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Resin Infiltration: Ultraconservative Treatment Options for Carious and Non-carious Enamel Lesions

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Abstract

Purpose of Review

Originally developed for the noninvasive treatment of incipient proximal caries lesions, resin infiltration has gained popularity among clinicians due to its masking effect on demineralized and hypomineralized enamel and a variety of developmental enamel defects, such as dental fluorosis. In this mini-review, we briefly review the current status of resin infiltration for the esthetic treatment of carious and non-carious enamel lesions in young individuals.

Recent Findings

In recent years, an increasing number of laboratory and clinical studies have demonstrated the durability of masking effect of resin infiltration in post-orthodontic white spot lesions, molar-incisor hypomineralization, and dental fluorosis. Several bonding agents can adhere to the infiltrant resin, enabling adhesion of resin composites over such carious and developmental lesions with tissue breakdown. After receiving resin infiltration treatment, children with enamel opacities that raised cosmetic concerns have displayed increased self-confidence.

Summary

Children and adolescents with carious or developmental enamel opacities often seek esthetic treatment because they are exposed to negative social judgment by their peers. Resin infiltration has proven to be a successful minimally invasive therapeutic approach to conceal such opacities with adequate durability.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Borges AB, Caneppele TM, Masterson D, Maia LC. Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review. J Dent. 2017;56:11–8.

    Article  CAS  PubMed  Google Scholar 

  2. Doméjean S, Ducamp R, Léger S, Holmgren C. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ Pract. 2015;24:216–21.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Abdullah Z, John J. Minimally invasive treatment of white spot lesions—a systematic review. Oral Health Prev Dent. 2016;14:197–205.

    PubMed  Google Scholar 

  4. Perdigão J. Resin infiltration of enamel white spot lesions: an ultramorphological analysis. J Esthet Restor Dent. 2020;32:317–24.

    Article  PubMed  Google Scholar 

  5. Prasada KL, Penta PK, Ramya KM. Spectrophotometric evaluation of white spot lesion treatment using novel resin infiltration material (ICON®). J Conserv Dent. 2018;21:531–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. 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 1;46:70–74. An important clinical trial comparing resin infiltration and CPP-ACP treatment.

  7. Wadia R. Dental fluorosis - bleaching and resin infiltration. Br Dent J. 2020;228:82.

    PubMed  Google Scholar 

  8. Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis - a systematic review and meta-analysis. Clin Oral Investig. 2021;25:4711–9. A systematic review and meta-analysis on the efficacy of resin infiltration to mask white spot lesions and fluorotic enamel.

  9. Hallgren K, Akyalcin S, English J, Tufekci E, Paravina RD. Color properties of demineralized enamel surfaces treated with a resin infiltration system. J Esthet Restor Dent. 2016;28:339–46.

    Article  PubMed  Google Scholar 

  10. Gençer MDG, Kirzioğlu Z. A comparison of the effectiveness of resin infiltration and microabrasion treatments applied to developmental enamel defects in color masking. Dent Mater J. 2019;31(38):295–302.

    Article  Google Scholar 

  11. Oliveira A, Felinto LT, Francisconi-Dos-Rios LF, Moi GP, Nahsan FPS. Dental bleaching, microabrasion, and resin infiltration: case report of minimally invasive treatment of enamel hypoplasia. Int J Prosthodont. 2020;33:105–10.

    Article  PubMed  Google Scholar 

  12. da Cunha Coelho ASE, Mata PCM, Lino CA, Macho VMP, Areias CMFGP, Norton APMAP, Augusto APCM. Dental hypomineralization treatment: a systematic review. J Esthet Restor Dent. 2019;31:26–39.

  13. Somani C, Taylor GD, Garot E, Rouas P, Lygidakis NA, Wong FSL. An update of treatment modalities in children and adolescents with teeth affected by molar incisor hypomineralisation (MIH): a systematic review. Eur Arch Paediatr Dent. 2022;23:39–64.

    Article  CAS  PubMed  Google Scholar 

  14. Dulla JA, Meyer-Lueckel H. Molar-incisor hypomineralisation: narrative review on etiology, epidemiology, diagnostics and treatment decision. Swiss Dent J. 2021 25;131(11).

  15. Lygidakis NA, Garot E, Somani C, Taylor GD, Rouas P, Wong FSL. Best clinical practice guidance for clinicians dealing with children presenting with molar-incisor-hypomineralisation (MIH): an updated European Academy of Paediatric Dentistry policy document. Eur Arch Paediatr Dent. 2022;23:3–21. The EAPD clinical practice guideline for MIH.

  16. Lagarde M, Vennat E, Attal JP, Dursun E. Strategies to optimize bonding of adhesive materials to molar-incisor hypomineralization-affected enamel: a systematic review. Int J Paediatr Dent. 2020;30:405–20.

    Article  PubMed  Google Scholar 

  17. Höchli D, Hersberger-Zurfluh M, Papageorgiou SN, Eliades T. Interventions for orthodontically induced white spot lesions: a systematic review and meta-analysis. Eur J Orthod. 2017;1(39):122–33.

    Google Scholar 

  18. Marinelli G, Inchingolo AD, Inchingolo AM, Malcangi G, Limongelli L, Montenegro V, Coloccia G, Laudadio C, Patano A, Inchingolo F, Bordea IR, Scarano A, Greco Lucchina A, Lorusso F, Di Venere D, Laforgia A, Dipalma G. White spot lesions in orthodontics: prevention and treatment. A descriptive review. J Biol Regul Homeost Agents. 2021;35:227–40.

