Use of Resin Infiltrant (ICON®) in Conservative Treatment of White Spot Lesions: An Integrative Review
DOI:
https://doi.org/10.36557/2674-8169.2024v6n9p2780-2799Keywords:
Caries, Minimally Invasive Dentistry, White Spot Lesions, Resin InfiltrantAbstract
Minimally invasive dentistry aims to preserve healthy dental structures and prioritize conservative approaches over mechanical interventions. Dental caries, a common condition, can significantly affect quality of life if left untreated. In addition to caries, conditions such as enamel hypoplasia, fluorosis, and molar-incisor hypomineralization can also cause white spots on teeth. The resin infiltrant technique shows promise in providing an effective solution for treating these lesions by filling the interprismatic spaces of the enamel, preventing caries progression, and improving both aesthetics and dental resistance. Therefore, the aim of this study was to analyze, through an integrative literature review, the efficacy of the resin infiltrant (ICON®) in the conservative treatment of white spot lesions, following the principles of minimally invasive dentistry. This research consisted of an integrative literature review of a basic nature, with a qualitative approach, exploratory objective, and bibliographic modality. The platforms used for the research included PUBMED/MedLine, Scielo, and BVS, focusing on articles published in the last five years (2019-2024). The resin infiltrant ICON® is highly effective in halting, remineralizing, and masking white spots of various causes. Its long-term results have been positive, showing no significant impacts on color, stability, microhardness, gloss, or smoothness. Additionally, being a quick, painless, and minimally invasive technique, it enjoys good acceptance among patients, who express satisfaction with the ease of the procedure and its results.
Downloads
References
Araújo, I.D.T. de; Câmara, A.C. de M.L.; Assunção, I.V. de. Infiltração resinosa em lesões brancas cariosas e não cariosas: relato de casos. Revista Ciência Plural, v.10, n. 1, p. 1-14, abr. 2024. Disponível em: https://periodicos.ufrn.br/rcp/article/view/34213/18490. Acesso em: 30 jul. 2024.
Aswani, R.; Chandrappa, V.; Uloopi, K.S.; Chandrasekhar, R.; RojaRamya, K.S. Resin infiltration of artificial enamel lesions: evaluation of penetration depth, surface roughness and color stability. International journal of clinical pediatric dentistry, vol.12, n. 6, p. 520-523, nov. 2019. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7229383/pdf/ijcpd-12-520.pdf. Acesso em: 28 jul. 2024.
Baafif, H.A.; Alibrahim, I.F.; Alotaibi, S.H.; Alharbi, H.G.; Shubaily, M.N.; Elkwatehy, W.M.A. The efficacy of resin infiltrant and casein phosphopeptide-amorphous calcium fluoride phosphate in treatment of white spot lesions (comparative study). Journal of International Society of Preventive & Community Dentistry, v.10, n. 4, p. 438–444, ago. 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523932/pdf/JISPCD-10-438.pdf. Acesso em: 30 jul. 2024.
Barbosa, B.G.; Silva, V.L.da; Gontijo, I.G.; Andrade, R.M.P.M.B.de; Nogueira, R.D.; Geraldo-Martins, V.R. Tratamento de lesão de mancha branca com infiltrante resinoso: relato de caso. Revista Odontológica do Brasil Central, v.27 n. 83, p. 252-256, out./dez. 2018. Disponível em: https://www.robrac.org.br/seer/index.php/ROBRAC/article/view/1156/983. Acesso em: 29 jul. 2024.
Batista, T.R.de M.; Vasconcelos, M.G.; Vasconcelos, R.G. Fisiopatologia da cárie dentária: entendendo o processo carioso. Salusvita, v.39, n. 1, p. 169-187, abr. 2020. Disponível em: https://secure.unisagrado.edu.br/static/biblioteca/salusvita/salusvita_v39_n1_2020/salusvita_v39_n1_2020_art_14.pdf. Acesso em: 28 jul. 2024.
Chabuk, M.M.; Al-Shamma, A.M. Surface roughness and microhardness of enamel white spot lesions treated with different treatment methods. Heliyon, v.9, n. 7, e18283, jul. 2023. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10395522/pdf/main.pdf. Acesso em: 29 jul. 2024.
Chen, M.; Li, J.Z.; Zuo, Q.L.; Liu, C.; Jiang, H.; Du, M.Q. Accelerated aging effects on color, microhardness and microstructure of ICON resin infiltration. European review for medical and pharmacological sciences, vol.23, n. 18, p. 7722-7731, set. 2019. Disponível em: https://www.europeanreview.org/wp/wp-content/uploads/7722-7731.pdf. Acesso em: 30 jul. 2024.
