Resin Infiltration Systems’ Color Masking Effect on Developmental Enamel Defects

Yıl 2018, Cilt: 1 Sayı: 3, 70 - 76, 01.09.2018

Mihriban Dudu Gizem Gençer Zuhal Kırzıoğlu

Öz

Enamel morphogenesis is a continuous and complex process and begins with the secretion of enamel matrix proteins, continuing with the mineralization and maturation phase. As a result of the suppression of the ameloblasts’ activity, pit and grooves occur in the enamel and developmental enamel defects are formed. This change occurs in the matrix formation and mineralization phases. If these disruptions occur in the secretion phase, it is called enamel hypoplasia. When it comes to the stage of maturation, it is called enamel hypomineralization. The hypoplasia which the enamel thickness is affected, has shallow and deep fossae and partial or complete loss, along with horizontal or vertical grooves in the enamel. On the other hand, hypomineralization is an anomaly related to the translucency of the tissue, which appears as white or yellowish / brownish areas in the enamel. The location of the defects is clinically visible in the form of diffuse opacities and hypoplasia, depending on the stage of injury. The most important problem for the patient with developmental enamel defects are aesthetic and the frequency of these defects varies from 8.3% to 51.6%. In this period, direct / indirect composite restorations, composite resin and porcelain veneers are applied. In cases where minimum invasive approach is required, microabrasion, whitening and resin infiltration treatments are also applied. In order to meet the aesthetic demands of individuals, applications should be preferred which require the least invasive approach. Problems that may arise in developmental enamel defects and resolution of aesthetic discomfort with treatment applications gain importance. In this review, developmental enamel defects and the effect of the resin infiltration system applied in the treatment of these defects will be evaluated.

Anahtar Kelimeler

Developmental enamel defects, Resin infiltration system, Color masking

GELİŞİMSEL MİNE DEFEKTİ GÖRÜLEN DİŞLERDE REZİN İNFİLTRASYON SİSTEMİNİN RENK MASKELEME ETKİSİ

Öz

Mine morfogenezi sürekli ve karmaşık bir süreç olup mine matriks proteinlerinin salgılanması ile başlamakta, mineralizasyon ve olgunlaşma safhası ile devam etmektedir. Ameloblastların aktivitesinin baskılanması sonucu, minede pit ve oluklar meydana gelerek gelişimsel mine defektleri oluşmaktadır. Bu değişiklik matriks oluşumu ve mineralizasyon aşamalarında meydana gelmektedir. Bu aksaklıklar salgılama fazında meydana gelirse mine hipoplazisi, olgunlaşma aşamasında meydana geldiği takdirde, mine hipomineralizasyonu olarak adlandırılmaktadır.
Mine kalınlığının etkilendiği hipoplazide, minede yatay veya dikey oluklarla beraber sığ ve derin fossalar ve kısmen veya tamamen kayıp mevcuttur. Hipomineralizasyon ise, minede beyaz veya sarımsı/kahverengimsi alanlar şeklinde
görülen dokunun translüsensi ile ilgili bir anomalidir. Defektlerin yeri, hasar veya yaralanma anındaki evreye bağlı olarak sınırları belirgin, diffüz opasiteler ve hipoplazi şeklinde klinik görünüm vermektedir. Gelişimsel mine defektlerinin hasta açısından oluşturduğu en önemli problem estetiktir ve bu defektlerin görülme sıklığı % 8,3-51,6 arasında değişmektedir. Bu dönemde, direkt/indirekt kompozit restorasyonlar, kompozit rezin ve porselen veneerler sıklıkla tercih edilen tedaviler olup en az invaziv yaklaşım gerektiren durumlarda ise mikroabrazyon, beyazlatma ve rezin infiltrasyon tedavileri de uygulanmaktadır. Bireylerin estetik taleplerini karşılamak için en az invaziv yaklaşım gerektiren uygulamalar tercih edilmelidir. Gelişimsel mine defektlerinde ortaya çıkabilecek problemler ve estetik kaygının tedavi uygulamaları ile çözümlenmesi önem kazanmaktadır. Bu derlemede gelişimsel mine defektleri ve bu defektlerin tedavisinde uygulanan rezin infiltrasyon sisteminin etkisi değerlendirilecektir. 

