World Journal of Dentistry

Register      Login

VOLUME 11 , ISSUE 1 ( January-February, 2020 ) > List of Articles

ORIGINAL RESEARCH

Minimally Invasive Technique of Masking Nonpitted Fluorosis on Young Permanent Incisors: A Clinical Trial

Shikha Dogra, Neeru Singh, Meenu Bhola, Shalini Garg

Keywords : DMG ICON, Resin infiltration, White spot lesion,Dental fluorosis

Citation Information : Dogra S, Singh N, Bhola M, Garg S. Minimally Invasive Technique of Masking Nonpitted Fluorosis on Young Permanent Incisors: A Clinical Trial. World J Dent 2020; 11 (1):41-46.

DOI: 10.5005/jp-journals-10015-1702

License: CC BY-NC 4.0

Published Online: 00-02-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Analysis of masking potential of the resin infiltration technique with dental milestones guaranteed caries infiltration concept (DMG ICON) on nonpitted white spot lesions due to fluorosis in newly erupted permanent maxillary incisors for better esthetics and psychological wellbeing in children. Materials and methods: This prospective interventional study was conducted on 60 newly erupted maxillary central incisors with mild, nonpitted white spot lesions of fluorosis till grade IV of the Thylstrup and Fejerskov (TF) index. The resin infiltration technique with DMG ICON (DMG, Hamburg, Germany) was used to mask lesions along with the analysis for color change using Euclidean distance, i.e., the ΔE (Delta E) unit of the CIE L*a*b* color space formula where ΔE = (ΔL2 + Δa2+ Δb2)½ using the image-analyzing software. Data were analyzed statistically by the SPSS software. Results: Fifty-one tooth samples (85%) showed complete masking of white spot lesions of fluorosis postoperatively to resin infiltration with net ΔE values less than or equal to 3.7 whereas lesions in nine tooth samples (15%) were not masked completely with net ΔE > 3.7. Statistically highly significant results were obtained with the Wilcoxon signed-ranks test (p value < 0.001). Conclusion: The minimally invasive resin infiltration technique using DMG ICON is highly efficient and satisfactory for masking of nonpitted white spot lesions of dental fluorosis in newly erupted permanent central incisors as per the analysis for color change using the image-analyzing software. Clinical significance: The outcome of masked and blended white spot lesions of fluorosis with the sound enamel in the smile zone with the resin infiltration technique was found to be a child-friendly, noninvasive, single-sitting approach with stabilized results in follow-up visits.


