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2012, Number 1

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Rev ADM 2012; 69 (1)

Infiltrant Resins: A new option for the treatment of non-cavitated carious lesions in enamel

Cedillo VJJ,Cedillo FJE

Language: Spanish
References: 66
Page: 38-45
PDF size: 337.32 Kb.


ABSTRACT

The goal of modern dentistry is to restore the health of our patients or their teeth without compromising healthy tissue. To help in this endeavor, many techniques and dental materials have been developed. Whilst many dentists have tried to abide by this approach, there are situations in which this can prove problematic. Until very recently, only two options were available for treating incipient carious lesions, which involved either remineralizing the tooth using components such as fluoride or CPP-ACP (Recaldent™), or creating a cavity so as to remove the caries and restore the affected tissue. Both options have their own disadvantages: in the first, when remineralization is attempted there is the possibility that patients will not follow instructions correctly, and in the second, when the tooth is restored there is a chance that healthy tissue will be lost. Fortunately, dentistry is in a process of constant evolution. As a result, there are new materials and technologies now available on the market, such as infiltrant resins (ICON DMG). This new type of resin works by infiltrating the demineralized tissue and halting the spread of the lesion without the need for drilling. This is achieved by using15% hydrochloric acid solution rather than phosphoric acid, which allows resin with a high penetration coefficient to infiltrate the demineralized tissue. By using this technique, it is possible to halt the process of demineralization in carious lesions, including those in superficial dentin (ICDAS II: 2), and to protect the tooth from future lesions. All this can be done without having to drill a cavity, and safe in the knowledge that further demineralization will be prevented.


REFERENCES

  1. 1.De Miguel A. Caries: Patogenia y anatomía patológica. En: García Barbero J. Patología y Terapéutica Dental. 1 ed. Madrid: Ed. Síntesis; 2005. p. 172-181.

  2. 2.Murdoch-Kinch CA, Mc Lean ME. Minimally invasive dentistry. J Am Dent Assoc 2003; 134(1): 87-95.

  3. 3.Walsh T, Worthington HV, Glenny AM; Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010; 20(1): CDO07868.

  4. 4.Paris S, Meyer-Lueckel. Masking of labial enamel white spot lesions by resin infiltration-a clinical report. Quintessence Int 2008; 40(9): 713-718.

  5. 5.Robinson C, Hallsworth As, Weatherell JA, Kunzel W (1976) Arrest and control of caries lesions: a study based on preliminary experiments with resorcinol-formaldehyde resin. J Den Res 1976;55(5):812-8.

  6. 6.Gomez SS, Basiu CP, Emilson CG. A 2year clinical evaluation of sealed noncavitated approximal posterior carious lesions in adolescents. Clin Oral Investig 2005;9(4): 239-43.

  7. 7.Martignon S Approximal caries: Prevalence and progression rate in young Danish adults and an innovative nonoperative approach for lesions around the EDJ. (Tesis Doctoral). Copenhagen: University of Copenhagen; 2005.

  8. 8.Martignon S, Ekstrand Kr, Ellwood R. Efficacy of sealing proximal early active lesions: an 18-month clinical study evaluated by conventional and subtraction radiography. Caries Res 2006;40(5): 382-8.

  9. 9.Meyer-Lueckel H, Paris S, Mueller J, Colfen H, Kielbassa AM. Influence of the application time on the penetration of different dental adhesives and a fissure sealant into artificial subsurface lesions in bovine enamel. Dent Mater 2006;22(1): 22-8.

  10. 10.Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in vitro: Influence of the application procedure. Oper Dent 2006;31(3):338-45.

  11. 11.Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  12. 12.Kugel G, Arsenault P, Papas A. Treatment modalities for caries management, including a new resin infiltration system. Compend Contin Educ Dent. 2009;30 Spec No 3:1-10; quiz 11-2.

  13. 13.Paris S, Meyer-Lueckel H. Inhibition of caries progression by resin infiltration in situ. Caries Res. 2010;44(1):47-54.