Coelho, A.F.R.; Barroso, F.T.; Heleno, G.L.G.; Santiago, M.O. Fluorose dentária: relato de caso com abordagem terapêutica. Arquivo Brasileiro De Odontologia, v.12, n. 2, p. 7–12, maio 2017. Disponível em: https://periodicos.pucminas.br/index.php/Arquivobrasileirodontologia/article/view/14953. Acesso em: 29 jul. 2024.
Dhamo, B.; Elezi, B.; Kragt, L.; Wolvius, E.B.; Ongkosuwito, E.M. Does dental caries affect dental development in children and adolescents? Bosnian Journal of Basic Medical Sciences, v.18, n. 2, p. 198-205, maio 2018. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988540/pdf/BJBMS-18-198.pdf. Acesso em: 28 jul. 2024.
Farias, J. de O.; Cunha, M.C.A.; Martins, V.L.; Mathias, P. Microinvasive esthetic approach for deep enamel spot lesion. Dental Research Journal, v.19, n. 29, p.1-5, mar. 2022. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9006172/pdf/DRJ-19-29.pdf. Acesso em: 29 jul. 2024.
Gençer, M.D.G.; Kirzioğlu, Z. A comparison of the effectiveness of resin infiltration and microabrasion treatments applied to developmental enamel defects in color masking. Dental materials journal, v.38, n. 2, p. 295-302, mar. 2019. Disponível em: https://www.jstage.jst.go.jp/article/dmj/38/2/38_2018-074/_pdf/-char/en. Acesso em: 29 jul. 2024.
Guedes-Pinto, Antônio. Odontopediatria. 9. ed. Rio de Janeiro: Santos, 2016.
Hammad, S.M.; El-Wassefy, N.A.; Aldayed, M.A. Evaluation of color changes of white spot lesions treated with three different treatment approaches: an in-vitro study. Dental Press Journal of Orthodontics, v.25, n. 1, p. 26-27, jan. 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077944/pdf/2176-9451-dpjo-25-01-27e1.pdf. Acesso em: 30 jul. 2024.
Martinhão, L.D., Guadagnin, V., Mantovani, M., Fracalossi, C. Hipoplasia de esmalte: uma abordagem clínica conservadora. Revista Uningá, v.24, n. 1, p. 27–32, out. 2015. Disponível em: https://revista.uninga.br/uningareviews/article/view/1680/1290. Acesso em: 30 jul. 2024.
Meyer-Lueckel, H.; Wardius, A.; Krois, J.; Bitter, K.; Moser, C.; Paris, S.; Wierichs, R.J. Proximal caries infiltration - Pragmatic RCT with 4 years of follow-up. Journal of dentistry, v.111, e103733 ago. 2021. Disponível em: https://www.sciencedirect.com/science/article/pii/S0300571221001548?via%3Dihub. Acesso em: 29 jul. 2024.
Neves, A.B.; Fernandes, B.R.M. da R.; Lopes, L.I.G.; Pintor, A.V.B.; Neves, A. de A. Resin infiltration for approximal caries lesions in primary and permanent teeth: case reports. Revista Científica do CRO-RJ, v.6, n. 1, p. 56-61, jan. 2021. Disponível em: https://revcientifica.cro-rj.org.br/revista/article/view/214/133. Acesso em: 28 jul. 2024.
Oguro, R.; Nakajima, M.; Seki, N.; Sadr, A.; Tagami, J.; Sumi, Y. The role of enamel thickness and refractive index on human tooth colour. Journal Of Dentistry, v.51, p. 36-44, ago. 2016. Disponível em: https://www.sciencedirect.com/science/article/abs/pii/S0300571216300963?via%3Dihub. Acesso em: 29 jul. 2024.
Oliveira, G.C.; Boteon, A.P.; Ionta, F.Q.; Moretto, M.J.; Honório, H.M.; Wang, L.; Rios. D. In vitro effects of resin infiltration on enamel erosion inhibition. Operative dentistry, v.40, n. 5, p. 492-502, set./out. 2015. Disponível em: https://meridian.allenpress.com/operative-dentistry/article/40/5/492/107656/In-Vitro-Effects-of-Resin-Infiltration-on-Enamel. Acesso em: 30 jul. 2024.
