Resin Infiltrant and its Possibilities: a Literature Review
DOI:
https://doi.org/10.21270/archi.v13i8.6402Keywords:
Conservative Treatment , Dental Caries, Fluorosis, DentalAbstract
The growing demand for minimally invasive and aesthetically pleasing dental procedures makes resin infiltrant a promising approach for the treatment of incipient carious lesions and non-cavitated white enamel spots. The objective of the present literature review is to address the role of resin infiltrant in minimally invasive dentistry, highlighting its possibilities and clinical indications as well as its physicochemical properties, application techniques, durability, color stability, and aesthetic outcome. This work is based on a literature review and used 29 articles in English and Spanish from the last 11 years to analyze a resin infiltrant-ICON as a minimally invasive treatment for incipient white spot lesions; fluorosis spots; hypoplastic spots; and molar incisor hypomineralization spots. Considering the stabilization of white spot lesions, masking the color of the lesion, the durability and stability of the resin infiltrant, the clinical results obtained with its use are very favorable, with the manufacturer-recommended usage demonstrating the most complete utilization of the product. These results are stable over time, potentially improving the visual appearance of the infiltrated lesion through periodic repolishing. However, long-term studies are necessary to evaluate these characteristics. Within the limitations of this study, the authors concluded that treatment with resin infiltrant outperforms other options, such as microabrasion or topical fluoride application. However, the high cost of this treatment is currently the biggest obstacle to its wider dissemination.
Downloads
References
Resin infiltration of enamel white spot lesions: An ultramorphological analysis. J Esthet Restor Dent. 2020;32(3):317-24.
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.
Hadler-Olsen S, Sandvik K, El-Agroudi MA, Øgaard B. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen--a prospective study. Eur J Orthod. 2012;34(5):633-39.
Aoba T, Fejerskov O. Dental fluorosis: chemistry and biology. Crit Rev Oral Biol Med. 2002;13(2):155-70.
DenBesten PK. Biological mechanisms of dental fluorosis relevant to the use of fluoride supplements. Community Dent Oral Epidemiol. 1999;27(1):41-7.
Wright JT, Chen SC, Hall KI, Yamauchi M, Bawden JW. Protein characterization of fluorosed human enamel. J Dent Res. 1996 Dec;75(12):1936-41.
Robinson C, Connell S, Kirkham J, Brookes SJ, Shore RC, Smith AM. The effect of fluoride on the developing tooth. Caries Res. 2004 May;38(3):268-76.
Zotti F, Albertini L, Tomizioli N, Capocasale G, Albanese M. Resin Infiltration in Dental Fluorosis Treatment-1-Year Follow-Up. Medicina (Kaunas). 2020;57(1):22.
Zotti F, Pietrobelli A, Malchiodi L, Nocini PF, Albanese M. Apps for oral hygiene in children 4 to 7 years: Fun and effectiveness. J Clin Exp Dent. 2019;11(9):e795-e801.
Abanto Alvarez J, Rezende KM, Marocho SM, Alves FB, Celiberti P, Ciamponi AL. Dental fluorosis: exposure, prevention and management. Med Oral Patol Oral Cir Bucal. 2009;14(2):E103-7.
Wong EY, Stenstrom MK. Onsite defluoridation system for drinking water treatment using calcium carbonate. J Environ Manage. 2018;216:270-74.
Molina-Frechero N, Nevarez-Rascón M, Nevarez-Rascón A, González-González R, Irigoyen-Camacho ME, Sánchez-Pérez L et al. Impact of Dental Fluorosis, Socioeconomic Status and Self-Perception in Adolescents Exposed to a High Level of Fluoride in Water. Int J Environ Res Public Health. 2017;14(1):73.
Patel A, Aghababaie S, Parekh S. Hypomineralisation or hypoplasia? Br Dent J. 2019;227(8):683-86.
Beentjes VE, Weerheijm KL, Groen HJ. Factors involved in the aetiology of molar-incisor hypomineralisation (MIH). Eur J Paediatr Dent. 2002;3(1):9-13.
Weerheijm KL, Jälevik B, Alaluusua S. Molar-incisor hypomineralisation. Caries Res. 2001;35(5):390-1.
