Management of post-orthodontic white spot lesions wıth resin infiltration technique: case report

Year 2019, Volume: 10 Issue: 2, 272 - 276, 12.06.2019

Nur Burcu Ulusoy

https://doi.org/10.18663/tjcl.429165

Abstract

White spot lesions (WSLs) are common post-orthodontic
complications that could be attributed to the lack of oral hygiene with fixed
orthodontic appliances. Resin infiltration (RI) technique is an increasingly popular,
minimally invasive restorative treatment option that involves penetration of a
resin into the body of the WSLs. In this case report, the clinical application
method, difficulties during application and long-term evidences of RI technique
were described. Sixteen-years-old girl referred to our clinic with WSLs on her
maxillary and mandibular anterior teeth following orthodontic treatment.
Lesions were treated with RI technique (Icon, DMG) in two sessions. The results
of our case showed that RI was significantly improved the clinical appearance
of WSLs and generated perfect esthetic results. The clinical appearances of the
teeth were stable over the twenty four-month period and progression of the
lesions was inhibited.  

Keywords

white spot lesions, resin infiltration, dental esthetics, enamel lesions, orthodontic treatment

Ortodontik tedavi sonrası oluşan beyaz nokta lezyonlarının rezin infiltrasyon tekniği ile tedavisi: olgu sunumu

Abstract

Beyaz
nokta lezyonları, sabit ortodontik braketlerin kullanımı sırasında yetersiz
oral hijyen nedeniyle sık görülen önemli bir komplikasyondur. Rezin infiltrasyon
(RI) tekniği, rezin materyalin beyaz lezyonun gövdesine infiltre edilmesini
sağlayan ve klinik kullanımı yaygınlaşmakta olan bir minimal invaziv restoratif
tedavi seçeneğidir. Bu olgu sunumunda, RI tekniğinin klinik uygulama yöntemi ve
uzun dönem prognozunun bildirilmesi amaçlanmıştır. On altı yaşında kız hasta,
ortodontik tedavi sonrası maksiller ve mandibular dişlerinin labial
yüzeylerinde oluşan beyaz nokta lezyonları sebebiyle kliniğimize başvurmuştur.
Beyaz lezyonlar, iki seansta RI tekniği (Icon, DMG) ile tedavi edilmiştir. Bu
olguda RI tedavisi ile beyaz lezyonların klinik görünümünde belirgin olarak düzelme
ve tatmin edici estetik sonuçlar elde edilmiştir. Yirmi dört aylık dönemde bu
görünüm değişmeden stabil olarak korunmuş ve lezyonların ilerlemesi engellenmiştir. 

Keywords

beyaz nokta lezyonları, rezin infiltrasyonu, dental estetik, mine lezyonları, ortodontik tedavi

References

• 1. Senestraro SV, Crowe JJ, Wang M, et al. Minimally invasive resin infiltration of arrested white-spot lesions: a randomized clinical trial. J Am Dent Assoc 2013; 144: 997-1005.
• 2. 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; 39: 122-33.
• 3. Willmot DR, Brook AH. The incidence of post-orthodontic demineralized enamel lesions in an orthodontic clinic. J Dent Res 1999; 78: 1049.
• 4. Mizrahi E. Surface distribution of enamel opacities following orthodontic treatment. Am J Orthod Dentofacial Orthop 1983; 84: 323–31.
• 5. Ogaard B, Rolla J, Arends J. Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop 1998; 94: 68–73.
• 6. 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.
• 7. Akin M, Basciftci FA. Can white-spot lesions be treated effectively? Angle Orthod 2012; 82: 770-75.
• 8. Robinson C, Hallsworth AS, Weatherell JA, Künzel W. Arrest and control of carious lesions: a study based on preliminary experiments with resorcinol-formaldehyde resin. J Dent Res 1976; 55: 812-18.
• 9. Meyer-Lueckel H, Paris S. Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res 2008; 42: 117-24.
• 10. Paris S, Meyer-Lueckel H. Masking of labial enamel white spot lesions by resin infiltration-A clinical report. Quintessence Int 2009; 40: 713-18.
• 11. Kalender B. Başlangıç çürük lezyonlarının tedavisi. Turkiye Klinikleri J Restor Dent-Special Topics 2017; 3: 58-65.
• 12. Sundfeld RH, Croll TP, Briso AF, de Alexandre, RS, Neto DS. Considerations about enamel microabrasion after 18 years. Am J Dent 2007; 20: 67.
• 13. Paris S, Meyer-Lueckel H. Infiltrants inhibit progression of natural caries lesions in vitro. J Dent Res 2010; 89: 1276-80.
• 14. Torres CRG, Borges AB, Torres LMS, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. J Dent 2011; 39: 202-07.
• 15. Yetkiner E, Wegehaupt F, Wiegand A, Attin R, Attin T. Colour improvement and stability of white spot lesions following infiltration, micro-abrasion, or fluoride treatments in vitro. Eur J Orthod 2014; 36: 595-602.
• 16. Neuhaus KW, Graf M, Lussi A, Katsaros C. Late infiltration of post-orthodontic white-spot lesions. J Orofac Orthop 2010; 71: 442-47.