  14. 14.International Caries Detection and Assessment System Coordinating Committee. Criteria Manual International Caries Detection and Assessment System (ICDAS II). 2009.

  15. 15.Mejaré I, Källest IC, Stenlund H. Incidence of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res 1999; 33(2): 93-100.

  16. 16.Ekstrand KR, Bakhshandeh A, Martignon S. 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. 2010;44(1):41-6.

  17. 17.Rocha C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the color masking of white spot lesions. J Dent. 2011;39(3):202-7.

  18. 18.Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent. 2011;14(4):423-6.

  19. 19.Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progression of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006;40(2):124-9.

  20. 20.Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  21. 21.Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007; 41(3):223-30.

  22. 22.Paris S, Meyer-Lueckel H, Stiebritz M, Kielbassa AM. Surface Layer Erosion of Enamel Caries Lesions in Primary Teeth in Preparation for Resin Infiltration. Caries Res. 2007;41(2):268-334.

  23. 23.Meyer-Lueckel H, Paris S, Kielbassa AM. Influence of different etching gels on the mineral content of initial enamel lesions in primary teeth. Dtsch Zahnarztl Z 2007;62 (11, Supplement):D16.

  24. 24.Paris S, Meyer-Lueckel H, Colfen H, Kielbassa AM. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater. 2007;23(6):742-8.

  25. 25.Meyer-Lueckel H, Paris S, Kielbassa AM. Infiltration of natural caries lesions in primary teeth with experimental infiltrants in vitro. Dtsch Zahnarztl Z 2007;62(11, Supplement):D16.

  26. 26.Paris S, Meyer-Lueckel H. Influence of application frequency of an infiltrant on enamel lesions. J Dent Res 2008;87(Spec Iss B):1585.

  27. 27.Meyer-Lueckel H, Chatzidakis A, Naumann M, Dörfer CE, Paris S. Influence of application time on penetration of an infiltrant into natural enamel caries. J Dent. 2011;39(7):465- 469.

  28. 28.Yang F, Mueller J, Kielbassa AM. Surface substance loss of subsurface bovine enamel lesions after different steps of the resinous infiltration technique: a 3D topography analysis. Odontology. (En línea) 2011 (fecha de acceso 8 de enero del 2011); URL disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21678019.

  29. 29.Paris S, Meyer-Lueckel H. Caries inhibition by infiltrants in situ. Caries Res 2009;43(3): 228.

  30. 30.Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res. 2010;89(8):823-6.

  31. 31.Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res. 2004;83:35-38.

  32. 32.Mattousch TJ, Van der veen MH, Zeutuer A. Caries lesion after orthodontic treatment followed by quantitative light induced fluorescence: 2 year follow up. Eur J Orthod. 2007; 29:294–8.

  33. 33.Cedillo VJ, Treviño BE. Tecnología en el diagnóstico de caries. Rev ADM. 2007:64(5):211-214.

  34. De Miguel A. Caries: Patogenia y anatomía patológica. En: García Barbero J. Patología y Terapéutica Dental. 1 ed. Madrid: Ed. Síntesis; 2005. p. 172-181.

  35. Murdoch-Kinch CA, Mc Lean ME. Minimally invasive dentistry. J Am Dent Assoc 2003; 134(1): 87-95.

  36. Walsh T, Worthington HV, Glenny AM; Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010; 20(1): CDO07868.

  37. Paris S, Meyer-Lueckel. Masking of labial enamel white spot lesions by resin infiltration-a clinical report. Quintessence Int 2008; 40(9): 713-718.

  38. Robinson C, Hallsworth As, Weatherell JA, Kunzel W (1976) Arrest and control of caries lesions: a study based on preliminary experiments with resorcinol-formaldehyde resin. J Den Res 1976;55(5):812-8.

  39. Gomez SS, Basiu CP, Emilson CG. A 2year clinical evaluation of sealed noncavitated approximal posterior carious lesions in adolescents. Clin Oral Investig 2005;9(4): 239-43.

