International Journal of Clinical Pediatric Dentistry

Register      Login

VOLUME 13 , ISSUE 2 ( March-April, 2020 ) > List of Articles

Original Article

Spectrophotometric Evaluation of Color Change in Tooth Enamel Defects Using Resin Infiltrate: An In Vivo Study

Shikha Dogra, Anil Gupta, Sakshi Joshi, Vimanyu Kataria, Jyotika Saini, Monika Nagpal, Payal Narula

Keywords : DMG-Icon, Mild fluorosis, Resin infiltration, Spectrophotometer, Tooth discoloration, White spot lesions

Citation Information : Dogra S, Gupta A, Joshi S, Kataria V, Saini J, Nagpal M, Narula P. Spectrophotometric Evaluation of Color Change in Tooth Enamel Defects Using Resin Infiltrate: An In Vivo Study. Int J Clin Pediatr Dent 2020; 13 (2):150-154.

DOI: 10.5005/jp-journals-10005-1727

License: CC BY-NC 4.0

Published Online: 23-07-2020

Copyright Statement:  Copyright © 2020; The Author(s).


Abstract

Aim: To analyze the comparative change in pretreatment and posttreatment La*b* values of color in initial nonpitted white spot lesions of fluorosed teeth after resin infiltration with DMG-Icon spectrophotometrically with VITA easy shade. Materials and methods: A total of 30 maxillary and mandibular permanent anterior teeth with mild, nonpitted white spot lesions (atleast one) of fluorosis [till grade IV of Thylstrup and Fejerskov (TF) index] in patients between 6 years and 14 years of age were included in the present study. Shade of selected tooth and its white spot lesion area was recorded using VITA 3D shade guide, both pre and postoperatively, i.e., after application of DMG Icon. This was followed by recording the change in corresponding La*b* values of tooth shade and white spot lesion spectrophotometrically using VITA Easy Shade. Results obtained were analyzed statistically. Results: ΔE value of color change was found to be less than 3.7 in most of samples after resin infiltration and esthetically color change to naked eye was statistically significant (p value < 0.00001) postoperatively. Conclusion: Resin infiltration with DMG Icon can improve the color of non-cavitated white spot lesions. The esthetic effect of this treatment was evident immediately after treatment. Moreover, no cavitation occurred after etching, even when the surface layer had been eroded completely. Clinical significance: Achievement of esthetic results without loss of tooth structure and postoperative sensitivity.


HTML PDF Share
  1. dos Santos Medeiros MC, de Lima KC. Effectiveness of nightguard vital bleaching with 10% carbamide peroxide—a clinical study. J Can Dent Assoc 2008;74(2):163–163e.
  2. 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.
  3. Cavalheiro JP, Girotto-Bussaneli D, Restrepo M, et al. Clinical aspects of dental fluorosis according to histological features: a Thylstrup Fejerskov index review. Rev CES Odont 2017;30(1):41–50. DOI: 10.21615/cesodon.30.1.4.
  4. Train TE, McWhorter AG, Seale NS, et al. Examination of esthetic improvement and surface alteration following microabrasion in fluorotic human incisors in vivo. Pediatr Dent 1996;18(5): 353–362.
  5. Kim JH, Son HH, Chang J. Color and hardness changes in artificial white spot lesions after resin infiltration. Restor Dent Endod 2012;37(2):90–95. DOI: 10.5395/rde.2012.37.2.90.
  6. Gugnani N, Pandit IK, Gupta M, et al. Caries infiltration of noncavitated white spot lesions: a novel approach for immediate esthetic improvement. Contemp Clin Dent 2012;3(Suppl 2):S199–S202. DOI: 10.4103/0976-237X.101092.
  7. 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.
  8. 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):176–180. DOI: 10.4103/0970-4388.130996.
  9. 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.
  10. Matsuda DK, Khatod M, Antounian F, et al. Multicenter outcomes of arthroscopic surgery for femoroacetabular impingement in the community hospital setting. J Hip Preserv Surg 2016;3(4):318–324. DOI: 10.1093/jhps/hnw024.
  11. Mascarenhas AK. Risk factors for dental fluorosis: a review of the recent literature. Pediatr Dent 2000;22(4):269–277.
  12. Abanto Alvarez J, Rezende KM, Marocho SM, et al. Dental fluorosis: exposure, prevention and management. Med Oral Patol Oral Cir Bucal 2009;14(2):E103–E107.
  13. Adelário AK, Vilas-Novas LF, Castilho LS, et al. Accuracy of 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.
  14. Ng F, Manton DJ. Aesthetic management of severely fluorosed incisors in an adolescent female. Aust Dent J 2007;52(3):243–248. DOI: 10.1111/j.1834-7819.2007.tb00495.x.
  15. 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.
  16. 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.
  17. Knösel M, Vogel R, Sandoval P. Infiltration of white-spot-lesions and developmental enamel defects. Rev Clin Periodoncia Implantol Rehabil Oral 2017;10(2):101–106. DOI: 10.4067/S0719-01072017000200101.
  18. Chu SJ, Trushkowsky RD, Paravina RD. Dental color matching instruments and systems. Review of clinical and research aspects. J Dent 2010;38(Suppl 2):e2–e16. DOI: 10.1016/j.jdent.2010.07.001.
  19. Knösel M, Attin R, Becker K, et al. External bleaching effect on the color and luminosity of inactive white spot lesions after fixedorthodontic appliances. Angle Orthod 2007;77(4):646–652. DOI: 10.2319/060106-224.
  20. Son J-H, Hur B, Kim H-C, et al. Management of white spots: resin infiltration technique and microabrasion. J Korean Acad Cons Dent 2011;36(1):66–71. DOI: 10.5395/JKACD.2011.36.1.66.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.