh A, Martignon S. Treatment of proximal superficial caries lesions on primary molar teeth with resin infiltration and fluorid varnish versus fluorid varnish only: efficiacy after 1 year. Caries Res 2010; 44: 41-6.
16. Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in-vitro: influence of the application procedure. Oper Dent 2006; 31: 338-45.
17. Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res 2007; 41: 223-30.
18. Meyer-Lueckel H, Paris S. Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res 2008; 42: 117-24.
19. Meyer-Lueckel H, Paris S. Improved resin infiltration of natural caries lesions. J Dent Res 2008; 87: 1112-6.
20. Paris S, Meyer-Lueckel H, Cölfen H, Kielbassa AM. Resin infiltration of articial enamel caries lesions with experimental light curing resins. Dent Mater J 2007; 23: 742-8.
21. Paris S, Meyer-Lueckel H, Cölfen H, Kielbassa AM. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater 2007; 23: 742- 8.
22. Meyer-Lueckel H, Bitter K, Paris S. Randomized controlled clinical trial on proximal caries infiltration: three-year follow-up. Caries Res 2012; 46: 544-8.
23. Paris S, Bitter K, Naumann M, Dörfer CE, Meyer- Lueckel H. Resin infiltration of proximal caries lesions differing in ICDAS codes. Eur J Oral Sci 2011; 119: 182-6. 24. Arnold WH, Gaengler P. Light- and electronmicroscopic study of infiltration of resin into initial caries lesions—a new methodological approach. J Microsc 2012; 245: 26-33.