World Journal of Dentistry

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VOLUME 15 , ISSUE 4 ( April, 2024 ) > List of Articles

ORIGINAL RESEARCH

Comparative Evaluation of Icon Resin Infiltration and Clinpro XT Varnish Effects on Surface Characteristics in Artificially Induced White Spot Lesions

Pournima S Mohanadass, KJ Suresh, Balagopal R Varma, Parvathy Kumaran, Arun M Xavier, Malini Venugopal, Nishna Thankappan

Keywords : Clinpro, Resin infiltration, White spot lesions

Citation Information : Mohanadass PS, Suresh K, Varma BR, Kumaran P, Xavier AM, Venugopal M, Thankappan N. Comparative Evaluation of Icon Resin Infiltration and Clinpro XT Varnish Effects on Surface Characteristics in Artificially Induced White Spot Lesions. World J Dent 2024; 15 (4):348-355.

DOI: 10.5005/jp-journals-10015-2419

License: CC BY-NC 4.0

Published Online: 17-05-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Aim: To compare the efficacy of Icon resin infiltration and Clinpro XT varnish on microhardness, surface roughness, and penetration depth of methylene blue dye of artificially induced white spot lesions (WSL). Materials and methods: Artificial WSLs were created on a sample of 45 extracted human premolar teeth by immersing in a demineralizing solution. All samples were randomly allocated to three divisions of 15 each for evaluation of microhardness, surface roughness, and penetration depth, where group I being the control, group II is Icon resin infiltration, and group III is Clinpro XT varnish. Assessment of microhardness, surface roughness, and penetration depth of dye were done with Vickers hardness tester, atomic force microscope, and stereomicroscope, respectively. The data obtained were analyzed using Statistical Package for the Social Sciences (SPSS) software. One-way analysis of variance (ANOVA) followed by the Bonferroni multiple comparison test was applied for comparing the mean microhardness and surface roughness among three groups. The Kruskal–Wallis test followed by Bonferroni–Dunn test was applied for comparing the median penetration depth. Results: The mean microhardness and standard deviation (SD) of groups I, II, and III showed 109 ± 16.21, 203.80 ± 22.19, and 129.80 ± 27.73, respectively. Mean surface roughness (Ra) and SD of groups I, II, and III showed 217.5 ± 8.78, 28.3 ± 9.7, and 165.8 ± 13.9, respectively. The median penetration depth of dye of groups I, II, and III showed 547, 63, and 71.0, respectively. These groups demonstrated a statistically significant difference with a p-value < 0.05. Conclusion: Icon resin infiltration has shown superior microhardness, lowest surface roughness, and lower depth of penetration of dye, followed by Clinpro XT varnish group. Clinical significance: Resin infiltration may be considered a promising solution not only to restore esthetics of WSL but also to stop the progress of dental caries by occluding the pores.