Seow WK. Developmental defects of enamel and dentine: challenges for basic science research and clinical management. Aust Dent J. 2014;59 Suppl 1:143-54.
Paris S, Schwendicke F, Keltsch J, Dörfer C, Meyer-Lueckel H. Masking of white spot lesions by resin infiltration in vitro. J Dent. 2013;41 Suppl 5:e28-34.
Bailey DL, Adams GG, Tsao CE, Hyslop A, Escobar K, Manton DJ, Reynolds EC, Morgan MV. Regression of post-orthodontic lesions by a remineralizing cream. J Dent Res. 2009;88(12):1148-53.
Willmot DR. White lesions after orthodontic treatment: does low fluoride make a difference? J Orthod. 2004;31(3):235-42; discussion 202.
Cate JM, Arends J. Remineralization of artificial enamel lesions in vitro. Caries Res. 1977;11(5):277-86.
Naumova EA, Niemann N, Aretz L, Arnold WH. Effects of different amine fluoride concentrations on enamel remineralization. J Dent. 2012;40(9):750-55.
Fejerskov O, Nyvad B, Kidd EA. Pathology of dental caries. In: Fejerskov O, Kidd EAM. Dental caries: the disease and its clinical management. Oxford: Blackwell Munksgaard; 2008. p. 20-48.
van der Veen MH, Mattousch T, Boersma JG. Longitudinal development of caries lesions after orthodontic treatment evaluated by quantitative light-induced fluorescence. Am J Orthod Dentofacial Orthop. 2007;131(2):223-28.
Ardu S, Castioni NV, Benbachir N, Krejci I. Minimally invasive treatment of white spot enamel lesions. Quintessence Int. 2007;38(8):633-36.
Ogaard B. Incidence of filled surfaces from 10-18 years of age in an orthodontically treated and untreated group in Norway. Eur J Orthod. 1989;11(2):116-19.
Wong FS, Winter GB. Effectiveness of microabrasion technique for improvement of dental aesthetics. Br Dent J. 2002;193(3):155-58.
Dalzell DP, Howes RI, Hubler PM. Microabrasion: effect of time, number of applications, and pressure on enamel loss. Pediatr Dent. 1995;17(3):207-11.
Meireles SS, Andre Dde A, Leida FL, Bocangel JS, Demarco FF. Surface roughness and enamel loss with two microabrasion techniques. J Contemp Dent Pract. 2009;10(1):58-65.
Sadowsky SJ. An overview of treatment considerations for esthetic restorations: a review of the literature. J Prosthet Dent. 2006;96(6):433-42.
Dietschi D. Optimizing smile composition and esthetics with resin composites and other conservative esthetic procedures. Eur J Esthet Dent. 2008;3(1):14-29.
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;23(6):742-48.
Borges A, Caneppele T, Luz M, Pucci C, Torres C. Color stability of resin used for caries infiltration after exposure to different staining solutions. Oper Dent. 2014;39(4):433-40.
Eckstein 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(3):374-80.
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;36(5):595-602.
Rai P, Pandey RK, Khanna R. Qualitative and Quantitative Effect of a Protective Chlorhexidine Varnish Layer Over Resin-infiltrated Proximal Carious Lesions in Primary Teeth. Pediatr Dent. 2016;38(4):40-5
Körner P, El Gedaily M, Attin R, Wiedemeier DB, Attin T, Tauböck TT. Margin Integrity of Conservative Composite Restorations after Resin Infiltration of Demineralized Enamel. J Adhes Dent. 2017;19(6):483-489.
Kielbassa AM, Ulrich I, Schmidl R, Schüller C, Frank W, Werth VD. Resin infiltration of deproteinised natural occlusal subsurface lesions improves initial quality of fissure sealing. Int J Oral Sci. 2017;9(2):117-24.
Markowitz K, Carey K. Assessing the Appearance and Fluorescence of Resin-Infiltrated White Spot Lesions With Caries Detection Devices. Oper Dent. 2018;43(1):E10-E18.