Anahtar Kelimeler

Gelişimsel mine defektleri, Rezin infiltrasyon sistemi, Renk maskeleme

Kaynakça

• Alaluusua S, Calderara P, Gerthoux PM, Lukinmaa PL, Kovero O, Needham L, Patterson DG Jr, Tuomisto J, Mocarelli P. 2004.
• Developmental dental aberrations after the dioxin accident in Seveso. Environ Health Perspect, 112(13): 1313-1318.
• Alaluusua S, Lukinmaa PL. 2006. Developmental dental toxicity of dioxin and related compounds--a review. Int Dent J, 56(6): 323-331.
• Alaluusua S, Lukinmaa PL, Koskimies M, Pirinen S, Hölttä P, Kallio M, Holttinen T, Salmenperä L. 1996. Developmental dental defects associated with long breast feeding. Eur J Oral Sci, 104(5-6): 493-497.
• Anthonappa RP, King NM. 2015. Enamel Defects in the Permanent Dentition: Prevalence and Etiology. In: Drummond BK, Kilpatrick N, editors. Planning and Care for Children and Adolescents with Dental Enamel Defects. 1st ed. Springer Berlin Heidelberg; p. 15-30.
• Bakhshandeh A, Ekstrand K. 2015. Infiltration and sealing versus fluoride treatment of occlusal caries lesions in primary molar teeth. 2-3 years results. Int J Paediatr Dent, 25(1): 43-50.
• Balmer RC, Laskey D, Mahoney E, Toumba KJ. 2005. Prevalence of enamel defects and MIH in non-fluoridated and fluoridated communities. Eur J Paediatr Dent, 6(4): 209-212.
• Beentjes VE, Weerheijm KL, Groen HJ. 2002. Factors involved in the aetiology of molar-incisor hypomineralisation (MIH). Eur J Paediatr Dent, 3(1): 9-13.
• Billings RJ, Berkowitz RJ, Watson G. 2004. Teeth. Pediatrics, 113(4): 1120-1127.
• Borges A, Caneppele T, Luz M, Pucci C, Torres C. 2014. Color stability of resin used for caries infiltration after exposure to different staining solutions. Oper Dent, 39(4): 433-440.
• Cocco AR, Lund RG, Torre E, Martos J. 2016. Treatment of Fluorosis Spots Using a Resin Infiltration Technique: 14-month Follow-up. Oper Dent, 41(4): 357-362.
• Curzon ME, Spector PC. 1977. Enamel mottling in a high strontium area of the U.S.A. Community Dent Oral Epidemiol, 5(5): 243-247.
• de Barros L, Apolonio FM, Loguercio AD, de Saboia V. 2013. Resin-dentin bonds of etch-and-rinse adhesives to alcohol-saturated acid-etched dentin. J Adhes Dent, 15(4): 333-340.
• Denbesten P, Li W. 2011. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci, 22: 81-96.
• Denis M, Atlan A, Vennat E, Tirlet G, Attal JP. 2013. White defects on enamel: diagnosis and anatomopathology: two essential factors for proper treatment (part 1). Int Orthod, 11(2): 139-165.
• Dixon DA. 1968. Defects of structure and formation of the teeth in persons with cleft palate and the effect of reparative surgery on the dental tissues. Oral Surg Oral Med Oral Pathol, 25(3): 435-446.
• Duggal MS, Curzon ME, Bailey CC, Lewis IJ, Prendergast M. 1997. Dental parameters in the long-term survivors of childhood cancer compared with siblings. Oral Oncol, 33(5): 348-353.
• Ekstrand KR, Bakhshandeh A, Martignon S. 2010. Treatment of proximal superficial caries lesions on primary molar teeth with resin infiltration and fluoride varnish versus fluoride varnish only: efficacy after 1 year. Caries Res, 44(1): 41-46.
• Flanagan N, O'Connor WJ, McCartan B, Miller S, McMenamin J,Watson R. 1997. Developmental enamel defects in tuberous sclerosis: a clinical genetic marker? J Med Genet, 34(8): 637-639.
• Fouda N, Caracatsanis M, Hammarström L. 1989. Developmental disturbances of the rat molar induced by two diphosphonates. Adv Dent Res, 3(2): 234-240.
• Gao Y, Sahlberg C, Kiukkonen A, Alaluusua S, Pohjanvirta R, Tuomisto J, Lukinmaa PL. 2004. Lactational exposure of Han/Wistar rats to 2,3,7,8-tetrachlorodibenzo-p-dioxin interferes with enamel maturation and retards dentin mineralization. J Dent Res, 83(2): 139-144.
