Effect of resin infiltration on white spot lesions after debonding orthodontic brackets.
ABSTRACT To evaluate the effect of application of a resin infiltration material on masking the white spot lesions (WSLs) after bracket removal.
18 patients participated in this study and were divided into two groups of nine patients each; by a visual score based on the extent of demineralization, according to the classification of the WSLs. Group 1: Visible WSLs without surface disruption and Group 2: WSLs showed a roughened surface but not requiring restoration. Three successive photographs were taken for every patient; immediately after bracket removal, 1 week after oral hygiene measures and after Icon material application. The JPEG images were imported into image analysis software (Image J version 1.33u for Windows XP, US National Institutes of Health) which presented the images into histograms of gray scale from (0 to 255). Initial and final images were compared for percentage of WSLs masking area.
For both groups, a statistically significant difference at P<0.05 was obtained as follows; for WSLs in Group 1, the means at gray scale for the initial and the final photographs were 126.091 +/- 13.452 and 221.268 +/- 9.350 respectively and they revealed significance by Wilcoxon's signed rank test = 0.038, P<0.05. For WSLs in Group 2, the means at gray scale for the initial and the final photographs were 95.585 +/- 20.973 and 155.612 +/- 31.203 respectively and they revealed significance by Wilcoxon's signed rank test = 0.029, P<0.05.
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ABSTRACT: Abstract Objective: To assess camouflage effects by concealment of postorthodontic white-spot lesions (WSLs) to sound adjacent enamel (SAE) achieved over 12 months with resin infiltration (Icon, DMG, Hamburg, Germany). Methods: Twenty subjects (trial teeth nteeth = 111) who had received resin infiltration treatment of noncavitated postorthodontic WSLs were contacted for a 1-year follow-up assessment of CIE-L*a*b* colors (T12). Color and lightness (CIE-L*a*b*) data for WSLs and SAE were compared to baseline data assessed before infiltration (T0) and those assessed after 6 months (T6), using a spectrophotometer. The target parameter was the difference between the summarized color and lightness values (ΔEWSL/SAE). Intergroup (WSL, SAE) and intertime comparisons (T0 vs T6, T12) were performed using paired t-tests at a significance level of α = 5%. Results: Nine subjects (trial teeth nteeth = 49; male/female ratio 5/4; age range 13-19 years) were available at T12. After the highly significant reduction of ΔEWSL/SAE discrepancies between T0 and T6, analysis of 12-month records revealed color and lightness discrepancy of WSL vs SAE that was significantly decreased compared with baseline, indicating an assimilation of WSL color to SAE appearance after infiltration, while an additional reduction of discrepancies between T6 and T12 was not significant. Conclusion: As color and lightness characteristics of the Icon infiltrant as well as the esthetic camouflage effects achieved by WSL infiltration were not altered significantly or clinically relevant after 12 months, the method of resin infiltration can be recommended for an enduring esthetic improvement of postorthodontic WSL.The Angle Orthodontist 08/2014; DOI:10.2319/050914-334.1 · 1.28 Impact Factor
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ABSTRACT: Early enamel lesions have a potential to re-mineralize and prevent caries progress. The aim of the following study is to determine the depth of penetration of low viscosity resin into artificially created enamel lesions. A sample of 20 sound premolars, indicated for orthodontic extraction, formed the study group. The teeth were coated with a nail varnish, leaving a window of 4 mm × 4 mm, on buccal surfaces of sound, intact enamel. Each tooth was subsequently immersed in demineralizing solution for 4 days to produce artificial enamel lesions. The demineralized area was then infiltrated with low viscosity resin (Icon Infiltrant, DMG, Hamburg, Germany) as per the manufacturer's instructions. All the restored teeth were then immersed in methylene blue dye for 24 h at 37°C. Teeth were then sectioned longitudinally through the lesion into two halves. The sections were observed under stereomicroscope at ×80 magnification and depth of penetration of the material was measured quantitatively using Motic software. The maximum depth of penetration of the resin material was 6.06 ± 3.31 μm. Resin infiltration technique appears to be effective in sealing enamel lesions and has great potential for arresting white spot lesions.Journal of Conservative Dentistry 03/2014; 17(2):146-9. DOI:10.4103/0972-0707.128054
01/2014; 4(24):3970-3979. DOI:10.9734/ARRB/2014/12257