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Management of white spots: resin infiltration technique and microabrasion

백색 병소의 치료: 레진 침투법과 미세연마술

  • Son, Jeong-Hye (Department of Conservative Dentistry, Pusan National University School of Dentistry) ;
  • Hur, Bock (Department of Conservative Dentistry, Pusan National University School of Dentistry) ;
  • Kim, Hyeon-Cheol (Department of Conservative Dentistry, Pusan National University School of Dentistry) ;
  • Park, Jeong-Kil (Department of Conservative Dentistry, Pusan National University School of Dentistry)
  • 손정혜 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 허복 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 김현철 (부산대학교 치의학전문대학원 치과보존학교실) ;
  • 박정길 (부산대학교 치의학전문대학원 치과보존학교실)
  • Received : 2010.11.02
  • Accepted : 2010.11.25
  • Published : 2011.01.31

Abstract

This case report compared the effectiveness of resin infiltration technique (Icon, DMG) with microabrasion (Opalustre, Ultradent Products, Inc.) in management of white spot lesions. It demonstrates that although neither microabrasion nor resin infiltration technique can remove white spot lesions completely, resin infiltration technique seems to be more effective than microabrasion. Therefore resin infiltration technique can be chosen preferentially for management of white spot lesions and caution should be taken for case selection.

현 증례보고는 백색 병소의 치료에 있어 Icon (DMG)을 사용한 레진 침투법과 Opalustre (Ultradent Products, Inc.)를 사용한 미세연마술의 효과를 비교하였다. 현 연구의 결과는 비록 두 치료 방법 모두가 백색 병소를 완전히 제거하지는 못하였으나, 레진 침투법이 좀 더 효과적임을 보여주었다. 따라서 레진 침투법은 백색 병소의 치료에 우선적으로 선택될 수 있으며, 이 때 증례 선택에 주의를 기울여야 할 것이다.

Keywords

References

  1. Chang HS, Walsh LJ, Freer TJ. Enamel demineralization during orthodontic treatment. Aetiology and prevention. Aust Dent J 1997;42(5):322-327. https://doi.org/10.1111/j.1834-7819.1997.tb00138.x
  2. Kang HS, Lee CY. The influence of the degree of saturation of acidulated buffer solutions in the root dentin demineralization. J Kor Acad Cons Dent 2004;29(5):454-461. https://doi.org/10.5395/JKACD.2004.29.5.454
  3. Sudjalim TR, Woods MG, Manton DJ. Prevention of white spot lesions in orthodontic practice: a contemporary review. Aust Dent J 2006;51(4):284-289. https://doi.org/10.1111/j.1834-7819.2006.tb00445.x
  4. Gorelick L, Geiger AM, Gwinnett AJ. Incidence of white spot formation after bonding and banding. Am J Orthod 1982;81(2):93-98. https://doi.org/10.1016/0002-9416(82)90032-X
  5. Ogaard B, Rolla G, Arends J, ten Cate JM. Orthodontic appliances and enamel demineralization. Part 2. Prevention and treatment of lesions. Am J Orhod Dentofacial Orthop 1988;94(2):123-128. https://doi.org/10.1016/0889-5406(88)90360-5
  6. Cha SW, Yoon TC, Park SH, Lee CY, Kum KY. Quantitative analysis of mineral change in the initial carious lesion using confocal laser scanning microscopy. J Kor Acad Cons Dent 2001;26(1):1-8.
  7. Kwun JW, Kim KY, Lee SJ, Jung IY, Lee CY. The effect of the supersaturated solutions containing high concentrations of fluoride on seeded crystal growth. J Kor Acad Cons Dent 1999;24(2):330-336.
  8. Willmote DR. White lesions after orthodontic treatment: does low fluoride make a difference? Journal of Orthodontics 2004;31(3):235-242. https://doi.org/10.1179/146531204225022443
  9. Al-Khateeb S, Extekate RA, de Josselin de Jong E, Angmar-Mansson B, ten Cate JM. Light-induced fluorescence studies on dehydration of incipient enamel lesions. Caries Res 2002;36(1):25-30. https://doi.org/10.1159/000057586
  10. Ardu S, Castiono NV, Benbachir N, Krejci I. Minimally invasive treatment of white spot enamel lesions. Quintessence Int 2007;38(8):633-636.
  11. Murphy TC, Willmote DR, Rodd HD. Management of postorthodontic demineralized white lesions with microabrasion: A quantitative assessment. Am J Orthod Dentofacial Orthop 2007;131(1):27-33. https://doi.org/10.1016/j.ajodo.2005.04.041
  12. Donly KJ, O’neill M, Croll TP. Enamel microabrasion: a microscopic evaluation of the “abrosion effect”. Quintessence Int 1992;23(3):175-179.
  13. Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, micro-abrasion, and bleaching on surface enamel. J Dent Res 1993;72(1):67-71. https://doi.org/10.1177/00220345930720011001
  14. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res 2007;86(7):662-666. https://doi.org/10.1177/154405910708600715
  15. Robonson C, Hallsworth AS, Weatherell JA, Kunzel W. Arrest and control of carious lesions: a study based on preliminary experiments with resorcinol-formaldehyde resin. J Dent Res 1975;55(5):812-818.
  16. Kielbassa AM, Gernhardt CR. Closing the gap between oral hygiene and minimally invasive dentistry: A review on the resin infiltration technique of incipient (proximal) enamel lesions. Quintessence Int 2009;40(8):663-681.
  17. 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(Spec No C):C35-38. https://doi.org/10.1177/154405910408301S07
  18. Paris S, Meyer-Lueckel H. Masking of labial enamel white spot lesions by resin infiltration - A clinical report. Quintessence Int 2009;40(9):713-718.
  19. Davila JM, Buonocore MG, Greeley CB, Provenza DV. Adhesive penetration in human artificial and natural white spots. J Dent Res 1975;54(5):999-1008. https://doi.org/10.1177/00220345750540054201

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