Omoto, É.M.; Oliveira, L.C.; Rocha, R.S.; Machado, L.S.; Bresciani, E.; Prakki, A.; Fagundes, T.C. An 8-year follow-up of resin infiltration on anterior white spot lesions. Journal of Indian Society of Pedodontics and Preventive Dentistry, v.41, n. 1, p. 83-85, jan. 2023. Disponível em: https://journals.lww.com/jped/fulltext/2023/41010/an_8_year_follow_up_of_resin_infiltration_on.13.aspx. Acesso em: 28 jul. 2024.
Pedreira, P.R.; Damasceno, J.E.; Souza, A.F.; Cerqueira, G.A. de; Aguiar, F.H.B.; Baron, G.M.M. Conservative treatment of interproximal incipient caries lesions by resin infiltration. Brazilian Journal of Oral Sciences, v.20, n. 00, e219022, maio 2021. Disponível em: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8659022/26730. Acesso em: 29 jul. 2024.
Sezici, Y.L.; Çınarcık, H.; Yetkiner, E.; Attın, R. Low-viscosity resin infiltration efficacy on postorthodontic white spot lesions: a quantitative light-induced fluorescence evaluation. Turkish journal of orthodontics, vol.33, n. 2, p. 92-97, maio 2020. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316474/pdf/tjo-33-02-92.pdf. Acesso em: 29 jul. 2024.
Srikumar, G.P.V.; Ghosh, M.; Kumar, A.A.; Bardia, S.; Wasule, A.; Beautlin, J.S. An in vitro evaluation of Icon resin infiltrant penetration into demineralized enamel lesions using an indirect staining microscope analysis in dual fluorescence mode. Journal of conservative dentistry and endodontics, v.27, n. 4, p. 366-372, abr. 2024. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11108420/pdf/JCDE-27-366.pdf. Acesso em: 28 jul. 2024.
Todorova, V.I.; Filipov, IA, Khaliq AF, Verma P. Aesthetic Improvement of White Spot Fluorosis Lesions with Resin Infiltration. Folia Medica, vol.62, n. 1, p. 208-213, mar. 2020. Disponível em: https://foliamedica.bg/article/47731/. Acesso em: 28 jul. 2024.
Tumenas, I.; Pascottos, R.; Saade, J.L.; Bassani, M. Odontologia minimamente invasiva. Revista da Associação Paulista de Cirurgiões-Dentistas, v.68, n. 4, p. 283-295, out./nov. 2014. Disponível em: http://revodonto.bvsalud.org/scielo.php?pid=S0004-52762014000400002&script=sci_abstract. Acesso em: 30 jul. 2024.
Vyavhare, S.; Sharma, D.S.; Kulkarni, V.K. Effect of three different pastes on remineralization of initial enamel lesion: an in vitro study. The Journal Of Clinical Pediatric Dentistry, v.39, n. 2, p. 149–160, mar. 2015. Disponível em: https://oss.jocpd.com/files/article/20220719-586/pdf/JOCPD39.2.149.pdf. Acesso em: 30 jul. 2024.
Wierichs, R.J.; Abou-Ayash, B.; Kobbe, C.; Esteves-Oliveira, M.; Wolf, M.; Knaup, I.; Meyer-Lueckel, H. Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up. Clinical oral investigations, v.27, n. 5, p.1945-1952, jan. 2023. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160188/pdf/784_2022_Article_4843.pdf. Acesso em: 29 jul. 2024.
Wierichs, R.J.; Langer, F.; Kobbe, C.; Abou-Ayash, B.; Esteves-Oliveira, M.; Wolf, M.; Knaup, I.; Meyer-Lueckel, H. Aesthetic caries infiltration - Long-term marking efficacy after 6 years. Journal of Dentistry, v.132, n. 1, e104474, maio 2023. Disponível em: https://www.sciencedirect.com/science/article/pii/S0300571223000611?via%3Dihub. Acesso em: 28 jul. 2024.
Yoo, H.K.; Kim, S.H.; Kim, S.I.; Shin, Y.S.; Shin, S.J.; Park, J.W. Seven-year follow-up of resin infiltration treatment on noncavitated proximal caries. Operative dentistry, vol.44, n. 1, p. 8-12, jan. 2019. Disponível em: https://meridian.allenpress.com/operative-dentistry/article/44/1/8/107563/Seven-year-Follow-up-of-Resin-Infiltration. Acesso em: 30 jul. 2024.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Isadora Francielle Silva, Daniella Cristina Borges, Heitor Menezes Dias, Leonardo Bíscaro Pereira, Lorene Queiroz Casali Reis, Marcos Bilharinho de Mendonça, Rodrigo Soares de Andrade, Ivania Aparecida Pimenta Santos Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are copyright holders under a CCBY 4.0 license.
