Assessment of Enamel Color Stability of Resins Infiltration Treatment in Human Teeth: A Systematic Review
Abstract
:1. Introduction
2. Materials and Methods
2.1. Research Strategy
2.2. Keywords and Search String
2.3. Quality Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Conflicts of Interest
References
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Year and Title | References | Was the Study Question or Objective Clearly Stated? | Was the Study Population Clearly and Fully Described, Including a Case Definition? | Were the Cases Consecutive? | Were the Subjects Comparable | Was the Intervention Clearly Described? | Were the Outcome Measures Clearly Defined, Valid, Reliable, and Implemented Consistently Across All Study Participants? | Was the Length of Follow-Up Adequate? | Were the Statistical Methods Well-Described? | Were the Results Well-Described? | |
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In-vivo color stability of enamel after ICON® treatment at 6 years of follow-up: a prospective single-center study. J Dent. 2022 Jan 13:103943. doi: 10.1016/j.jdent.2021.103943. | [8] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Color stability of resin infiltrated white spot lesion after exposure to stain-causing drinks. Saudi Journal of Biological Sciences (2021), doi: 10.1016/j.sjbs.2021.09.063 | [9] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Effect of tea on color stability of enamel lesions treated with resin infiltrant Dentistry, 18, art. no. 4. (2021) doi: 10.18502/fid.v18i4.5434 | [10] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Esthetic Management of Incisors with Diffuse and Demarcated Opacities: 24 Month Follow-up Case Report Operative Dentistry, 45 (6), pp. 569–574. (2020) doi: 10.2341/19-206-S | [11] | POOR | Y | Y | NA | NA | Y | NA | Y | NA | Y |
Resin Infiltration in Dental Fluorosis Treatment—1-Year Follow-Up Medicina 2021, 57, 22. (2020) doi: 10.3390/medicina57010022 | [12] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo. Angle Orthod 89: 33–39. (2019) doi: 10.2319/052118-383.1 | [13] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Surface properties and color stability of resin-infiltrated enamel lesions Operative Dentistry, 41 (6), pp. 617–626 (2016) doi: 10.2341/15-319-L | [14] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Evaluation of staining and color changes of a resin infiltration system Angle Orthodontist, 86 (6), pp. 900–904. (2016) | [15] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Hydrolytic and color stability of resin infiltration: a preliminary in vitro trial. J Contemp Dent Pract 7: 377–381. (2016) doi: 10.5005/jp-journals-10024-1858 | [16] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Evaluation of stain penetration by beverages in demineralized enamel treated with resin infiltration. Oper Dent; 41: 93–102. (2016) doi: 10.2341/13-259-L | [17] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Resin infiltration for aesthetic improvement of mild to moderate fluorosis: A six-month follow-up case report Oral Health and Preventive Dentistry, 13 (4), pp. 317–322. (2015) doi: 10.3290/j.ohpd.a32785 | [18] | POOR | Y | Y | NA | NA | Y | NA | Y | NA | Y |
Camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo: one-year follow-up. Angle Orthod; 85: 374–380. (2015) doi: 10.2319/050914-334.1 | [19] | GOOD | Y | Y | Y | Y | Y | Y | Y | Y | Y |
Year and Title | References | Autor and County | Materials and Methods | Aim and Conclusion |
