POSTORTODONTİK BEYAZ NOKTA LEZYONLARI VE RENKLENMELERİN REZİN İNFİLTRASYONU TEKNİĞİYLE MASKELENMESİ: OLGU SUNUMU

Yıl 2019, Cilt: 46 Sayı: 2, 103 - 108, 01.08.2019

Yasemin D. Dedeağa Ruhsan Müdüroğlu Adil Nalçacı

Öz

Ortodontik tedavi gören bireylerde ağız hijyeni iyi sağlanamadığı zaman tedavi sonrası beyaz nokta lezyonu şeklinde demineralizasyonlar ve minede renklenmeler görülebilmekte bu durum da hastalarda estetik kaygı oluşturmaktadır. Bu lezyonların tedavisinde ve renklenmelerin maskelenmesinde non-invaziv yaklaşımla rezin infiltrasyon tekniği kullanılabilmektedir. Böylece hem lezyonun ilerlemesi durdurulur hem de hızlı estetik bir sonuç elde edilebilir. Kliniğimize estetik şikayetle başvuran 13 yaşındaki bayan hastaya minimal invaziv bir tedavi olan mikroabrazyon ve rezin infiltrasyon teknikleri birlikte uygulanarak tedavi sonunda tatmin edici estetik bir sonuca ulaşılmıştır. 6 ay sonraki kontrolde de estetik durumun devamlılığını koruduğu gözlenmiştir.

Anahtar Kelimeler

beyaz nokta lezyonu, minimal invaziv, mikroabrazyon, rezin infiltrasyon

Masking of the Postortodontic White Lesions and Colorizations with Resin Infiltration Technique: A Case Report

Öz

When oral hygiene is not well established in patients undergoing orthodontic treatment, demineralisations and white spot lesion on the enamel may be seen after treatment, and this situation causes cosmetic problems in patients. As a non-invasive approach, resin infiltration technique can be used in the treatment of these lesions and masking of the colourations. Thus, the progression of the lesion can be stopped, and an aesthetic result can be obtained quickly. A 13-year-old female patient applied to our clinic with aesthetic complaints. A minimally invasive technique microabrasion and resin infiltration technique, which are were applied together and a satisfactory aesthetic result was obtained at the end of the treatment. It was observed that the successful condition maintained stable after the 6-months follow-up.

Anahtar Kelimeler

minimally invasive, microabrasion, resin infiltration, white spot lesion

Kaynakça

• Bishara SE, Ostby AW. White Spot Lesions: Formation, Prevention, and Treatment. Semin Orthod. 2008 Sep 1;14(3):174–82.
• Glazer HS. Treating white spots: new caries infiltration technique. Dent Today. 2009 Oct;28(10):82, 84–5.
• Featherstone JDB. Dental caries: a dynamic disease process. Aust Dent J. 2008 Sep;53(3):286–91.
• Kidd EAM, Fejerskov O. What Constitutes Dental Caries? Histopathology of Carious Enamel and Dentin Related to the Action of Cariogenic Biofilms. J Dent Res. 2004 Jul 1;83(1):35–8.
• Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod. 1982 Feb;81(2):93–8.
• Borges AB, Caneppele TMF, Masterson D, Maia LC. Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review. J Dent. 2017;56:11–8.
• Oliveira GMS, Ritter AV, Heymann HO, Swift E, Donovan T, Brock G, et al. Remineralization Effect of CPP-ACP and Fluoride for White Spot Lesions in vitro. J Dent. 2014 Dec;42(12):1592–602.
• Soares R, De Ataide IDN, Fernandes M, Lambor R. Assessment of Enamel Remineralisation After Treatment with Four Different Remineralising Agents: A Scanning Electron Microscopy (SEM) Study. J Clin Diagn Res. 2017 Apr;11(4):ZC136–41.
• Kim S, Kim E-Y, Jeong T-S, Kim J-W. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent. 2011 Jul;21(4):241–8.
• Akin M, Basciftci FA. Can white spot lesions be treated effectively? Angle Orthod. 2012 Sep;82(5):770–5.
• Welbury RR, Carter NE. The hydrochloric acid-pumice microabrasion technique in the treatment of post-orthodontic decalcification. Br J Orthod. 1993 Aug;20(3):181–5.
• Wright JT. The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent. 2002 Jun;24(3):249–52.
• Ogaard B, Rølla G, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop. 1988 Jul;94(1):68–73.
• Paris S, Meyer-Lueckel H. Masking of labial enamel white spot lesions by resin infiltration--a clinical report. Quintessence Int. 2009 Oct;40(9):713–8.
• Rocha Gomes Torres C, Borges AB, Torres LMS, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent. 2011 Mar;39(3):202–7.
• Yetkiner E, Wegehaupt F, Wiegand A, Attin R, Attin T. Colour improvement and stability of white spot lesions following infiltration, micro-abrasion, or fluoride treatments in vitro. Eur J Orthod. 2014 Oct;36(5):595– 602.
• Murphy TC, Willmot DR, Rodd HD. Management of postorthodontic demineralized white lesions with microabrasion: a quantitative assessment. Am J Orthod Dentofacial Orthop. 2007 Jan;131(1):27–33.
• Son J-H, Hur B, Kim H-C, Park J-K. Management of white spots: resin infiltration technique and microabrasion. J Korean Acad Conserv Dent. 2011 Jan 1;36(1):66– 71.
• Ardu S, Castioni NV, Benbachir N, Krejci I. Minimally invasive treatment of white spot enamel lesions. Quintessence Int. 2007 Sep;38(8):633–6.
• Pancu G, Ilie M, Andrian S, Iovan G, Topoliceanu C, Pancu I, et al. Clinical and radiographical study regarding treatment of incipient carious lesions with icon infiltration method. Rom J Oral Rehab. 2012;4(3):5.
• 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 Jun;23(6):742–8.
• Doméjean S, Ducamp R, Léger S, Holmgren C. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ Pract. 2015;24(3):216–21.