Resin infiltration in white spot lesions caused by orthodontic hypomineralisation: a minimally invasive therapy.

Autor: Tavares MI; University of Coimbra, Institute of Integrated Clinical Practice, Faculty of Medicine, 3000-075 Coimbra, Portugal., Saraiva J; University of Coimbra, Institute of Integrated Clinical Practice, Faculty of Medicine, 3000-075 Coimbra, Portugal., do Vale F; University of Coimbra, Institute of Orthodontics, Faculty of Medicine, 3000-075 Coimbra, Portugal., Coelho AS; University of Coimbra, Institute of Integrated Clinical Practice, Faculty of Medicine, 3000-075 Coimbra, Portugal; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Centre for Innovative Biomedicine and Biotechnology (CIBB), 3000-548 Coimbra, Portugal; Clinical Academic Centre of Coimbra (CACC), 3004-561 Coimbra, Portugal., Amaro IF; University of Coimbra, Institute of Integrated Clinical Practice, Faculty of Medicine, 3000-075 Coimbra, Portugal., Marto CM; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Centre for Innovative Biomedicine and Biotechnology (CIBB), 3000-548 Coimbra, Portugal; Clinical Academic Centre of Coimbra (CACC), 3004-561 Coimbra, Portugal; University of Coimbra, Institute of Experimental Pathology, Faculty of Medicine, 3000-548 Coimbra, Portugal., Francisco I; University of Coimbra, Institute of Orthodontics, Faculty of Medicine, 3000-075 Coimbra, Portugal., Ferreira MM; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Centre for Innovative Biomedicine and Biotechnology (CIBB), 3000-548 Coimbra, Portugal; Clinical Academic Centre of Coimbra (CACC), 3004-561 Coimbra, Portugal; University of Coimbra, Institute of Endodontics, Faculty of Medicine, 3000-075 Coimbra, Portugal., Paula AB; University of Coimbra, Institute of Integrated Clinical Practice, Faculty of Medicine, 3000-075 Coimbra, Portugal; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Centre for Innovative Biomedicine and Biotechnology (CIBB), 3000-548 Coimbra, Portugal; Clinical Academic Centre of Coimbra (CACC), 3004-561 Coimbra, Portugal. anabelabppaula@sapo.pt., Carrilho EV; University of Coimbra, Institute of Integrated Clinical Practice, Faculty of Medicine, 3000-075 Coimbra, Portugal; University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR), area of Environment, Genetics and Oncobiology (CIMAGO), Faculty of Medicine, 3000-548 Coimbra, Portugal; University of Coimbra, Centre for Innovative Biomedicine and Biotechnology (CIBB), 3000-548 Coimbra, Portugal; Clinical Academic Centre of Coimbra (CACC), 3004-561 Coimbra, Portugal.
Jazyk: angličtina
Zdroj: British dental journal [Br Dent J] 2021 Oct; Vol. 231 (7), pp. 387-392. Date of Electronic Publication: 2021 Oct 08.
DOI: 10.1038/s41415-021-3476-z
Abstrakt: Objective White spot lesions are characterised by the presence of clinically detectable opaque lesions due to enamel demineralisation. These frequently present in patients following fixed orthodontic treatment, mostly due to the prolonged accumulation of bacterial plaque on the dental surface. When remineralisation is not achieved through good oral hygiene and prophylaxis with fluoride products, the infiltration of lesions with low-viscosity photopolymerised resin has proved to be a valid micro-invasive alternative compared to traditional conservative therapy.Clinical considerations A case series will be presented, where the chosen approach was resin infiltration, a micro-invasive and aesthetic technique.Clinical significance Infiltrative resin therapies are single-session procedures that reduce the need for more invasive therapies such as the use of rotary instruments for greater patient comfort. The need for periodic fluoride applications is also avoided. This approach increases the durability of the infiltrated lesion without compromising its mechanical properties and impedes the development of recurrent or secondary caries.Conclusions Resin infiltration might be considered as a routine procedure in the treatment of post-eruptive hypomineralised lesions. This follows the line of thought of minimally invasive dentistry, is an excellent treatment option and prevents the lesion's progression.
(© 2021. The Author(s), under exclusive licence to the British Dental Association.)
Databáze: MEDLINE
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