Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces

Abstract Background Resin infiltration is a micro-invasive treatment for molar incisor hypomineralisation (MIH). In this study it was aimed to evaluate the masking effect of resin infiltration treatment (ICON) on hypomineralised enamel surface of permanent anterior teeth by using laser fluorescence,...

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Main Authors: Halenur Altan, Rabia Erağca Yilmaz
Format: Article
Language:English
Published: BMC 2023-07-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-023-03140-6
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author Halenur Altan
Rabia Erağca Yilmaz
author_facet Halenur Altan
Rabia Erağca Yilmaz
author_sort Halenur Altan
collection DOAJ
description Abstract Background Resin infiltration is a micro-invasive treatment for molar incisor hypomineralisation (MIH). In this study it was aimed to evaluate the masking effect of resin infiltration treatment (ICON) on hypomineralised enamel surface of permanent anterior teeth by using laser fluorescence, spectrophotometer, and cross-polarisation photography. Methods A total of 116 permanent central incisors in 37 patients were included in the study. The resin infiltration treatment (Icon®) was applied to the teeth with MIH; the healthy teeth received no treatment (control). Hypomineralised enamel lesions were evaluated by ICDAS II criteria. DIAGNOdent Pen was used to assess the lesions and healthy enamel surface quantitatively. Colour changes in enamel lesions were evaluated by using a spectrophotometer (VITA EasyShare). Each enamel lesion was imaged using a cross-polarization technique before and after treatment. All photos were assessed using Image J to evaluate the changes in lesion size. Enamel lesions were evaluated before; immediately after; 1; 3; and 6 months after treatment. Statistical significance was set as p < 0.05. Results After the resin infiltration, significant decreases were found in the mean DIAGNOdent values for the treatment group (p < 0.05). The colour differences before and after treatment significantly differed in all follow-ups (p < 0.05). In the treatment group, lesion areas decreased significantly after treatment (p < 0.05). Conclusions The resin infiltration treatment has a masking effect on MIH lesions without cavities, with stable outcomes after six months. The cross-polarization photography technique may be use to evaluate the lesion size instead of photography with flash. Trial registration. NCT04685889 (registered 28 December 2020).
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spelling doaj.art-0af98b9d1ddb4d8dbd0814a0275c5a872023-07-09T11:26:51ZengBMCBMC Oral Health1472-68312023-07-012311910.1186/s12903-023-03140-6Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfacesHalenur Altan0Rabia Erağca Yilmaz1Department of Pediatric Dentistry, Faculty of Dentistry, Necmettin Erbakan UniversityDepartment of Pediatric Dentistry, Dental Oral and Dental Health PolyclinicAbstract Background Resin infiltration is a micro-invasive treatment for molar incisor hypomineralisation (MIH). In this study it was aimed to evaluate the masking effect of resin infiltration treatment (ICON) on hypomineralised enamel surface of permanent anterior teeth by using laser fluorescence, spectrophotometer, and cross-polarisation photography. Methods A total of 116 permanent central incisors in 37 patients were included in the study. The resin infiltration treatment (Icon®) was applied to the teeth with MIH; the healthy teeth received no treatment (control). Hypomineralised enamel lesions were evaluated by ICDAS II criteria. DIAGNOdent Pen was used to assess the lesions and healthy enamel surface quantitatively. Colour changes in enamel lesions were evaluated by using a spectrophotometer (VITA EasyShare). Each enamel lesion was imaged using a cross-polarization technique before and after treatment. All photos were assessed using Image J to evaluate the changes in lesion size. Enamel lesions were evaluated before; immediately after; 1; 3; and 6 months after treatment. Statistical significance was set as p < 0.05. Results After the resin infiltration, significant decreases were found in the mean DIAGNOdent values for the treatment group (p < 0.05). The colour differences before and after treatment significantly differed in all follow-ups (p < 0.05). In the treatment group, lesion areas decreased significantly after treatment (p < 0.05). Conclusions The resin infiltration treatment has a masking effect on MIH lesions without cavities, with stable outcomes after six months. The cross-polarization photography technique may be use to evaluate the lesion size instead of photography with flash. Trial registration. NCT04685889 (registered 28 December 2020).https://doi.org/10.1186/s12903-023-03140-6Molar incisor hypomineralizationResin infiltrationEnamelLesionCross polarisationLaser fluorescence
spellingShingle Halenur Altan
Rabia Erağca Yilmaz
Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
BMC Oral Health
Molar incisor hypomineralization
Resin infiltration
Enamel
Lesion
Cross polarisation
Laser fluorescence
title Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
title_full Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
title_fullStr Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
title_full_unstemmed Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
title_short Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
title_sort clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces
topic Molar incisor hypomineralization
Resin infiltration
Enamel
Lesion
Cross polarisation
Laser fluorescence
url https://doi.org/10.1186/s12903-023-03140-6
work_keys_str_mv AT halenuraltan clinicalevaluationofresininfiltrationtreatmentmaskingeffectonhypomineralisedenamelsurfaces
AT rabiaeragcayilmaz clinicalevaluationofresininfiltrationtreatmentmaskingeffectonhypomineralisedenamelsurfaces