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In-vivo color stability of enamel after ICON® treatment at 6 years of follow-up: a prospective single center study. J Dent. Jan 13:103943. (2022) doi: 10.1016/j.jdent.2021.103943. | [8] | Mazur M, Westland S, Ndokaj A, Nardi Gm, Guerra F, Ottolenghi L Italy | 76 teeth previously treated with ICON® due to hypo mineralized lesions of enamel were recalled for a follow-up. Color stability was assessed: (i) subjectively by patients using FDI-color matching criteria; (ii) objectively by calculating CIEDE2000 color differences between the affected/treated and sound enamel in each tooth at T0 (baseline), T1 (one year) and T2 (six years) based on spectrophotometric data. Analysis of correlation between FDI and CIEDE2000 data was performed. | This in-vivo clinical study provides subjective and objective documentation on color stability of enamel after resin infiltration at a mean observation time of six years after treatment. This study shows that caries infiltration satisfactorily masks aesthetically relevant lesions after longer follow-up. Subjective and objective outcomes showed a fair correlation mainly for the initial masking effect. |
Color stability of resin infiltrated white spot lesion after exposure to stain-causing drinks. Saudi Journal of Biological Sciences (2021), doi: 10.1016/j.sjbs.2021.09.063 | [9] | Alqahtani, S., Abusaq, A., Alghamdi, M., Shokair, N., Albounni, R Saudi Arabia | Thirty-three extracted human premolar teeth were used to create WSLs, and ICON resin infiltration treatment was performed to obliterate the enamel pores. Teeth with resin infiltrated WSLs were sectioned into two halves by cutting mesiodistally and cross-sectionally at 1 mm below the CEJ. The resin infiltrated specimens were exposed to control (artificial saliva) and staining subgroups. Color stability was assessed using the CIE L*a*b* system. | Assess the discoloration effect of red tea, Arabic coffee, and black coffee on the resin infiltrated white spot lesions (WSL). Moreover, to investigate the impact of time (1d, 3d, and 7d) on the discoloration of the resin infiltrated WSLs. Resin infiltrated WSLs showed marked color changes after exposure to red tea, black coffee, and Arabic coffee over time. Severe discoloration of the infiltrant was evident with the use of red tea compared to black coffee and Arabic coffee. This suggests that ICON resin-based composite material might not be a suitable material for WSL infiltration. |
Effect of tea on color stability of enamel lesions treated with resin infiltrant Dentistry, 18, art. no. 4. (2021) doi: 10.18502/fid.v18i4.5434 | [10] | Arjomand, M.E., Ganjkar, M.H., Ghamari, R. Iran | This in vitro, experimental study evaluated 30 extracted human third molars with no caries, cracks, or enamel defects. The samples were divided into three groups of 10, namely sound enamel, demineralized enamel, and demineralized enamel plus RI. White spot lesions (WSLs) were artificially created. Next, Icon RI was applied on the samples in group 3. The baseline color of the samples was measured using a spectrophotometer. They were immersed in tea solution 3 times a day, each time for 15 min, for a period of 2 weeks and then underwent colorimetry again. Data were analyzed using one-way ANOVA. | This study aimed to assess the effect of tea on color stability of enamel lesions treated with resin infiltrant (RI). Within the limitations of this in vitro study; the results showed that tea solution caused clinically unacceptable color change in all groups. However, the color stability of WSLs treated with RI was significantly lower than other groups following immersion in tea solution. |
Esthetic Management of Incisors with Diffuse and Demarcated Opacities: 24 Month Follow-up Case Report Operative Dentistry, 45 (6), pp. 569–574. (2020) doi: 10.2341/19-206-S | [11] | dos Santos Athayde, G., Jorge, R.C., Americano, G.C.A., Barja-Fidalgo, F., Soviero, V.M. Brazil | Clinical examination showed diffuse opacities in teeth 7, 8, 9, and 10, which was diagnosed as moderate fluorosis (score 5) based on the Thylstrup and Fejerskov Index for Dental Fluorosis. A yellow demarcated opacity in tooth 9 was diagnosed as MIH, according to the European Academy of Pediatric Dentistry because the first permanent molars were also affected the treatment decision was based on minimally invasive dentistry, using the infiltration technique with low-viscosity resin (Icon) and composite resin (TPH. Dentsply, São Paulo, Brazil) to mask the discolorations. | This clinical case report describes a minimally Invasive approach to mask diffuse and demarcated opacities in permanent anterior teeth using a resin infiltrant (Icon, DMG, Hamburg, Germany) and composite resin restoration. The esthetic treatment based on resin infiltration and composite achieved excellent results with color stability at the 24-month follow-up. Diffuse and demarcated opacities were masked in a single session that improved the patient’s self-esteem. |
