Effectiveness of Resin-Infiltration in Masking White Spot Lesions and Enamel Defects, Color Stability and Inhibition of Caries Progression: A Systematic Review

 

Amaradri Sravya, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Andhra Pradesh, IndiaFollow
Chandrappa Vinay, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Andhra Pradesh, IndiaFollow
Kadidal Uloopi, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Andhra Pradesh, IndiaFollow
Peddi Ravigna, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Andhra Pradesh, IndiaFollow
Penmatsa Chaitanya, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Andhra Pradesh, IndiaFollow
Spandana Cheeli, Department of Pedodontics and Preventive Dentistry, Vishnu Dental College, Andhra Pradesh, IndiaFollow

Abstract

Objective: The study aims to demonstrate the efficacy of resin-infiltration in masking white spot lesions and enamel defects, color stability, and caries progression inhibition in primary and permanent teeth. Methods: PubMed, Cochrane library, Wiley Online Library, and Google Scholar databases were searched from 2018 to 2022 and only randomized controlled clinical trials (RCT’s) were included. The studies were analyzed regarding the clinical efficacy of resin-infiltration in masking white spot lesions and enamel defects, color stability, and inhibition of caries progression. Results: Of the 14 articles identified, 5 RCTs were included. The quality of the studies was assessed to be high concerning allocation and outcomes. All the included studies showed significant differences in caries progression, masking, and color stability between test and control groups. Conclusion: The use of resin filtration significantly improved clinical outcomes in controlling proximal caries lesions and masking and color stability of enamel defects on smooth surfaces, compared to other non-invasive approaches.

References Frencken JE, Peters MC, Manton DJ, Leal SC, Gordan VV, Eden E. Minimal intervention dentistry for managing dental caries – a review: Report of a FDI task group. Int Dent J. 2012; 62(5):223–43. Tyas MJ, Anusavice KJ, Frencken JE, Mount GJ. Minimal intervention dentistry — a review*: FDI Commission Project 1–97. Int Dent J. 2000; 50(1):1–12. de Amorim RG, Figueiredo MJ, Leal SC, Mulder J, Frencken JE. Caries experience in a child population in a deprived area of Brazil, using ICDAS II. Clin Oral Invest. 2012; 16(2):513–20. Kidd E, Pitts NB. A reappraisal of the value of the bitewing radiograph in the diagnosis of posterior approximal caries. Br Dent J. 1990; 169(7):195–200. de Araujo FB, de Araujo DR, dos Santos CK, de Souza MA. Diagnosis of approximal caries in primary teeth: radiographic versus clinical examination using tooth separation. Am J Dent. 1996; 9(2):54–6. Anderson M, Stecksén-Blicks C, Stenlund H, Ranggård L, Tsilingaridis G, Mejàre I. Detection of approximal caries in 5-year-old Swedish children. Caries Res. 2005; 39(2):92–9. Mestriner SF, Pardini LC, Mestriner WJ. Impact of the bitewing radiography exam inclusion on the prevalence of dental caries in 12-year-old students in the city of Franca, São Paulo, Brazil. J Appl Oral Sci. 2006; 14(3):167–71. Ekstrand KR, Bruun G, Bruun M. Plaque and gingival status as indicators for caries progression on approximal surfaces. Caries Res. 1998; 32(1):41–5. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662–6. Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progressions of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006; 40(2):124–9. Meyer-Lueckel H, Paris S. Progression of artificial enamel lesions after infiltration with experimental light curing resins. Caries Res. 2008; 42(2):117–24. Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: An efficacy randomized trial. J Dent Res. 2010; 89(8):823–6. Mejàre I, Mjör IA. Prognosis for Caries and Restorations. In Fejerskov O, Kidd E, editors. Dental caries: The disease and its Clinical Management. Blackwell Munksgaard; 2003. pp. 295–302. Lillehagen M, Grindefjord M, Mejàre I. Detection of approximal caries by clinical and radiographic examination in 9-year-old Swedish children. Caries Res. 2007 ;41(3):177–85. Kleter GA. Discoloration of dental carious lesions (a review). Arch Oral Biol. 1998; 43(8):629–32. Denis M, Atlan A, Vennat E, Tirlet G, Attal JP. White defects on enamel: diagnosis and anatomopathology: Two essential factors for proper treatment (part 1). Int Orthod. 2013; 11(2):139–65. Torres CRG, Borges AB. Color masking of developmental enamel defects: A case series. Oper Dent. 2015; 40(1):25–33. Heymann GC, Grauer D. A contemporary review of white spot lesions in orthodontics. J Esthet Restor Dent. 2013; 25(2):85–95. Bishara SE, Ostby AW. White spot lesions: Formation, prevention, and treatment. Semin Orthod. 2008; 14(3):174–82. Akin M, Basciftci FA. Can white spot lesions be treated effectively? Angle Orthod. 2012; 82(5):770–5. Huang GJ, Roloff-Chiang B, Mills BE, Shalchi S, Spiekerman C, Korpak AM, Starrett JL, Greenlee GM, Drangsholt RJ, Matunas JC. Effectiveness of MI Paste Plus and PreviDent fluoride varnish for treatment of white spot lesions: A randomized controlled trial. Am J Orthod Dentofacial Orthop. 2013; 143(1):31–41. Knösel M, Attin R, Beckers K, Attin T. A randomized CIE lab evaluation of external bleaching therapy effects on fluorotic enamel stains. Quintessence Int. 2008; 39(5):391–99. Paris S, Meyer-Lueckel H. Masking of labial enamel white spot lesions by resin infiltration--a clinical report. Quintessence Int. 2009; 40(9):713–8. Paris S, Schwendicke F, Keltsch J, Dorfer C, Meyer-Lueckel H. Masking of white spot lesions by resin infiltration in vitro. J Dent. 2013; 41(Supplement 5):e28–34. Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis-a systematic review and meta-analysis. Clin Oral Investig. 2021; 25(8):4711–9. Ibrahim DFA, Venkiteswaran A, Hasmun NN. Esthetic effects and color stability of resin infiltration on demineralized enamel lesions: A systematic review. J Int Soc Prev Community Dent. 2023; 13(4):273–86. Doméjean S, Ducamp R, Léger S, Holmgren C. Resin infiltration of non-cavitated caries lesions: a systematic review. Med Princ Pract. 2015; 24(3):216–21. Cebula M, Göstemeyer G, Krois J, Pitchika V, Paris S, Schwendicke F, et al. Resin infiltration of non-cavitated proximal caries lesions in primary and permanent teeth: A systematic review and scenario analysis of randomized controlled trials. J Clin Med. 2023; 12(2):727. Recommended Citation

Sravya, A., Vinay, C., Uloopi, K., Ravigna, P., Chaitanya, P., & Cheeli, S. Effectiveness of Resin-Infiltration in Masking White Spot Lesions and Enamel Defects, Color Stability and Inhibition of Caries Progression: A Systematic Review. J Dent Indones. 2025;32(2): 139-146

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