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  1. Ibrahim PE, Ezzat MA, Ibrahim AH. Microhardness of demineralized enamel treated with glass ionomer varnish versus fluoride: an in-vitro study. Egypt Dent J 2017;63:791–798.
  2. Ayad A, Mustafa D, Nour K. Effect of remineralizing agents and resin infiltration on resistance to demineralization of artificial enamel lesions. Egypt Dent J 2020;66(4):2763–2771. DOI: 10.21608/edj.2020.38417.1202
  3. Temel SS, Kaya B. Diagnosis, prevention and treatment of white spot lesions related to orthodontics. Int J Oral Health 2019;5:85. DOI: 10.23937/2469-5734/1510085
  4. Sruthi MA, Gurunathan D, Ravindran V. Prevalence of white spot lesions in 3-year-old children visiting a private dental college: an observational study. World J Dent 2020;11(5):408–412. DOI: 10.5005/jp-journals-10015-1759
  5. Aziznezhad M, Alaghemand H, Shahande Z, et al. Comparison of the effect of resin infiltrant, fluoride varnish, and nano-hydroxy apatite paste on surface hardness and Streptococcus mutans adhesion to artificial enamel lesions. Electron Physician 2017;9(3):3934–3942. DOI: 10.19082/3934
  6. 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
  7. 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
  8. Sharma H, Gupta C, Thakur S, et al. Comparative evaluation of calcium phosphate-based varnish and resin-modified glass ionomer-based varnish in reducing dentinal hypersensitivity: a randomized controlled clinical trial. Eur J Dent 2017;11(4):491–495. DOI: 10.4103/ejd.ejd_127_17
  9. Enan ET, Aref NS, Hammad SM. Resistance of resin-infiltrated enamel to surface changes in response to acidic challenge. J Esthet Restor Dent 2019;31(4):353–358. DOI: 10.1111/jerd.12471
  10. Wang L, D'Alpino PH, Lopes LG, et al. Mechanical properties of dental restorative materials: relative contribution of laboratory tests. J Appl Oral Sci 2003;11(3):162–167. DOI: 10.1590/s1678-77572003000300002
  11. Verma V, Mathur S, Sachdev V, et al. Evaluation of compressive strength, shear bond strength, and microhardness values of glass-ionomer cement Type IX and Cention N. J Conserv Dent 2020;23(6):550–553. DOI: 10.4103/JCD.JCD_109_19
  12. Montasser MA, El-Wassefy NA, Taha M. In vitro study of the potential protection of sound enamel against demineralization. Prog Orthod 2015;16:12. DOI: 10.1186/s40510-015-0080-2
  13. Subramaniam P, Girish Babu KL, Lakhotia D. Evaluation of penetration depth of a commercially available resin infiltrate into artificially created enamel lesions: an in vitro study. J Conserv Dent 2014;17(2):146–149. DOI: 10.4103/0972-0707.128054
  14. Chen M, Li JZ, Zuo QL, et al. Accelerated aging effects on color, microhardness and microstructure of ICON resin infiltration. Eur Rev Med Pharmacol Sci 2019;23(18):7722–7731. DOI: 10.26355/eurrev_201909_18981
  15. Iluf MSM, Redel PU. Clinpro XT resin-modified polymerizable glass ionomer varnish: an alternative treatment for tooth sensitivity. A systematic literature review. Odontoestomatologia 2022;24:9. DOI: 10.22592/ode2022n39e309
  16. Peng Y, Qian Z, Ting Z, et al. The effect of resin infiltration vs. fluoride varnish in enhancing enamel surface conditions after interproximal reduction. Dent Mater J 2016;35(5):756–761. DOI: 10.4012/dmj.2015-398
  17. Edunoori R, Dasari AK, Chagam MR, et al. Comparison of the efficacy of Icon resin infiltration and Clinpro XT varnish on remineralization of white spot lesions: an in-vitro study. J Orthod Sci 2022;11:12. DOI: 10.4103/jos.jos_141_21
  18. Lata S, Varghese NO, Varughese JM. Remineralization potential of fluoride and amorphous calcium phosphate-casein phospho peptide on enamel lesions: an in vitro comparative evaluation. J Conserv Dent 2010;13(1):42–46. DOI: 10.4103/0972-0707.62634
  19. Balakrishnan A, Jonathan R, Benin P, et al. Evaluation to determine the caries remineralization potential of three dentifrices: an in vitro study. J Conserv Dent 2013;16(4):375–379. DOI: 10.4103/0972-0707.114347
