BEYAZ NOKTA LEZYONLARI

Year 2020, Volume: 30 Issue: 4, 671 - 680, 15.10.2020

Gamze Kes Nurdan Meserret Başeren

https://doi.org/10.17567/ataunidfd.780061

Cited By: 1

Abstract

ÖZ
Başlangıç mine demineralizasyonu, minedeki mineral kaybının neden olduğu optik ilüzyon sonucunda beyaz nokta lezyonu olarak görülür. Bu lezyonların teşhisi zor olabileceğinden, tanı için birçok yöntem geliştirilmiştir. Bu derlemede beyaz nokta lezyonlarının tanı ve tedavi planlaması için güncel yöntemler incelenmiştir.
Anahtar Kelimeler: Beyaz nokta lezyonları, rezin infiltrant, remineralizasyon, lazer floresans

ABSTRACT: Initial enamel demineralization is also seen as a white spot lesion as a result of optical illusion caused by mineral loss in the enamel. Since these lesions can be difficult to diagnose, many methods have been developed for diagnosis. In this review, current methods for diagnosis and treatment planning of white dot lesions are examined.

Keywords

Beyaz nokta lezyonları, rezin infiltrant, lazer floresans

References

• 1. Lubarsky GV, D’Sa R, Deb S, Lemoine P. The role of enamel proteins in protecting mature human enamel against acidic environments: a double layer force spectroscopy study. Biointerphases 2012; 7: 14.
• 2. Guerrieri A, Gaucher C, Bonte E, LasfargueS JJ. Minimal intervention dentistry: part 4. Detection and diagnosis of initial caries lesions. Br Dent J 2012; 213:551-7.
• 3. Paula aB, Fernandes ar, Coelho as, et al. therapies for white spot lesions-a systematic review. J Evid Based Dent Pract 2017; 17:23–38.
• 4. Murdoch-Kinch CA, McLean ME. Minimally invasive dentistry. J Am Dent Assoc 2003;134:87-95.
• 5. Edckstein A, Helms HJ, Knösel M. Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: one-year follow-up. Angle Orthod 2015; 85:374–80. 6. Darling Al. The selective attack of caries on the dental enamel. Ann R Coll Surg Engl 1961;29:354-69. 7. Melberg JR, Ripa LW. Formation of dental caries. In Fluoride in Preventive Dentistry. Theory and clinical applications. p:15–40. Chicago, Quintessence Publishing Co, 1983. 8. Mount GJ. Defining, classifying, and placing ıncipient caries lesions in perspective. Dent Clin North Am 2005;49:701-23.
• 9. Belli R, Chrıstos R, Edward WS, Luiz NB, Anselm P, Ulrıch R. Wear and morphology of infiltrated white spot lesions. J Dent 2011; 39: 376-85. 10. Zero DT, Zandona AF, Vail MM, Spolnik KJ. Dental caries and pulpal disease. Dent Clin North Am 2011; 55: 29-46.
• 11. Tantradi P, Sreenivasan V, Kadaganche H. Role of bitewing in enhancing the assessment of DMFS index in a group of Indian adolescents. Indian J Dent Res 2010; 21: 266-269
• 12. Stookey G. Should a dental explorer be used to probe suspected carious lesions? No--use of an explorer can lead to misdiagnosis and disrupt remineralization. J Am Dent Assoc 2005; 136: 1527, 1529, 1531.
• 13. Braga MM, Oliveira LB, Bonini GA, Bönecker M, Mendes FM. Feasibility of the International Caries Detection and Assessment System (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res 2009; 43: 245-9.
• 14. Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35: 170-8.
• 15. Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 2007; 32:225-35.
• 16. Lussi A, Megert B, Longbottom C, Reich E, Francescut P. Clinical performance of a laser fluorescence device for detection of occlusal caries lesions. Eur J Oral Sci 2011; 109: 14