Resin Infiltration in Dental Fluorosis Treatment—1-Year Follow-Up Medicina 2021, 57, 22. (2020) doi.org/10.3390/medicina57010022 | [12] | Francesca Zotti, Luca Albertini, Nicolò Tomizioli, Giorgia Capocasale and Massimo Albanese Italy | 200 fluorosis lesions were treated using ICON infiltrating resin (DMG, Hamburg, Germany). Parameters related to patients were collected by a questionnaire and analyzed aesthetic dissatisfaction about lesions, Shiff Air Index Sensitive Scale, sensitive teeth after treatment, the satisfaction of duration of treatment. The same operator measured dimensions of lesions Tooth Surface Index of Fluorosis (TSIF) and numbers of etching cycles needed for treating lesions. Statistical analysis was performed. The follow-up was 1 year after measurement was performed at baseline (t0), immediately after the treatment (t1), and every three months during the observation period | Regarding aesthetic dissatisfaction for white spots lesions, a significant statistical difference was noticed between values at t0 and t1, as well as for those between t1 and t2. This aspect is of great interest, it indicates that result obtained at the end of the treatment improved during the first three months of follow-up and patients answered more positively regarding the aesthetic results. This improvement was no longer highlighted after the third month of observation, likely meaning that the result of infiltration becomes stable, and it is not subject to changes, at least about patient perception. |
Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white- spot lesions in vivo. Angle Orthod 89: 33–39. (2019) doi: 10.2319/052118-383.1 | [13] | Knösel M, Eckstein A, Helms HJ. Germany | Of twenty subjects who received previous resin infiltration treatment non-cavitated postorthodontic WSL after multibracket treatment during a randomized controlled trial and were contacted 20 months after baseline, CIE-L*a*b* differences between summarized color and lightness values (DEWSL/SAE) of WSL and SAE were assessed using a spectrophotometer and compared to baseline data assessed prior to infiltration (T0), and those after 6 (T6), and 12 (T12) months using paired t tests at a significance level of a ¼ 5%. | To reassess the long-term camouflage effects of resin infiltration (Icon, DMG, Hamburg, Germany) of white spot lesions (WSL) and sound adjacent enamel (SAE) achieved in a previous trial. Assimilation of infiltrated WSL to the color of adjacent enamel by resin infiltration is considered to be suitable for the long-term improvement in the esthetic appearance of postorthodontic WSL. |
Surface properties and color stability of resin-infiltrated enamel lesions Operative Dentistry, 41 (6), pp. 617–626 (2016) doi: 10.2341/15-319-L | [14] | Zhao, X., Ren, Y.-F. Cina United States | Surface area roughness (Sa), Vickers microhardness (VHN), and CIE L∗a∗b∗color values were measured on sound enamel, resin-infiltrated lesions, and untreated lesions before and after aging. | To examine the surface topographies, microhardness, and color stability of resin-infiltrated enamel lesions before and after aging challenges in vitro using three-dimensional laser scanning profilometry, surface microhardness testing, spectrophotometry, and scanning electron microscopy. Surface hardness of enamel lesions increased significantly after resin infiltration and remained stable following thermocycling. Surface roughness and color stability of resin-infiltrated enamel lesions were less than ideal and might further deteriorate after aging in the oral environment |