  20. Amaechi BT, Higham SM, Edgar WM. Factors influencing the development of dental erosion in vitro: enamel type, temperature and exposure time. J Oral Rehabil 1999;26(8):624–630. DOI: 10.1046/j.1365-2842.1999.00433.x
  21. Klaisiri A, Janchum S, Wongsomtakoon K, et al. Microleakage of resin infiltration in artificial white-spot lesions. J Oral Sci 2020;62(4):427–429. DOI: 10.2334/josnusd.19-0321
  22. 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
  23. Galina P, Andrian S, Iovan G, et al. Study regarding the assessment of enamel microhardness in incipient carious lesions treated by icon method. Rom J Oral Rehabil 2012;3(4).
  24. 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
  25. Mohammed FA, Qasim AA. Assessement of white spot treated with (ICON) and flouride gel (an in vitro study). Int J En Rea Sci Tec Eng 2014;3(6):1–6.
  26. Hakim SAM, Metwalli N, Askary FE, et al. Microhardness, SEM and color change analysis of artificial enamel lesions in primary teeth treated with resin infiltration, CCP-ACP or fluoride gel: an in vitro study. Egypt Dent J 2016;62:3735–3744.
  27. Zhao X, Ren YF. Surface properties and color stability of resin-infiltrated enamel lesions. Oper Dent 2016;41(6):617–626. DOI: 10.2341/15-319-L
  28. Shimaa ME, Wegdan MA, Sonia ME. Penetration depth and enamel microhardness of resin infiltrant and traditional techniques for treatment of artificial enamel lesions. Alex Dent J 2016;41(1):20–25. DOI: 10.21608/ADJALEXU.2016.59167
  29. Mandava J, Reddy YS, Kantheti S, et al. Microhardness and penetration of artificial white spot lesions treated with resin or colloidal silica infiltration. J Clin Diagn Res 2017;11(4):ZC142–ZC146. DOI: 10.7860/JCDR/2017/25512.9706
  30. Horuztepe SA, Baseren M. Effect of resin infiltration on the color and microhardness of bleached white-spot lesions in bovine enamel (an in vitro study). J Esthet Restor Dent 2017;29(5):378–385. DOI: 10.1111/jerd.12308
  31. Prajapati D, Nayak R, Pai D, et al. Effect of resin infiltration on artificial caries: an in vitro evaluation of resin penetration and microhardness. Int J Clin Pediatr Dent 2017;10(3):250–256. DOI: 10.5005/jp-journals-10005-1445
  32. Yazkan B, Ermis RB. Effect of resin infiltration and microabrasion on the microhardness, surface roughness and morphology of incipient carious lesions. Acta Odontol Scand 2018;76(7):473–481. DOI: 10.1080/00016357.2018.1437217
  33. Alagha E, Alagha MI. Comparing impact of two resin infiltration systems on microhardness of demineralized human enamel after exposure to acidic challenge. Open Access Maced J Med Sci 2021;9(D):92–97. DOI: 10.3889/oamjms.2021.5878
  34. El Meligy OAES, Alamoudi NM, Eldin Ibrahim ST, et al. Effect of resin infiltration application on early proximal caries lesions in vitro. J Dent Sci 2021;16(1):296–303. DOI: 10.1016/j.jds.2020.04.005
  35. Wakwak MA, Alaggana AA, Morsy AS. Evaluation of surface roughness and microhardness of enamel white spot lesions treated by resin infiltration technique (icons): an in-vitro study. Tanta Dent J 2021;18:88–91. DOI: 10.4103/tdj.tdj_1_21
  36. Memarpour M, Abedinzade A, Rafiee A, et al. Penetration ability and microhardness of infiltrant resin and two pit and fissure sealants in primary teeth with early enamel lesions. Sci Rep 2022;12(1):4652. DOI: 10.1038/s41598-022-08725-9
  37. 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
  38. Taher NM. Atomic force microscopy and tridimensional topography analysis of human enamel after resinous infiltration and storage in water. Saudi Med J 2013;34(4):408–414.
  39. Ahlberg KM, Assavanop P, Tay WM. A comparison of the apical dye penetration patterns shown by methylene blue and India ink in root-filled teeth. Int Endod J 1995;28(1):30–34. DOI: 10.1111/j.1365-2591.1995.tb00153.x
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