Yazkan B, Ermis RB. Effect of resin infiltration and microabrasion on the microhardness, surface roughness and morphology of incipient carious lesions. Acta Odontol Scand. 2018;76(7):473-81
Knösel M, Eckstein A, Helms HJ. Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo. Angle Orthod. 2019;89(1):33-9. .
Theodory TG, Kolker JL, Vargas MA, Maia RR, Dawson DV. Masking and Penetration Ability of Various Sealants and ICON in Artificial Initial Caries Lesions In Vitro. J Adhes Dent. 2019;21(3):265-272.
Youssef A, Farid M, Zayed M, Lynch E, Alam MK, Kielbassa AM. Improving oral health: a short-term split-mouth randomized clinical trial revealing the superiority of resin infiltration over remineralization of white spot lesions. Quintessence Int. 2020;51(9):696-709.
Dai Z, Xie X, Zhang N, Li S, Yang K, Zhu M, Weir MD, Xu HHK, Zhang K, Zhao Z, Bai Y. Novel nanostructured resin infiltrant containing calcium phosphate nanoparticles to prevent enamel white spot lesions. J Mech Behav Biomed Mater. 2022;126:104990.
Meyer-Lueckel H, Wardius A, Krois J, Bitter K, Moser C, Paris S, Wierichs RJ. Proximal caries infiltration - Pragmatic RCT with 4 years of follow-up. J Dent. 2021;111:103733.
Simon LS, Dash JK, U D, Philip S, Sarangi S. Management of Post Orthodontic White Spot Lesions Using Resin Infiltration and CPP-ACP Materials- A Clinical Study. J Clin Pediatr Dent. 2022;46(1):70-74.
Wierichs RJ, Abou-Ayash B, Kobbe C, Esteves-Oliveira M, Wolf M, Knaup I, Meyer-Lueckel H. Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up. Clin Oral Investig. 2023;27(5):1945-52.
Schneider H, Park KJ, Rueger C, Ziebolz D, Krause F, Haak R. Imaging resin infiltration into non-cavitated carious lesions by optical coherence tomography. J Dent. 2017;60:94-98.
Kobbe C, Fritz U, Wierichs RJ, Meyer-Lueckel H. Evaluation of the value of re-wetting prior to resin infiltration of post-orthodontic caries lesions. J Dent. 2019;91:103243.
Meyer-Lueckel H, Moser C, Wierichs RJ, Lausch J. Improved Surface Layer Erosion of Pit and Fissure Caries Lesions in Preparation for Resin Infiltration. Caries Res. 2022;56(5-6):496-502.
Paris S, Lausch J, Selje T, Dörfer CE, Meyer-Lueckel H. Comparison of sealant and infiltrant penetration into pit and fissure caries lesions in vitro. J Dent. 2014;42(4):432-38.
Knösel M, Eckstein A, Helms HJ. Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo. Angle Orthod. 2019;89(1):33-9.
Wierichs RJ, Langer F, Kobbe C, Abou-Ayash B, Esteves-Oliveira M, Wolf M, Knaup I, Meyer-Lueckel H. Aesthetic caries infiltration - Long-term masking efficacy after 6 years. J Dent. 2023;132:104474.
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.
Askar H, Lausch J, Dörfer CE, Meyer-Lueckel H, Paris S. Penetration of micro-filled infiltrant resins into artificial caries lesions. J Dent. 2015;43(7):832-38.
Kielbassa AM, Leimer MR, Hartmann J, Harm S, Pasztorek M, Ulrich IB. Ex vivo investigation on internal tunnel approach/internal resin infiltration and external nanosilver-modified resin infiltration of proximal caries exceeding into dentin. PLoS One. 2020;15(1):e0228249.
Wierichs RJ, Selzner H, Bourouni S, Kalimeri E, Seremidi K, Meyer-Lückel H, Kloukos D. Masking-efficacy and caries arrestment after resin infiltration or fluoridation of initial caries lesions in adolescents during orthodontic treatment-A randomised controlled trial. J Dent. 2023;138:104713.
Lausch J, Askar H, Paris S, Meyer-Lueckel H. Micro-filled resin infiltration of fissure caries lesions in vitro. J Dent. 2017;57:73-76.