• 17.Gurbuz T, Yilmaz Y, Sengul F. Performance of laser fluorescence for residual caries detection in primary teeth. Eur J Dent 2008; 2: 176-84.
• 18. SA Patel WD Shepard JA Barros CF Streckfus RL Quock. In Vitro Evaluation of Midwest Caries ID: A Novel Light-emitting Diode for Caries Detection Operative Dentistry 2014; 39: 644-51.
• 19. Krause F, Melner DJ, Stawirej R, Jepsen S, Braun A. LED based occlusal and approximal caries detection in vitro. J Dent Res 2008; 87(Special Issue B): Abstract 0526.
• 20. Almosa NA, Lundgren T, Aldrees AM, Birkhed D, Kjellberg H. Diagnosing the severity of buccal caries lesions in governmental and private orthodontic patients at debonding, using the ICDAS-II and the DIAGNOdent Pen. Angle Orthod 2014; 84:430–6.
• 21. Aktan AM, Cebe MA, Ciftci ME, Sirin Karaarslan E. A novel LED-based device for occlusal caries detection. Las Med Sci 2012; 27 1157-63. 22. Lussi A, Imwinkelried S, Pitts N, Longbottom C, Reich E. Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res 1999; 33: 261-6.
• 23. Jayarajan J, Janardhanam P, Jayakumar P. Efficacy of CPP-ACP and CPP-ACPF on enamel remineralization - an in vitro study using scanning electron microscope and DİAGNOdent. Indian J Dent Res 2011; 22: 77-82.
• 24. Hellen A, Mandelis A, Finer Y, Amaechi BT. Quantitative remineralization evolution kinet ics of artificially demineralized human enamel using photothermal radiometry and modulated luminescence. J Biophotonics 2011;4:788-804
• 25. Tassery H, Levallois B, Terrer E, Manton DJ, Otsuki M, Koubi S, Gugnani N, Panayotov I, Jacqout P, Cuisinier F, Rechmann P. Use of new minimum intervention dentistry technologies in caries management. Aust Dent J 2013;58 Suppl 1:40-59
• 26. Vaarkamp J, Ten Bosch JJ, Verdonschot EH, Bronkhorst EM. The real performance of bitewing radiography and fiber- optic transillumination in approximal caries diagnosis. J Dent Res 2000; 79: 1747.
• 27. Zandoná AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc 2006; 137; 1675-84.
• 28. Jablonski-Momeni A, Liebegall F, Stoll R, Heinzel-Gutenbrunner M, Pieper K. Performance of a new fluorescence camera for detection of occlusal caries in vitro. Lasers MedSci 2013;28:101-9.
• 29. Iain A Pretty†Email author, Michael McGrady†, Christian Zakian. Quantitative Light Fluorescence (QLF) and Polarized White Light (PWL) assessments of dental fluorosis in an epidemiological setting. BMC Pub Health 2012; 12: 366.
• 30. Jablonski-Momeni A, Liebegall F, Stoll R, Heinzel-Gutenbrunner M, Pieper K. Performance of a new fluorescence camera for detection of occlusal caries in vitro. Lasers MedSci 2013;28:101-9.
• 31 Seremidi K, Lagouvardos P, Kavvadia K. Comparative in vitro validation of VistaProof and DIAGNOdent pen for occlusal caries detection in permanent teeth. Oper Dent 2012;37:234-45.
• 32. Markowitz K, Carey K. Assessing the appearance and fluorescence of resin-infiltrated white spot lesions with caries detection devices. Oper Dent 2018; 43: 10-8
• 33. Zandoná AF, Zero DT. Diagnostic tools for early caries detection. J Am Dent Assoc 2006; 137:1675-84.
• 34. Kavvadia K, Seremidi K, Reppa C, Makou M, Lagouvardus P. Validation of fluorescence devices for evaluation of white spot lesions in orthodontic patients. Eur Arch Paediatr Dent. 2018;19:83-9
