A new method for the treatment of white spot lesions, resin infiltration technique: case report

Year 2015, Volume: 32 Issue: 3, 153 - 7, 15.07.2015

Sıdıka Horuztepe , Esra Ergin Sevil Gürgan

https://doi.org/10.17214/aot.22185

Cited By: 1

Abstract

INTRODUCTION: A micro-invasive approach in the treatment of white spot lesions called ‘resin infiltration technique’ has become popular in recent years. The technique is based on infiltration into enamel’s demineralized lesion with a low-viscosity, light curing resin called infiltrant. In this technique, after removal of the surface layer, the lesion is desiccated and a resin infiltrant is applied. The resin penetrates into the lesion’s microporosities and is subsequently hardened. The lesion loses its whitish appearance and looks similar to the sound enamel. This technique also prevents the progression of the lesion.

CASE REPORT: This clinical case report has presented a new approach used to treat white spot lesions that occurred after fixed orthodontic treatment and the effectiveness of this new approach after 3 years of follow-up. An immediate improvement of the esthetic appearance was achieved and remained stable through the observation period.

CONCLUSION: Resin infiltration technique could be alternative to other esthetic restorative techniques in the treatment of white spot lesions.

Keywords

Dental caries, dental enamel, dental resins, white spot, dental

Beyaz nokta lezyonlarının giderilmesinde yeni bir yöntem, rezin infiltrasyon tekniği: olgu bildirimi

Abstract

TANITIM: Beyaz nokta lezyonlarının tedavisinde, mikro invaziv bir yaklaşım olan ‘rezin infiltrasyon tekniği’ son yıllarda oldukça popüler olmuştur. Bu teknik, düşük viskoziteli ve ışık ile sertleşen bir rezin olan infiltrantın minenin demineralize lezyonu içerisine penetrasyonu esasına dayanmaktadır. Yüzey tabakası uzaklaştırıldıktan sonra, lezyon kurutulur ve infiltrantın çürük lezyonunun mikro gözeneklerine penetre olması sağlanır. Böylece mine daha güçlü bir hale getirilir. Lezyonun opak görüntüsü kaybolarak sağlam mineye benzer bir görüntü elde edilir. Bu teknikle aynı zamanda lezyonun ilerlemesi önlenir.

OLGU BİLDİRİMİ: Bu klinik olgu sunumunda sabit ortodontik tedavi sonrası oluşan beyaz nokta lezyonlarının giderilmesi için rezin infiltrasyon tekniğinin etkinliği ve 3 yıllık takibi gösterilmiştir. Rezin infiltrasyon uygulaması sonrası estetik iyileşme elde edilmiş ve 3 yıllık takip sonunda da bu görünümün devamlılığını koruduğu görülmüştür.

SONUÇ: Beyaz nokta lezyonlarının tedavilerinde rezin infiltrasyon tekniği diğer estetik restoratif tekniklere göre alternatif olarak düşünülebilir.

Keywords

Beyaz nokta, diş, dental rezinler, diş çürükleri, diş minesi

References

• Roberson TM, Heyman HO, Swift EJ. Sturdevant's Art and Science of Operative Dentistry. 5th edn. St. Louis: Mosby Elsevier; 2006.
• Murdoch-Kinch CA, McLean ME. Minimally invasive dentistry. J Am Dent Assoc 2003;134:87-95.
• Korkut B, Yanıkoğlu F, Tağtekin D. Ön bölgedeki defektlere direkt kompozit rezin restorasyonlarla estetik yaklaşımlar: 3 olgu sunumu. J Dent Fac Atatürk Uni 2012;6:7-15.
• Yalçın F, Gürgan S. Effect of two different bleaching regimens on the gloss of tooth colored restorative materials. Dent Mater J 2005;21:464- 8.
• Zorba YO, Ercan E. Direkt uygulanan kompozit laminate veneerlerin klinik değerlendirilmeleri: İki olgu sunumu. Ondokuz Mayıs Üniv Diş Hek Fak Derg 2008;17:130-5.
• Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot forma- tion after bonding and banding. Am J Orthod 1982;81:93-8.
• Sudjalim TR, Woods MG, Manton DJ. Prevention of white spot lesi- ons in orthodontic practice: a contemporary review. Aust Dent J 2006;51:284-9.
• Cha SW YT, Park SH, Lee CY, Kum KY. Quantitative analysis of mi- neral change in the initial carious lesion using confocal laser scanning microscopy. J Korean Acad Conserv Dent 2001;26:1-8.
• Kielbassa AM, Muller J, Gernhardt CR. Closing the gap between oral hygiene and minimally invasive dentistry: a review on the resin infiltra- tion technique of incipient (proximal) enamel lesions. Quintessence Int 2009;40:663-81.
• Paris S, Meyer-Lueckel H. Masking of labial enamel white spot lesi- ons by resin infiltration--a clinical report. Quintessence Int 2009;40:713- 8.
• Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natu- ral caries lesions. J Dent Res 2007;86:662-6.
• 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.
• Son JH, Hur B, Kim HC, Park JK. Management of white spots: resin infiltration technique and microabrasion. J Korean Acad Conserv Dent 2011;36:66-71.
• Willmot DR. White lesions after orthodontic treatment: does low fluo- ride make a difference? J Orthod 2004;31:235-42.
• Rocha Gomes Torres C, Borges AB, Torres LM, Gomes IS, de Oli- veira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent 2011;39:202-7.
• Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltra- tion for masking labial enamel white spot lesions. Int J Paediatr Dent 2011;21:241-8.
• Ardu S, Castioni NV, Benbachir N, Krejci I. Minimally invasive treat- ment of white spot enamel lesions. Quintessence Int 2007;38:633-6.
• Pliska BT, Warner GA, Tantbirojn D, Larson BE. Treatment of white spot lesions with ACP paste and microabrasion. Angle Orthod 2012;82:765-9.
• Kidd EA, Fejerskov O. What constitutes dental caries? Histopatho- logy of carious enamel and dentin related to the action of cariogenic bio- films. J Dent Res 2004;83 Spec No C:C35-8.