  40. Martignon S Approximal caries: Prevalence and progression rate in young Danish adults and an innovative nonoperative approach for lesions around the EDJ. (Tesis Doctoral). Copenhagen: University of Copenhagen; 2005.

  41. Martignon S, Ekstrand Kr, Ellwood R. Efficacy of sealing proximal early active lesions: an 18-month clinical study evaluated by conventional and subtraction radiography. Caries Res 2006;40(5): 382-8.

  42. Meyer-Lueckel H, Paris S, Mueller J, Colfen H, Kielbassa AM. Influence of the application time on the penetration of different dental adhesives and a fissure sealant into artificial subsurface lesions in bovine enamel. Dent Mater 2006;22(1): 22-8.

  43. Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in vitro: Influence of the application procedure. Oper Dent 2006;31(3):338-45.

  44. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  45. Kugel G, Arsenault P, Papas A. Treatment modalities for caries management, including a new resin infiltration system. Compend Contin Educ Dent. 2009;30 Spec No 3:1-10; quiz 11-2.

  46. Paris S, Meyer-Lueckel H. Inhibition of caries progression by resin infiltration in situ. Caries Res. 2010;44(1):47-54.

  47. International Caries Detection and Assessment System Coordinating Committee. Criteria Manual International Caries Detection and Assessment System (ICDAS II). 2009.

  48. Mejaré I, Källest IC, Stenlund H. Incidence of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res 1999; 33(2): 93-100.

  49. Ekstrand KR, Bakhshandeh A, Martignon S. 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. 2010;44(1):41-6.

  50. Rocha C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the color masking of white spot lesions. J Dent. 2011;39(3):202-7.

  51. Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent. 2011;14(4):423-6.

  52. Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progression of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006;40(2):124-9.

  53. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  54. Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007; 41(3):223-30.

  55. Paris S, Meyer-Lueckel H, Stiebritz M, Kielbassa AM. Surface Layer Erosion of Enamel Caries Lesions in Primary Teeth in Preparation for Resin Infiltration. Caries Res. 2007;41(2):268-334.

  56. Meyer-Lueckel H, Paris S, Kielbassa AM. Influence of different etching gels on the mineral content of initial enamel lesions in primary teeth. Dtsch Zahnarztl Z 2007;62 (11, Supplement):D16.

  57. Paris S, Meyer-Lueckel H, Colfen H, Kielbassa AM. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater. 2007;23(6):742-8.

  58. Meyer-Lueckel H, Paris S, Kielbassa AM. Infiltration of natural caries lesions in primary teeth with experimental infiltrants in vitro. Dtsch Zahnarztl Z 2007;62(11, Supplement):D16.

  59. Paris S, Meyer-Lueckel H. Influence of application frequency of an infiltrant on enamel lesions. J Dent Res 2008;87(Spec Iss B):1585.

  60. Meyer-Lueckel H, Chatzidakis A, Naumann M, Dörfer CE, Paris S. Influence of application time on penetration of an infiltrant into natural enamel caries. J Dent. 2011;39(7):465- 469.

  61. Yang F, Mueller J, Kielbassa AM. Surface substance loss of subsurface bovine enamel lesions after different steps of the resinous infiltration technique: a 3D topography analysis. Odontology. (En línea) 2011 (fecha de acceso 8 de enero del 2011); URL disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21678019.

  62. Paris S, Meyer-Lueckel H. Caries inhibition by infiltrants in situ. Caries Res 2009;43(3): 228.

  63. Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res. 2010;89(8):823-6.

  64. Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res. 2004;83:35-38.

  65. Mattousch TJ, Van der veen MH, Zeutuer A. Caries lesion after orthodontic treatment followed by quantitative light induced fluorescence: 2 year follow up. Eur J Orthod. 2007; 29:294–8.

  66. Cedillo VJ, Treviño BE. Tecnología en el diagnóstico de caries. Rev ADM. 2007:64(5):211-214.




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