• 35. Bergstrand F, Twetman S. A review on prevention and treatment of post-orthodontic white spot lesions - evidence-based methods and emerging technologies. Open Dent J 2011;5:158-62
• 36. Heymann GC, Grauer D 2013. A contemporary review of white spot lesions in orthodontics. J Esthet Restor Dent 25:85–95.
• 37. Kim J, Shin TJ, Kong HJ, Hwang JY, Hyun HK. High-frequency ultrasound imaging for examina- tion of early dental caries. J Dent Res 2019; 98:363-7
• 38. Reynolds EC, Morgan MV. Remineralization of enamel subsurface lesions in situ by sugar-free lozenges containing casein phosphopeptide amorphous calcium phosphate. Aust Dent J 2003; 48: 240-3.
• 39. O'Mullane DM, Kavanagh D, Ellwood RP et al. A 3-year clinical trial of a combination of trimetaphosphate and sodium fluoride in silica toothpastes. J Dent Res 1997; 76: 1776–1781.
• 40. de Amorim RG, Leal SC, Bezerra AC, de Amorim FP, de Toledo OA. Association of chlorhexidine and fluoride for plaque control and white spot lesion remineralization in primary dentition. Int J Paediatr Dent 2008; 18: 446-51.
• 41. Yang Y, Lv X, Shi W, Zhou X, Li J, Zhang L. Syn- ergistic inhibition of enamel demineralization by peptide 8DSS and fluoride. Caries Res 2016; 50: 32–9.
• 42. Pitts NB, Wright JP. Reminova and EAER: keep- ing enamel whole through caries remineralization. Adv Dent Res 2018; 29: 48–54.
• 43. Yuan P, Shen X, Lıu J, Hou Y, Zhu M, Huang J, Xu P. Effects of dentifrice containing hydroxyapatite on dentinal tubule occlusion and aqueous hexavalent chromium cations sorption: a preliminary study. Plus One 2012; 7: 452-83.
• 44. Krishnan V, Bhatia A, Varma H. Development, characterization and comparison of two strontium doped nano hydroxyapatite molecules for enamel repair/regeneration. Dent Mater 2016;32:646–59.
• 45. Brunton PA, Davies RP, Burke JL, Smith A, Aggeli A, Brookes SJ, Kirkham J. Treatment of early caries lesions using biomimetic self- assembling peptides-a clinical safety trial. Br Dent J 2013; 215:E6.
• 46. Alkilzy M, Tarabaih A, Santamaria RM, Splieth CH. Self-assembling peptide p11-4 and fluoride for regenerating enamel. Journal of Dental Research 2018, 97:148–54.
• 47. Cury JA, Tenuta LM. Enamel remineralization: controlling the caries disease or treating early caries lesions? Braz Oral Res 2009; 23: 23-30.
• 48. Karlınsey RL, Mackey AC, Stookey GK, Pfarrer AM. In vitro assessments of experimental NaF dentifrices containing a prospective calcium phosphate technology. Am J Dent 2009; 22:180-4.
• 49. Patil N, Choudhari S, Kulkarni S, Joshi SR. Comparative evaluation of remineralizing potential of three agents on artificially demineralized human enamel: an in vitro study. J Conserv Dent 2013; 16: 116-20.
• 50. Karlinsey RL, Pfarrer AM. Fluoride plus functionalized β-TCP: a promising combination for robust remineralization. Adv Dent Res 2012; 24: 48–52.
• 51. Amaechi BT, Ramalingam K, Mensinksai PK, Narjibfard K, Mackey AC, Karlinsey RL. Remineralization of eroded enamel by a NaF rinse containing a novel calcium phosphate agent in an in situ model: a pilot study. Clin Cosmet Investig Dent 2010; 2:93–100.
• 52. Bakry AS, Marghalani HY, Amin OA, Tagami J. The effect of a bioglass paste on enamel exposed to erosive challenge. J Dent 2014; 42: 1458–63.
• 53. Mehta AB, Kumari V, Jose R, Izadikhah V. Remineralization potential of bioactive glass and casein phosphopeptide-amorphous calcium phosphate on initial carious lesion: an in-vitro pH-cycling study. J Conserv Dent 2014;17: 3–7.
