Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis - a systematic review and meta-analysis.

Bourouni, S.; Dritsas, K.; Kloukos, D.; Wierichs, R. J. (2021). Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis - a systematic review and meta-analysis. Clinical oral investigations, 25(8), pp. 4711-4719. Springer 10.1007/s00784-021-03931-7

[img]
Preview
Text
Bourouni2021_Article_EfficacyOfResinInfiltrationToM.pdf - Published Version
Available under License Creative Commons: Attribution (CC-BY).

Download (961kB) | Preview

OBJECTIVE

The present review systematically analyzed clinical studies investigating the efficacy of resin infiltration on post-orthodontic or non-post-orthodontic, white spot lesions (WSL), or fluorosis.

MATERIALS

Five electronic databases (Central, PubMed, Ovid MEDLINE, Ovid EMBASE, LILACS) were screened. Article selection and data abstraction were done in duplicate. No language or time restrictions were applied. Outcomes were visual-tactile or DIAGNOdent measurements.

RESULTS

Eleven studies with 1834 teeth being affected in 413 patients were included. Nine studies were randomized control trials, one a prospective cohort study, and one had an unclear study design. Meta-analysis could be performed for "resin infiltration vs. untreated control," "resin infiltration vs. fluoride varnish," and "resin infiltration without bleaching vs. resin infiltration with bleaching." WSL being treated with resin infiltration showed a significantly higher optical improvement than WSL without any treatment (standard mean difference (SMD) [95% CI] = 1.24 [0.59, 1.88], moderate level of evidence [visual-tactile assessment]) and with fluoride varnish application (mean difference (MD) [95% CI] = 4.76 [0.74, 8.78], moderate level of evidence [DIAGNOdent reading]). In patients with fluorosis, bleaching prior to resin infiltration showed no difference in the masking effect compared to infiltration alone (MD [95% CI] = - 0.30 [- 0.98, 0.39], moderate level of evidence).

CONCLUSION

Resin infiltration has a significantly higher masking effect than natural remineralization or regular application of fluoride varnishes. However, although the evidence was graded as moderate, this conclusion is based on only very few well-conducted RCTs.

CLINICAL RELEVANCE

Resin infiltration seems to be a viable option to esthetically mask enamel white spot lesions and fluorosis.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry
04 Faculty of Medicine > School of Dental Medicine > Department of Orthodontics

UniBE Contributor:

Bourouni, Sotiria; Dritsas, Konstantinos; Kloukos, Dimitrios and Wierichs, Richard Johannes

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1436-3771

Publisher:

Springer

Language:

English

Submitter:

Renate Imhof-Etter

Date Deposited:

16 Jun 2021 10:24

Last Modified:

07 Aug 2021 01:33

Publisher DOI:

10.1007/s00784-021-03931-7

PubMed ID:

34106348

Uncontrolled Keywords:

Enamel microabrasion Fixed orthodontic appliances Fluoride varnish Fluorosis Meta-analysis Post-orthodontic Resin infiltration Review Tooth sealants White spot lesions White spots

BORIS DOI:

10.48350/156920

URI:

https://boris.unibe.ch/id/eprint/156920

Actions (login required)

Edit item Edit item
Provide Feedback