Evaluation of staining and color changes of a resin infiltration system Angle Orthodontist, 86 (6), pp. 900–904. (2016) | [15] | Leland, A., Akyalcin, S., English, J.D., Tufekci, E., Paravina, R. United States | Six groups were formed (n 8 teeth/group) and were exposed to the following: red wine, coffee, orange juice, combined staining agents, accelerated aging, and distilled water for 1 week. The teeth were then polished with a prophy cup and polishing paste. Color properties were assessed using a spectrophotometer at baseline (T0), after each exposure (T1), and after polishing (T2) Color difference (DE∗) was calculated between each time point for both halves of the teeth (RI and NRI). Data were analyzed with a two-way analysis of variance with presence of resin infiltration and staining agents as the main effects for each time point pair. Multiple comparisons were made with a Bonferroni post hoc test. The level of significance was set at P, 0.05. | To analyze the staining and color changes of a resin infiltrant system used for management of white spot lesions (WSLs) RI areas showed higher staining susceptibility than did NRI areas. However, prophylaxis had a strong effect on reversing the discoloration of both RI and NRI areas. |
Hydrolytic and color stability of resin infiltration: a preliminary in vitro trial. J Contemp Dent Pract 7: 377–381. (2016) doi: 10.5005/jp-journals-10024-1858 | [16] | Ritwik P, Jones CM, Fan Y, Sarkar NK. | Color was recorded by spectral colorimeter. The samples were subjected to four experimental conditions: (1) group 1: Stored in lactic acid solution (pH 4.9) for 24 h; (2) group 2: Thermocycled for 100 cycles (temperatures: 5 °C, 55 °C, and dwell time of 15 s); (3) group 3: Stored in 0.1N sodium hydroxide solution (pH 12.48) for 14 days at 60 °C; (4) group 4: Stored in phosphate-buffered saline solution (pH 7.2) at 37 °C for 4 months. The weight and color were recorded again after removal of the samples from the experimental conditions. Scanning electron microscopy imaging was performed for samples from groups 1, 3, and 4. | This study evaluated the in vitro hydrolytic and color stability of the ICON® resin infiltration system (IC) in 42 extracted human teeth. Infiltration system exhibited greatest weight loss and color change in demineralizing solution. |
Evaluation of stain penetration by beverages in demineralized enamel treated with resin infiltration. Oper Dent; 41: 93–102. (2016) doi: 10.2341/13-259-L | [17] | Lee J, Chen JW, Omar S, Kwan SR, Meharry M. USA | Sixty extracted human permanent molars were demineralized, treated with resin infiltration (Icon), and immersed in four different beverages (coffee, grape juice, iced tea, and distilled water; N = 15) for four weeks. After aging, teeth in the distilled water group were stained with 2% methylene blue for 24 h. All teeth were sectioned, and stain penetration was evaluated under light microscopy. | To evaluate stain penetration by different beverages in artificially demineralized human teeth treated with resin infiltration. Both Icon and control surfaces exhibit stain penetration by different beverages (iced tea, grape juice, and coffee). However, resin-infiltrated enamel surfaces allow significantly less depth of stain penetration compared with untreated surfaces. The iced tea group presents greatest depth of stain penetration, followed by grape juice, methylene blue, and coffee |
Resin infiltration for aesthetic improvement of mild to moderate fluorosis: A six-month follow-up case report Oral Health and Preventive Dentistry, 13 (4), pp. 317–322. (2015) doi: 10.3290/j.ohpd.a32785 | [18] | Auschill, T.M., Schmidt, K.E., Arweiler, N.B. Germany | A 24-year-old woman with corresponds to scores 2 and 3 of Dean’s Fluorosis Index, as more than 25% and less than 50% of each tooth was affected and some brown staining was evident on the fluorosed portions of the teeth. Treatment of the fluorosed areas of the teeth using resin infiltration began two months following the last bleaching procedure of the teeth. the outcome of the treatment was effective and had long-term stability six months after treatment. | To determine whether fluorosed areas of teeth can be successfully treated with resin infiltration and whether the results are long lasting. This case report demonstrates that resin infiltration is an agreeable option for this type of tooth discoloration, rather than choosing more invasive, conventional procedures. More studies need to be completed to determine longer-term outcomes of the technique |
Camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo: one-year follow-up. Angle Orthod; 85: 374–380. (2015) doi: 10.2319/050914-334.1 | [19] | Eckstein A, Helms HJ, Knösel M. Germany | Twenty subjects (trial teeth n teeth 5 111) who had received resin infiltration treatment of non-cavitated post orthodontic WSLs were contacted for a 1-year follow-up assessment of CIEL*a*b* colors (T12). Color and lightness (CIE-L*a*b*) data for WSLs and SAE were compared to baseline data assessed before infiltration (T0) and those assessed after 6 months (T6), using a spectrophotometer. The target parameter was the difference between the summarized color and lightness values (DEWSL/SAE). Intergroup (WSL, SAE) and inter-time comparisons (T0 vs. T6, T12) were performed using paired t-tests at a significance level of a 5.5%. | To assess camouflage effects by concealment of post orthodontic white-spot lesions (WSLs) to sound adjacent enamel (SAE) achieved over 12 months with resin infiltration (Icon, DMG, Hamburg, Germany). As color and lightness characteristics of the Icon infiltrant as well as the esthetic camouflage effects achieved by WSL infiltration were not altered significantly or clinically relevant after 12 months, the method of resin infiltration can be recommended for an enduring esthetic improvement of post orthodontic WSL |
Year and Title | References | Autor and County | Study Designed | Follow-Up | Color Stability Assesed |
---|---|---|---|---|---|
In-vivo color stability of enamel after ICON® treatment at 6 years of follow-up: a prospective single center study. J Dent. Jan 13:103943. (2022) doi: 10.1016/j.jdent.2021.103943. | [8] | Mazur M, Westland S, Ndokaj A, Nardi Gm, Guerra F, Ottolenghi L Italy | follow-up of patients treated with infiltration during a single-center, split-mouth controlled trial | T0 (baseline), T1 (one year) T2 (six years) | Subjectively by patients using FDI-color matching criteria. Objectively by calculating CIEDE2000 color differences between the affected/treated and sound enamel based on spectrophotometric data. |
Color stability of resin infiltrated white spot lesion after exposure to stain-causing drinks. Saudi Journal of Biological Sciences (2021), doi: 10.1016/j.sjbs.2021.09.063 | [9] | Alqahtani, S., Abusaq, A., Alghamdi, M., Shokair, N., Albounni, R Saudi Arabia | in vitro, experimental study | T0 (baseline), T1 24 h T2 72 h T3 1 week | Color stability was assessed using the CIE L*a*b* system. |
Effect of tea on color stability of enamel lesions treated with resin infiltrant Dentistry, 18, art. no. 4. (2021) doi: 10.18502/fid.v18i4.5434 | [10] | Arjomand, M.E., Ganjkar, M.H., Ghamari, R. Iran | in vitro, experimental study | T0 (baseline), T1 2week | Color stability was assessed using the CIE L*a*b* system. |
Esthetic Management of Incisors with Diffuse and Demarcated Opacities: 24 Month Follow-up Case Report Operative Dentistry, 45 (6), pp. 569–574. (2020) doi: 10.2341/19-206-S | [11] | dos Santos Athayde, G., Jorge, R.C., Americano, G.C.A., Barja-Fidalgo, F., Soviero, V.M. Brazil | clinical case report | T0 (baseline), T1 6 months T2 24 months | Visual valutation |
Resin Infiltration in Dental Fluorosis Treatment—1-Year Follow-Up Medicina 2021, 57, 22. (2020) doi.org/10.3390/medicina57010022 | [12] | Francesca Zotti, Luca Albertini, Nicolò Tomizioli, Giorgia Capocasale and Massimo Albanese Italy | in vivo experimental study | t0: before the treatment t1: after treatment every 3 months during the observation period (t2, t3, t4) | Effective measurement of main length of lesions was determined by a digital software elaboration (Rasband, W.S., ImageJ, U. S. National Institutes of Health, Bethesda, Maryland, USA) of photographs by the same operator. |
Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white- spot lesions in vivo. Angle Orthod 89: 33–39. (2019) doi: 10.2319/052118-383.1 | [13] | Knösel M, Eckstein A, Helms HJ. Germany | second follow-up of the patients treated with WSL infiltration during a single-center, split-mouth controlled simple-randomized trial. | T0 (baseline), T1 6 months T2 12 months T3 24 months | Color stability was assessed using the CIE L*a*b* system. |
Surface properties and color stability of resin-infiltrated enamel lesions Operative Dentistry, 41 (6), pp. 617–626 (2016) doi: 10.2341/15-319-L | [14] | Zhao, X., Ren, Y.-F. Cina United States | in vivo, experimental study | T0 1 week | Color stability was assessed using the CIE L*a*b* system. |
Evaluation of staining and color changes of a resin infiltration system Angle Orthodontist, 86 (6), pp. 900–904. (2016) | [15] | Leland, A., Akyalcin, S., English, J.D., Tufekci, E., Paravina, R. United States | Case control in vitro study | T0 1 week baseline T1 after staining/aging. T2, a after polishing; | Color stability was assessed using the CIE L*a*b* system. |
Hydrolytic and colorsta-bility of resin infiltration: a preliminary in vitro trial. J Contemp Dent Pract 7: 377–381. (2016) doi: 10.5005/jp-journals-10024-1858 | [16] | Ritwik P, Jones CM, Fan Y, Sarkar NK. | in vitro, experimental study | Group 1 in a demineralizing solution for 24 h at room temperature. Group 2 comprised teeth that were subjected to 100 cycles of thermocycling with a dwell time of 15 s. Group 3 comprised teeth stored in sodium hydroxide solution for 14 days. Group 4 comprised teeth immersed in phosphate-buffered saline for 4 months. | Color stability was assessed using the CIE L*a*b* system. |
Evaluation of stain penetration by beverages in demineralized enamel treated with resin infiltration. Oper Dent; 41: 93–102. (2016) doi: 10.2341/13-259-L | [17] | Lee J, Chen JW, Omar S, Kwan SR, Meharry M. USA | in vitro, experimental study | T0 4 weeks. T1 6 months aging T2 in the distilled water group were stained with 2% methylene blue for 24 h. | A light microscope, at a magnification of 303 (Opto-metric Tools, Inc, Rockleigh, NJ, USA) connected to a magnescale LH10 (Sony, Tokyo, Japan), was used. |
Resin infiltration for aesthetic improvement of mild to moderate fluorosis: A six-month follow-up case report Oral Health and Preventive Dentistry, 13 (4), pp. 317–322. (2015) doi: 10.3290/j.ohpd.a32785 | [18] | Auschill, T.M., Schmidt, K.E., Arweiler, N.B. Germany | Case report | T0 baseline T1 six months after treatment. | Subjective evaluation |
Camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo: one-year follow-up. Angle Orthod; 85: 374–380. (2015) doi: 10.2319/050914-334.1 | [19] | Eckstein A, Helms HJ, Knösel M. Germany | follow-up of patients treated with WSL infiltration during a single-center, split-mouth controlled simple-randomized trial | T0 baseline T1 6 months, T2 12 months | Color stability was assessed using the CIE L*a*b* system. |
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Saccucci, M.; Corridore, D.; Di Carlo, G.; Bonucci, E.; Cicciù, M.; Vozza, I. Assessment of Enamel Color Stability of Resins Infiltration Treatment in Human Teeth: A Systematic Review. Int. J. Environ. Res. Public Health 2022, 19, 11269. https://doi.org/10.3390/ijerph191811269
Saccucci M, Corridore D, Di Carlo G, Bonucci E, Cicciù M, Vozza I. Assessment of Enamel Color Stability of Resins Infiltration Treatment in Human Teeth: A Systematic Review. International Journal of Environmental Research and Public Health. 2022; 19(18):11269. https://doi.org/10.3390/ijerph191811269
Chicago/Turabian StyleSaccucci, Matteo, Denise Corridore, Gabriele Di Carlo, Elisa Bonucci, Marco Cicciù, and Iole Vozza. 2022. "Assessment of Enamel Color Stability of Resins Infiltration Treatment in Human Teeth: A Systematic Review" International Journal of Environmental Research and Public Health 19, no. 18: 11269. https://doi.org/10.3390/ijerph191811269