• 54. Milly H, Festy F, Watson TF, Thompson I, Banerjee A. Enamel white spot lesions can remineralise using bio-active glass and polyacrylic acid-modified bio-active glass powders. J Dent 2014; 42: 158–66.
• 55. Narayana SS, Deepa VK, Ahamed S, Sathish ES, Meyappan R, Satheesh Kumar KS. Remineralization efficiency of bioactive glass on artificially induced carious lesion an in-vitro study. J Indian Soc Pedod Prev Dent 2014; 32: 19–25.
• 56. Milly H, Festy F, Andiappan M, Watson TF, Thompson I, Banerjee A. Surface pre-conditioning with bioactive glass air-abrasion can enhance enamel white spot lesion remineralization. Dent Mater 2015; 31: 522–33.
• 57. Bakry AS, Tamura Y, Otsuki M, Kasugai S, Ohya K, Tagami J. Cytotoxicity of 45S5 bioglass paste used for dentine hypersensitivity treatment. J Dent 2011; 39: 599-603.
• 58. Taha AA, Patel MP, Hill R G, Fleming PS. The effect of bioactive glasses on enamel remineralization: A systematic review. J Dent 2017; 67: 9-17.
• 59. Everett ET. Fluoride’s effects on the formation of teeth and bones, and the influence of genetics. J Dent Res 2011; 90: 552-60.
• 60. Benson PE, Parkin N, Dyer F, Millett DT, Furness S, Germain P: Fluorides for the prevention of early tooth decay (demineralised white le- sions) during fixed brace treatment. Database Syst Rev 2013; 12: CD003809.
• 61. Bishara SE, Ostby AW. White spot lesions: formation, prevention, and treatment. Semin Orthod 2008; 14: 174-82.
• 62. Gokce G, Savas S, Kucukyilmaz E, Veli I. Effects of toothpastes on white spot lesions around orthodontic brackets using quantitative light-induced fluorescence (QLF): An in vitro study. J Orofac Orthop 2017; 78: 480-6.
• 63. Farzanegan F, Morteza-Saadat-Mostafavi S, Ameri H, Khaki H. Effects of fluoride versus amorphous calcium phosphate solutions on enamel microhardness of white spot lesions: An in-vitro study. J Clin Exp Dent 2019; 11: e219-24.
• 64. Santos LF, Rego HM, Borges AB, Pucci CR, Torres CR. Efficacy of bleaching treatment on demineralized enamel treated with resin infiltra- tion technique. World J Dent 2012;3:279-83.
• 65. Paris S, Schwendicke F, Keltsch J, Dorfer C, Meyer- Lueckel H. Masking of white spot lesions by resin infiltration in vitro. J Dent 2013; 41: e28-34.
• 66 Shivanna V, Shikumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent 2011; 14: 423-6 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.
• 67. 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.
• 68. 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.
• 69. Senestraro SV, Crowe JJ, Wang M, Vo A, Huang G, Ferracane J, Covell DA. Minimally invasive resin infiltration of arrested white-spot lesions: a randomized clinical trial. J Am Dent Assoc 2013; 144: 997–1005.
• 70. Knösel M, Eckstein A, Helms HJ. Durability of esthetic improvement following Icon resin infiltration of multibracket-induced white spot lesions compared with no therapy over 6 months: a single- center, split-mouth, randomized clinical trial. Am J Orthod Dentofac Orthop 2013; 144: 86–96.
• 71. Senestraro SV, Crowe JJ, Wang M, et al. Minimally invasive resin infiltration of arrested white-spot lesions: a randomized clinical trial. J Am Dent Assoc 2013; 144: 997-1005.