    CAS  PubMed  Google Scholar 

  19. Bisht S, Khera AK, Raghav P. White spot lesions during orthodontic clear aligner therapy: a scoping review. J Orthod Sci. 2022;4(11):9.

    Google Scholar 

  20. Puleio F, Fiorillo L, Gorassini F, Iandolo A, Meto A, D’Amico C, Cervino G, Pinizzotto M, Bruno G, Portelli M, Amato A, Lo GR. Systematic review on white spot lesions treatments. Eur J Dent. 2022;16:41–8.

    Article  PubMed  Google Scholar 

  21. Monteiro J, Ashley PF, Parekh S. Vital bleaching for children with dental anomalies: EAPD members’ survey. Eur Arch Paediatr Dent. 2020;21:565–71.

    Article  CAS  PubMed  Google Scholar 

  22. Wood K, Lyne A, O’Donnell K, Brown CJ, Parekh S, Monteiro J. Patient-reported outcome measures for children and adolescents having dental bleaching in the UK. Eur Arch Paediatr Dent. 2022;23(4):579–86.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Bhandari R, Thakur S, Singhal P, Chauhan D, Jayam C, Jain T. Concealment effect of resin infiltration on incisor of Grade I molar incisor hypomineralization patients: an in vivo study. J Conserv Dent. 2018;21:450–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Athayde GDS, Reis PPGD, Jorge RC, Americano GCA, Fidalgo TKDS, Soviero VM. Impact of masking hypomineralization opacities in anterior teeth on the esthetic perception of children and parents: a randomized controlled clinical trial. J Dent. 2022;123: 104168. An important study demonstrating how 15-min resin infiltration can mask opacities in permanent incisors and recover social wellbeing.

  25. Meyer-Lueckel H, Paris S. Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res. 2008;42:117–24.

    Article  CAS  PubMed  Google Scholar 

  26. Paris S, Meyer-Lueckel H, Colfen H, Kielbassa AM. Resin infiltration of artificial enamel caries lesions with experimental light curing resins. Dent Mater J. 2007;26:582–8.

    Article  PubMed  Google Scholar 

  27. Hasmun N, Lawson J, Vettore MV, Elcock C, Zaitoun H, Rodd H. Change in oral health-related quality of life following minimally invasive aesthetic treatment for children with molar incisor hypomineralisation: a prospective study. Dent J (Basel). 2018;6.

  28. Marshman Z, Gibson B, Robinson PG. The impact of developmental defects of enamel on young people in the UK. Community Dent Oral Epidemiol. 2009;37:45–57.

    Article  PubMed  Google Scholar 

  29. Lee JY, Watt RG, Williams DM, Giannobile WV. A new definition for oral health: implications for clinical practice, policy, and research. J Dent Res. 2017;96:125–7.

    Article  CAS  PubMed  Google Scholar 

  30. Craig SA, Baker SR, Rodd HD. How do children view other children who have visible enamel defects? Int J Pediatr Dent. 2015;25:399–408.

    Article  Google Scholar 

  31. Hasmun N, Vettore MV, Lawson JA, Elcock C, Zaitoun H, Rodd HD. Determinants of children’s oral health-related quality of life following aesthetic treatment of enamel opacities. J Dent. 2020;98: 103372.

    Article  PubMed  Google Scholar 

  32. Large JF, Hasmun N, Lawson JA, Elcock C, Vettore MV, Rodd HD. What children say and clinicians hear: accounts relating to incisor hypomineralisation of cosmetic concern. Eur Arch Paediatr Dent. 2020;21:185–91.

    Article  CAS  PubMed  Google Scholar 

  33. Peters MC, Hopkins AR Jr, Zhu L, Yu Q. Efficacy of proximal resin infiltration on caries inhibition: results from a 3-year randomized controlled clinical trial. J Dent Res. 2019;98:1497–502.

    Article  CAS  PubMed  Google Scholar 

  34. Arthur RA, Zenkner JE. d’Ornellas Pereira Junior JC, Correia, RT, Alves, Maltz M, Proximal carious lesions infiltration—a 3-year follow-up study of a randomized controlled clinical trial. Clin Oral Investig. 2018;22:469–74.

    Article  PubMed  Google Scholar 

  35. Paris S, Bitter K, Krois J, Meyer-Lueckel H. Seven-year-efficacy of proximal caries infiltration - randomized clinical trial. J Dent. 2020;93: 103277.

    Article  CAS  PubMed  Google Scholar 

  36. Sonesson M, Bergstrand F, Gizani S, Twetman S. Management of post-orthodontic white spot lesions: an updated systematic review. Eur J Orthod. 2017;39:116–21.

    PubMed  Google Scholar 

  37. 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;46:70–74.

  38. Mazur M, Westland S, Ndokaj A, Nardi GM, Guerra F, Ottolenghi L. In-vivo colour stability of enamel after ICON® treatment at 6 years of follow-up: a prospective single center study. J Dent. 2022;122: 103943.

    Article  PubMed  Google Scholar 

  39. 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;89:33–9.

    Article  PubMed  Google Scholar 

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Correspondence to Zafer C. Çehreli.

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Çehreli, Z.C. Resin Infiltration: Ultraconservative Treatment Options for Carious and Non-carious Enamel Lesions. Curr Oral Health Rep 10, 23–27 (2023). https://doi.org/10.1007/s40496-023-00331-6

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