• Garg N, Jain AK, Saha S, Singh J. 2012. Essentiality of early diagnosis of molar incisor hypomineralization in children and review of its clinical presentation, etiology and management. Int J Clin Pediatr Dent, 5(3): 190-196.
• Giro CM. 1947. Enamel hypoplasia in human teeth; an examination of its causes. J Am Dent Assoc, 34(5): 310-317.
• Giunta JL. 1998. Dental changes in hypervitaminosis D. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 85(4): 410-413.
• Gomes AC, Messias LP, Delbem AC, Cunha RF. 2010. Developmental disturbance of an unerupted permanent incisor due to trauma to its predecessor. J Can Dent Assoc, 76: a57.
• Gonçalves F, Pfeifer CC, Stansbury JW, Newman SM, Braga RR. 2010. Influence of matrix composition on polymerization stress development of experimental composites. Dent Mater, 26(7): 697-703.
• Gugnani N, Pandit IK, Gupta M, Josan R. 2012. Caries infiltration of noncavitated white spot lesions: A novel approach for immediate esthetic improvement. Contemp Clin Dent, 3(2): S199-202.
• Holan G, Topf J, Fuks AB. 1992. Effect of root canal infection and treatment of traumatized primary incisors on their permanent successors. Endod Dent Traumatol, 8(1): 12-15.
• Jacobsen PE, Haubek D, Henriksen TB, Østergaard JR, Poulsen S. 2014. Developmental enamel defects in children born preterm: a systematic review. Eur J Oral Sci, 122(1): 7-14.
• Janda R, Roulet JF, Latta M, Rüttermann S. 2007. Water sorption and solubility of contemporary resin-based filling materials. J Biomed Mater Res B Appl Biomater, 82(2): 545-551.
• Jan J, Sovcikova E, Kocan A, Wsolova L, Trnovec T. 2007. Developmental dental defects in children exposed to PCBs in eastern Slovakia. Chemosphere, 67(9): 350-354.
• Jan J, Vrbic V. 2000. Polychlorinated biphenyls cause developmental enamel defects in children. Caries Res, 34(6): 469-473.
• Kimoto S, Suga H, Yamaguchi M, Uchimura N, Ikeda M, Kakizawa T. 2003. Hypoplasia of primary and permanent teeth following osteitis and the implications of delayed diagnosis of a neonatal maxillary primary molar. Int J Paediatr Dent, 13(1): 35-40.
• Kim S, Kim EY, Jeong TS, Kim JW. 2011. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent, 21(4): 241-248.
• Kleine-Hakala M, Hukki J, Hurmerinta K. 2007. Effect of mandibular distraction osteogenesis on developing molars. Orthod Craniofac Res, 10(4): 196-202.
• Knothe H, Dette GA. 1985. Antibiotics in pregnancy: toxicity and teratogenicity. Infection, 13(2): 49-51.
• Knösel M, Eckstein A, Helms HJ. 2013. 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 Dentofacial Orthop, 144(1): 86-96.
• Lunt RC, Law DB. 1974. A review of the chronology of calcification of deciduous teeth. J Am Dent Assoc, 89(3): 599-606.
• Martignon S, Ekstrand KR, Gomez J, Lara JS, Cortes A. 2012. Infiltrating/sealing proximal caries lesions: a 3-year randomized clinical trial. J Dent Res, 91(3): 288-292.
• Meyer-Lueckel H, Bitter K, Paris S. 2012. Randomized controlled clinical trial on proximal caries infiltration: three-year follow-up. Caries Res, 46(6): 544-548.
• Meyer-Lueckel H, Paris S, Kielbassa AM. 2007. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res, 41(3): 223-230.
• Meyer-Lueckel H, Paris S. 2008a. Improved resin infiltration of natural caries lesions. J Dent Res, 87(12): 1112-1116.
• Meyer-Lueckel H, Paris S. 2008b. Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res, 42(2): 117-124.