• 72. Yuan H, Li J, Chen L, Cheng L, Cannon RD, Mei L. Esthetic comparison of white-spot lesion treatment modalities using spectrometry and fluorescence. Angle Orthod 2014; 84: 343-9.
• 73. Prasada KL, Penta PK, Ramya KM. Spectrophotometric evaluation of white spot lesion treatment using novel resin infiltrationmaterial (ICON®). J Conserv Dent 2018; 21:531-5
• 74. Muthuvel P, Ganapathy A, Subramaniam M K, Revankar VD. Erosion infiltration technique’: a novel alternative for masking enamel white spot lesion. J Pharm Bioallied Sci 2017; 9: S289–91.
• 75. Esteves-Oliveira M, Zezell DM, Meister J, Franzen R, Stanzel S, Lampert F, Eduardo CP, Apel C. CO2 laser (10.6 micron) parameters for caries prevention in dental enamel. Caries Res 2009; 43: 261-8.
• 76. Steiner-Oliveira C, Rodrigues LK, Lima EB, Nobredos-Santos M. Effect of the CO2 laser combined with fluoridated products on the inhibition of enamel demineralization. J Contemp Dent Pract 2008; 9: 113-21.
• 77.Rodrigues LK, Nobre Dos Santos M, Featherstone JD. In situ mineral loss inhibition by CO2 laser and fluoride. J Dent Res 2006; 85: 617-21.
• 78. Schmidlin PR, Dörig I, Lussi A, Roos M, Imfeld T. CO2 laser-irradiation through topically applied fluoride increases acid resistance of demineralized human enamel in vitro. Oral Health Prev Dent 2007; 5: 201-8.
• 79. Mahmoudzadeh M, Rezaei-Soufi L, Farhadian N, Jamalian SF, Akbarzadeh M, Momeni M, Basamtabar M. Effect of CO2 laser and fluoride varnish application on microhardness of enamel surface around orthodontic brackets. J Lasers Med Sci 2018;9:43–9.
• 80. Benbachir N, Ardu S, Krejci I. Indications and limits of the microabrasion technique. Quintessence Int 2007; 38:811– 5.
• 81. Barros Vasconcelos MQS, Vieira K A, da Consolacäo Canuto Salgueiro M, Almeida Alfaya T, Ferreira CS, Bussadori SK. Microabrasion: a treatment option for white spots. J Clin Pediatr Dent 2014; 39:27–9.
• 82. Pliska BT, Warner GA, Tantbirojn D, Larson BE. Treatment of white spot lesions with ACP paste and microabrasion. Angle Orthod 2012;82:765-9.
• 83. Gua X, Yang L, Yangc D, Gao Y, Duan X, Zhu X, Yuan H, Li J. Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial. Angle Orthod 2019; 89: 372-7.
• 84. Sonesson M, Bergstrand F, Gizani S, Twetman S. Management of post-orthodontic white spot le- sions: an updated systematic review. Eur J Orthod 2017; 39:116-21.
• 85. Pretty IA, Edgar WM, Higham SM. The effect of bleaching on enamel susceptibility to acid erosi- on and demineralisation. Br Dent J 2005;198:285-90.
• 86. Berger SB, Pavan S, Dos Santos PH, Giannini M, Bedran-Russo AK. Effect of bleaching on sound enamel and with early artificial caries lesions using confocal laser microscopy. Braz Dent J 2012; 23: 110- 5.
• 87. Attin T, Kielbassa AM, Schwanenberg M, Hellwig E. Effect of fluoride treatment on remineralization of bleached enamel. J Oral Rehabil 1997;24:282-6.
• 88. Jo Jo SY, Chong HJ, Lee EH,Chang NY, Chae JM,Cho JH, Kim SC, Kang KH. Effects of various toothpastes on remin- eralization of white spot lesions. Korean J Orthod 2014; 44:113-8
• 89. Choi Y Y, Lee D Y, Kimc Y J. Colorimetric evaluation of white spot lesions following external bleaching with fluoridation: An in-vitro study. Korean J Orthod 2018; 48: 377–83.
• 90. Uysal S, Öz F T. Derleme: başlangıç mine lezyonlarının remineralizasyonunda kullanılan ajanlar. A Ü Diş Hek Fak Derg 2018; 45: 201-10.