PDF Share
  1. Kavand G, Broffitt B, Levy SM, et al. Comparison of dental esthetic perceptions of young adolescents and their parents. J Public Health Dent 2012;72(2):164–171. DOI: 10.1111/j.1752-7325.2011.00306.x.
  2. Coleman JC, Hendry LB. The nature of adolescents. 3rd ed., London: Routledge; 1999.
  3. Josefsson E, Lindsten R, Hallberg LR. A qualitative study of the influence of poor dental aesthetics on the lives of young adults. Acta Odontol Scand 2010;68(1):19–26. DOI: 10.3109/00016350903281740.
  4. Bahadır HS, Karadag G, Bayraktar Y. Minimally invasive approach for improving anterior dental aesthetics: case report with 1-year follow-up. Case Rep Dent 2018;2018:4601795. DOI: 10.1155/2018/4601795.
  5. Angura La ML, Singh BP. Ground water year book of Punjab and Chandigarh (UT). 2017. 64–65.
  6. Mascarenhas AK. Risk factors for dental fluorosis: a review of the recent literature. Pediatr Dent 2000;22(4):269–277.
  7. Adelario AK, Vilas-Novas LF, Castilho LS, et al. Accuracy of the simplified Thylstrup & Fejerskov index in rural communities with endemic fluorosis. Int J Environ Res Public Health 2010;7(3):927–937. DOI: 10.3390/ijerph7030927.
  8. Kim S, Kim EY, Jeong TS, et al. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent 2011;21(4):241–248. DOI: 10.1111/j.1365-263X.2011.01126.x.
  9. Gugnani N, Pandit IK, Goyal V, et al. Esthetic improvement of white spot lesions and non-pitted fluorosis using resin infiltration technique: series of four clinical cases. J Indian Soc Pedod Prev Dent 2014;32(2):176. DOI: 10.4103/0970-4388.130996.
  10. Gugnani N, Pandit IK, Gupta M, et al. Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in‐office bleaching, and combination therapies. J Esthet Restor Dent 2017;29(5):317–324. DOI: 10.1111/jerd.12312.
  11. Jackson RD, Kelly SA, Katz B, et al. Dental fluorosis in children residing in communities with different water fluoride levels: 33-month follow-up. Pediatr Dent 1999;21(4):248–254.
  12. Korkut B, Yanikoglu F, Tagtekin D. Direct midline diastema closure with composite layering technique: a one-year follow-up. Case Rep Dent2016 2016. DOI: 10.1155/2016/6810984.
  13. Xia J, Li Y, Cai D, et al. Direct resin composite restoration of maxillary central incisors using a 3D-printed template: two clinical cases. BMC Oral Health 2018;18(1):158. DOI: 10.1186/s12903-018-0621-4.
  14. Winters J, Cameron AC, Widmer RP. Pulp therapy for primary and immature permanent teeth. In Handbook of Pediatric Dentistry Mosby 2013. pp. 103–122.
  15. Chu SJ, Trushkowsky RD, Paravina RD. Dental color matching instruments and systems. Review of clinical and research aspects. J Dent 2010;38:e2–e16. DOI: 10.1016/j.jdent.2010.07.001.
  16. Joiner A, Hopkinson I, Deng Y, et al. A review of tooth colour and whiteness. J Dent 2008;36(Suppl 1):S2–S7. DOI: 10.1016/j.jdent.2008.02.001.
  17. Kannan A, Padmanabhan S. Comparative evaluation of icon resin infiltration and Clinpro™ XT varnish on colour and fluorescence changes of white spot lesions: a randomized controlled trial. Prog Orthod 2019;20(1):23. DOI: 10.1186/s40510-019-0276-y.
  18. Leland A, Akyalcin S, English JD, et al. Evaluation of staining and color changes of a resin infiltration system. Angle Orthod 2016;86(6): 900–904. DOI: 10.2319/111615-777.1.
  19. Chang JY, Chen WC, Huang TK, et al. Evaluation of the accuracy and limitations of three tooth-color measuring machines. J Dent Sci 2015;10(1):16–20. DOI: 10.1016/j.jds.2013.04.004.
  20. Cocco AR, Lund RG, Torre E, et al. Treatment of fluorosis spots using a resin infiltration technique: 14-month follow-up. Oper Dent 2016;41(4):357–362. DOI: 10.2341/14-335-S.
  21. 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.
  22. Tong LS, Pang MK, Mok NY, et al. The effects of etching, microabrasion, and bleaching on surface enamel. J Dent Res 1993;72(1): 67–71. DOI: 10.1177/00220345930720011001.
  23. Di Giovanni T, Eliades T, Papageorgiou SN. Interventions for dental fluorosis: a systematic review. J Esthet Restor Dent 2018;30(6): 502–508. DOI: 10.1111/jerd.12408.
  24. Auschill TM, Schmidt KE, Arweiler NB. Resin infiltration for aesthetic improvement of mild to moderate fluorosis: a six-month follow-up case report. Oral Health Prev Dent 2015;13(4):317–322. DOI: 10.3290/j.ohpd.a32785.
  25. Theodory TG, Kolker JL, Vargas MA, et al. Masking and penetration ability of various sealants and ICON in artificial initial caries lesions in vitro. J Adhes Dent 2019;21(3):265–272. DOI: 10.3290/j.jad. a42520.
  26. Knosel M, Eckstein A, Helms HJ. Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo. Angle Orthod 2018;89(1):33–39. DOI: 10.2319/052118-383.1.
  27. Garg SA, Chavda SM. Color masking white fluorotic spots by resin infiltration and its quantitation by computerized photographic analysis: a 12-month follow-up study. Oper Dent 2020;45(1):1-9. DOI: 10.2341/17-260-T.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.