Wierichs, Richard Johannes; Langer, Franzisker; Kobbe, Céline; Abou-Ayash, Bedram; Esteves-Oliveira, Marcella; Wolf, Michael; Knaup, Isabel; Meyer-Lückel, Hendrik (2023). Aesthetic caries infiltration - Long-term masking efficacy after 6 years. Journal of dentistry, 132(104474), p. 104474. Elsevier Science 10.1016/j.jdent.2023.104474
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OBJECTIVES
This study aimed to evaluate the masking efficacy of caries infiltration technique of initial caries lesions (ICL) six years after debonding and single treatment.
METHODS
In 10 adolescents, 74 ICL (ICDAS 2) in 74 teeth were treated by resin infiltration (Icon, DMG) at a mean (SD) of 1.2 (1.2) months after bracket removal. The etching procedure was performed up to 3 times. Standardized digital images were taken before treatment (T0), seven days (T7) and 6 years (T2190) after treatment. Outcomes included the evaluation of the color differences between carious and healthy enamel at T0, T7 and T2190 by quantitative colorimetric analysis (ΔE), ICDAS scores, quantitative light-induced fluorescence (QLF; ΔF,ΔQ,WS Area) and qualitative visual evaluation (5-point Likert-scale [deteriorated (1), unchanged (2), improved, but not satisfying (3), improved and no further treatment required (4), completely masked (5)).
RESULTS
The median color difference ΔΕ0 (25th/75th percentiles) at T0 was 10.3 (8.56/13.0). At T7 a significant decrease was observed (ΔΕ7=3.7 (2.0/5.8); p<0.001; Friedmann-test; ICDAS p<0.001; Chi-square test). No significant changes based on ΔΕ (p=0.972; Friedmann-test) and ICDAS grading (p=0.511, chi-square test) were observed between T7 and T2190 (ΔΕ2190=2.9 (1.8/4.2)). Furthermore, at T2190 four experienced dentists classified 50% and 37% of the lesions as "improved and no further treatment required" and "completely masked", respectively (Fleiss kappa: T2190: 0.782 (substantial agreement)).
CONCLUSION
Aesthetic caries infiltration can effectively mask post-orthodontic initial caries lesions for at least 6 years. These results for most of the teeth could not only be observed by quantitative but also by qualitative analysis.
CLINICAL SIGNIFICANCE
Resin infiltration efficaciously masks post-orthodontic initial carious lesions. The optical improvement can be observed directly after treatment and remains stable for at six years.
Item Type: |
Journal Article (Original Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > School of Dental Medicine > Department of Preventive, Restorative and Pediatric Dentistry |
UniBE Contributor: |
Wierichs, Richard Johannes, Abou-Ayash, Bedram, Esteves Oliveira, Marcella, Meyer-Lückel, Hendrik |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0300-5712 |
Publisher: |
Elsevier Science |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
07 Mar 2023 13:45 |
Last Modified: |
14 Apr 2023 00:15 |
Publisher DOI: |
10.1016/j.jdent.2023.104474 |
PubMed ID: |
36878424 |
Uncontrolled Keywords: |
Aesthetics Caries infiltration Enamel lesions Infiltrant Post-orthodontic treatment Resin White spot lesion |
BORIS DOI: |
10.48350/179608 |
URI: |
https://boris.unibe.ch/id/eprint/179608 |
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