Infiltrante Resinoso e suas Possibilidades: Revisão da Literatura
DOI:
https://doi.org/10.21270/archi.v13i8.6402Palavras-chave:
Tratamento Conservador, Cárie Dentária, Fluorose DentáriaResumo
A crescente demanda por procedimentos odontológicos minimamente invasivos e esteticamente agradáveis, faz do infiltrante resinoso uma abordagem promissora para o tratamento de lesões cariosas incipientes e manchas brancas em esmalte não cavitadas. O objetivo da presente revisão de literatura é abordar o papel do infiltrante resinoso na Odontologia minimamente invasiva, destacando suas possibilidades e indicações clínicas bem como suas propriedades físico-químicas, técnicas de aplicação, durabilidade, estabilidade de cor e resultado estético. Este trabalho parte de uma revisão de literatura e fez uso de 29 artigos em inglês e espanhol dos últimos 11 anos para análise de um infiltrante resinoso-ICON como tratamento minimamente invasivo em lesões de mancha branca incipiente; mancha por fluorose; mancha hipoplásica e manchas por hipomineralização molar incisivo. Considerando a estabilização das lesões de mancha branca, o mascaramento da cor da lesão, a durabilidade e a estabilidade do infiltrante resinoso, os resultados clínicos obtidos com o seu uso são muito favoráveis, sendo a forma de uso recomendado pelo fabricante a que mais demonstrou aproveitamento integral do produto. Tais resultados são estáveis com o tempo, podendo melhorar a aparência da lesão infiltrada através do repolimento periódico. Entretanto, se faz necessário estudos a longo prazo para avaliar essas características. Dentro das limitações deste trabalho, os autores concluíram que o tratamento com infiltrante resinoso se sobressai a outras opções, como a microabrasão ou a aplicação de flúor, entretanto o custo elevado deste tratamento é hoje o maior empecilho para que esta opção seja mais difundida.
Downloads
Referências
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.