• Muñoz MA, Arana-Gordillo LA, Gomes GM, Gomes OM, Bombarda NH, Reis A, Loguercio AD. 2013. Alternative esthetic management of fluorosis and hypoplasia stains: blending effect obtained with resin infiltration techniques. J Esthet Restor Dent, 25(1): 32-39.
• Özbay MDG. 2016. Gelişimsel mine defektlerinde uygulanan rezin infiltrant ve mikroabrazyon tedavilerinin renk maskeleme etkinliklerinin karşılaştırılması (Uzmanlık Tezi). Süleyman Demirel Üniversitesi, Isparta.
• Paris S, Dörfer CE, Meyer-Lueckel H. 2010a. Surface conditioning of natural enamel caries lesions in deciduous teeth in preparation for resin infiltration. J Dent, 38(1): 65-71.
• Paris S, Hopfenmuller W, Meyer-Lueckel H. 2010b. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res, 89(8): 823-826.
• Paris S, Meyer-Lueckel H. 2009. Masking of labial enamel white spot lesions by resin infiltration--a clinical report. Quintessence Int, 40(9): 713-718.
• Paris S, Meyer-Lueckel H, Cölfen H, Kielbassa AM. 2007a. Resin infiltration of artificial enamel caries lesions with experimental light curing resins. Dent Mater J, 26(4): 582-588.
• Paris S, Meyer-Lueckel H, Kielbassa AM. 2007b. Resin infiltration of natural caries lesions. J Dent Res, 86(7): 662-666.
• Paris S, Schwendicke F, Keltsch J, Dörfer C, Meyer-Lueckel H. 2013a. Masking of white spot lesions by resin infiltration in vitro. J Dent, 41(5): e28-34.
• Paris S, Schwendicke F, Seddig S, Müller WD, Dörfer C, Meyer-Lueckel H. 2013b. Micro-hardness and mineral loss of enamel lesions after infiltration with various resins: influence of infiltrant composition and application frequency in vitro. J Dent, 41(6): 543-548.
• Park J, Eslick J, Ye Q, Misra A, Spencer P. 2011. The influence of chemical structure on the properties in methacrylate-based dentin adhesives. Dent Mater, 27(11): 1086-1093.
• Phillips-Howard PA, Wood D. 1996. The safety of antimalarial drugs in pregnancy. Drug Saf, 14(3): 131-145.
• Ranta R. 1986. A review of tooth formation in children with cleft lip/palate. Am J Orthod Dentofacial Orthop, 90(1): 11-18.
• Robinson C, Brookes SJ, Kirkham J, Wood SR, Shore RC. 2001. In vitro studies of the penetration of adhesive resins into artificial caries-like lesions. Caries Res, 35(2): 136-141.
• Robles MJ, Ruiz M, Bravo-Perez M, González E, Peñalver MA. 2013. Prevalence of enamel defects in primary and permanent teeth in a group of schoolchildren from Granada (Spain). Med Oral Patol Oral Cir Bucal, 18(2): e187-193.
• Skaleric U, Ravnik C, Cevc P, Schara M. 1982. Microcrystal arrangement in human deciduous dental enamel studied by electron paramagnetic resonance. Caries Res, 16(1): 47-50.
• Tirlet G, Chabouis HF, Attal JP. 2013. Infiltration, a new therapy for masking enamel white spots: a 19-month follow-up case series. Eur J Esthet Dent, 8(2): 180-190.
• Torres CR, Borges AB. 2015. Color masking of developmental enamel defects: a case series. Oper Dent, 40(1): 25-33.
• Ungureanu L, Leon A, Nicolae A, Gabriela C. 2012. Micro-Invasive Treatment Of Non-Cavitated Carious Lesions In The Smooth Surfaces Of Teeth. International Journal of Medical Dentistry, 2(1): 11-16.
• Vanderas AP, Gizani S, Papagiannoulis L. 2006. Progression of proximal caries in children with different caries indices: a 4-year radiographic study. Eur Arch Paediatr Dent, 7(3): 148-152.
• Weisrock G, Terrer E, Couderc G, Koubi S, Levallois B, Manton D, Tassery H. 2011. Naturally aesthetic restorations and minimally invasive dentistry. J Minim Interv Dent, 4(2): 23-34.
• Wierink CD, van Diermen DE, Aartman IH, Heymans HS. 2007. Dental enamel defects in children with coeliac disease. Int J Paediatr Dent, 17(3): 163-168.