Effect of the use of remineralization agents before resin infiltration on the treatment of initial enamel lesions: an in-vitro study.

Autor: Doğu Kaya B; Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey. bengu.dogu@marmara.edu.tr., Manav Özen A; Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey., Yılmaz Atalı P; Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey., Sarıalioğlu Güngör A; Faculty of Dentistry, Department of Restorative Dentistry, İstanbul Galata University, Istanbul, Turkey., Dalkılıç E; Faculty of Dentistry, Department of Restorative Dentistry, Bezmialem Vakıf University, Istanbul, Turkey., Alkan E; Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey., Tağtekin D; Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey., Türkmen C; Faculty of Dentistry, Department of Restorative Dentistry, Marmara University, Istanbul, Turkey.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2024 Jul 30; Vol. 24 (1), pp. 868. Date of Electronic Publication: 2024 Jul 30.
DOI: 10.1186/s12903-024-04523-z
Abstrakt: Aim: This study aimed to evaluate the effect of the use of remineralization agents before the application of resin infiltration on the treatment of initial enamel lesions.
Materials and Methods: Eighty buccal enamel samples were prepared from human molars, and artificial initial lesions were formed after 96 h of incubation with a demineralizing solution. The samples were randomly divided into 8 groups (n = 10) including a remineralizing agent (Tooth Mousse, Medical Mineral Gel, Remin Pro), resin infiltration (ICON), and a combined treatment of both. Remineralizing agents were applied in pH cycle for 7 days. Baseline, demineralization, and after-treatment fluorescence (FluoreCam and DIAGNOdent Pen), surface microhardness (HMV-2T), surface roughness (M300C), OCT (Maestro-2) and ultrasonic system (Novascope 4500) data were obtained for all groups. The sample surfaces were examined under SEM/EDX (SU3500) at x1000. Data were statistically analyzed using the Two-Way Robust ANOVA and Bonferroni tests (p < 0.05).
Results: There was no statistically significant difference between the groups for microhardness, roughness, OCT, DIAGNOdent Pen, ultrasound, and FluoreCam size/intensity values (p = 0.582; p = 0.963; p = 0.884; p = 0.923; p = 0.051; p = 0.268; p = 0.793 respectively). The effect of the treatment procedure showed a significant difference (p < 0.001), except for the roughness values (p = 0.984). The lowest Calcium (Ca) ratio (%atomic) was observed in the RI group in the EDX analysis.
Conclusion: Remineralizing agents and resin infiltration methods may be used in combination or alone in the treatment of initial enamel lesions. Combining remineralizing agents with resin infiltration does not alter the efficacy of the treatment.
(© 2024. The Author(s).)
Databáze: MEDLINE