World Journal of Dentistry

Register      Login

VOLUME 14 , ISSUE 8 ( August, 2023 ) > List of Articles

ORIGINAL RESEARCH

Comparison of Resin Infiltration and Pit and Fissure Sealants with Respect to Physical Properties of Demineralized Lesions: An In Vitro Study

Sahili Mungekar, Tanvi Saraf, Ashwin Jawdekar

Keywords : Incipient lesion, Minimal invasive dentistry, Resin infiltration

Citation Information : Mungekar S, Saraf T, Jawdekar A. Comparison of Resin Infiltration and Pit and Fissure Sealants with Respect to Physical Properties of Demineralized Lesions: An In Vitro Study. World J Dent 2023; 14 (8):711-715.

DOI: 10.5005/jp-journals-10015-2275

License: CC BY-NC 4.0

Published Online: 20-09-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To evaluate and compare resin infiltration (RI) and pit and fissure sealants on demineralized caries lesions with respect to the change in microhardness and surface roughness of lesions. Materials and methods: A total of 36 human-extracted premolars were used to create artificial demineralized lesions in enamel using the demineralizing solution. A total of 12 samples in each group was treated with respective materials—group I: nonfluoridated pit and fissure sealant; group II: RI; and group III: fluoridated pit and fissure sealants. Six samples in each group were subdivided for surface roughness and microhardness assessments using a digital surface roughness tester and a microhardness tester, respectively. The normality of the data was checked by Shapiro–Wilk test. Inferential statistics were performed using a one-way analysis of variance (ANOVA). Results: The value of microhardness for group I was 275.6 Vickers hardness number (VHN), group II 315.5 VHN, and group III 213.1 VHN, the same being statistically significant. The surface roughness values for group I was 0.377 μm, group II 0.296 μm, and group III 0.434 μm, the same being statistically significant. Conclusion: Group II showed the highest microhardness, followed by groups I and III, the same being statistically significant. Group II showed minimum surface roughness, followed by groups I and III with highest surface roughness, the same being statistically significant. Clinical significance: Resin infiltration (RI) and fissure sealants allow clinicians to manage early carious lesions with minimal invasion. These simple techniques are easy to acquire and practice for dentists and dental auxiliaries too. When used judiciously, these techniques can minimize the extensive and expensive treatment needs later.


PDF Share
  1. Kielbassa AM, Muller J, 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):663–668. PMID: 19639091.
  2. Doméjean S, Ducamp R, Léger S, et al. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ Pract 2015;24(3):216–221. DOI: 10.1159/000371709
  3. Summitt JB, Rubbins JW, Schwartz RS. Fundamentals of Operative Dentistry: A Contemporary Approach. 3rd edition. Quintessence Publishing; 2006
  4. Zero DT. Dental caries process. Dent Clin North Am 1999;43(4):635–664. PMID: 10553248.
  5. Marinho VC, Higgins JP, Logan S, et al. Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003;2003(4):CD002782. DOI: 10.1002/14651858.CD002782
  6. Marinho VC, Worthington HV, Walsh T, et al. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2013;(7):CD002279. DOI: 10.1002/14651858.CD002279.pub2
  7. Gao SS, Zhao IS, Hiraishi N, et al. Clinical trials of silver diamine fluoride in arresting caries among children: a systematic review. JDR Clin Trans Res 2016;1(3):201–210. DOI: 10.1177/2380084416661474
  8. Ahovuo-Saloranta A, Forss H, Walsh T, et al. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database Syst Rev 2017;7(7):CD001830. DOI: 10.1002/14651858.CD001830.pub5
  9. Muñoz MA, Arana-Gordillo LA, Gomes GM, et al. Alternative esthetic management of fluorosis and hypoplasia stains: blending effect obtained with resin infiltration techniques. J Esthet Restor Dent 2013;25(1):32–39. DOI: 10.1111/j.1708-8240.2012.00527.x
  10. Dorri M, Dunne SM, Walsh T, et al. Micro-invasive interventions for managing proximal dental decay in primary and permanent teeth. Cochrane Database Syst Rev 2015;2015(11):CD010431. DOI: 10.1002/14651858.CD010431.pub2
  11. Arora TC, Arora D, Tripathi AM, et al. An In-Vitro evaluation of resin infiltration system and conventional pit and fissure sealant on enamel properties in white spot lesions. J Indian Soc Pedod Prev Dent 2019;37(2):133–139. DOI: 10.4103/1319-2442.261345
  12. Manoharan V, Arun Kumar S, Arumugam SB, et al. Is resin infiltration a microinvasive approach to white lesions of calcified tooth structures?: A systemic review. Int J Clin Pediatr Dent 2019;12(1):53–58. DOI: 10.5005/jp-journals-10005-1579
  13. Toledano M, Osorio R, Osorio E, et al. Microhardness of acid-treated and resin infiltrated human dentine. J Dent 2005;33(4):349–354. DOI: 10.1016/j.jdent.2004.10.007
  14. Bhatia MR, Patel AR, Shirol DD. Evaluation of two resin based fissure sealants: a comparative clinical study. J Indian Soc Pedod Prev Dent 2012;30(3):227–230. DOI: 10.4103/0970-4388.105015
  15. Gopalakrishnan VL, Anthonappa RP, King NM, et al. Remineralizing potential of a 60-s in vitro application of Tooth Mousse Plus. Int J Paediatr Dent 2017;27(5):356–363. DOI: 10.1111/ipd.12268
  16. Gutiérrez-Salazar M, Reyes-Gasga J. Microhardness and chemical composition of human tooth. Mater Res 2003;6(3):367–373. DOI: 10.1590/S1516-14392003000300011
  17. Paris S, Meyer-Lueckel H, Cölfen H, et al. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater 2007;23(6):742–748. DOI: 10.1016/j.dental.2006.06.029
  18. Arnold WH, Meyer AK, Naumova EA. Surface roughness of initial enamel caries lesions in human teeth after resin infiltration. Open Dent J 2016;10:505–515. DOI: 10.2174/1874210601610010505
  19. Prasada KL, Penta PK, Ramya KM. Spectrophotometric evaluation of white spot lesion treatment using novel resin infiltration material (ICON(®)). J Conserv Dent 2018;21(5):531–535. DOI: 10.4103/JCD.JCD_52_18
  20. Taher NM, Alkhamis HA, Dowaidi SM. The influence of resin infiltration system on enamel microhardness and surface roughness: An in vitro study. Saudi Dent J 2012;24(2):79–84. DOI: 10.1016/j.sdentj.2011.10.003
  21. Arslan S, Zorba YO, Atalay MA, et al. Effect of resin infiltration on enamel surface properties and Streptococcus mutans adhesion to artificial enamel lesions. Dent Mater J 2015;34(1):25–30. DOI: 10.4012/dmj.2014-078
  22. Torres CR, Rosa PC, Ferreira NS, et al. Effect of caries infiltration technique and fluoride therapy on microhardness of enamel carious lesions. Oper Dent 2012;37(4):363–369. DOI: 10.2341/11-070-L
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.