Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study
Abstract
:1. Introduction
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- Aesthetic results and his stability over time;
- -
- Reduction of hypersensitivity, if present.
2. Materials and Methods
2.1. Sample Description
- -
- Patients subjected to infiltrative treatment with resin (ICON-DMG) from January 2020 to July 2020.
- -
- Elements of anterior sector affected by mild or moderate degree of MIH (according to the classification of Mathu-Muju and Wright) [11].
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- Elements of anterior sector with mild or moderate degree of fluorosis (according to the Thylstrup and Ferjerskov index) [12].
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- Elements of anterior sector with post-traumatic hypomineralization.
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- Elements with conservative treatments;
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- Cavitated enamel defects;
- -
- Enamel defects with post-eruptive etiology;
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- Severe degree of MIH;
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- Severe degree of Fluorosis.
2.2. Infiltrative Resin Treatment Procedure
2.3. Photographic Documentation and Chromatic Evaluation
- 1:
- Clinically excellent/very good (Good color match. No difference in shade and translucency);
- 2:
- Clinically good (minor deviations);
- 3:
- Clinically sufficient/satisfactory (Clear deviation but acceptable. Does not affect aesthetics);
- 4:
- Clinically unsatisfactory (Localized-clinically unsatisfactory but can be corrected by repair);
- 5:
- Clinically poor (Unacceptable. Replacement necessary) [13].
2.4. Dentinal Hypersensitivity
- -
- The Shiff Air Index was used to evaluate the perception of discomfort after the application of air using an air-spray syringe for 3 s at 2 mm of distance and perpendicular to the tooth surface.
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- The Wong–Baker Faces Pain Rating Scale was used to characterize pain; this scale uses values ranging from 0 to 10, where 0 represents “no pain” and 10 represents “very strong pain”.
2.5. Statistical Analysis
3. Results
3.1. Study Population
3.2. Qualitative Visual Evaluation
3.3. Dentin Hypersensitivity Assessment
3.4. Statistical Analysis
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variable | N (%) |
---|---|
DDE Type | |
1. Moderate or low-grade MIH | 24 (72.7) |
2. Moderate or low-grade Fluorosis | 5 (15.2) |
3. Trauma | 4 (12.1) |
Treated teeth (mean; 95% CI) | 3.5 (2.9–4.0) |
Age in years (mean; 95% CI) | 11 (10.4–11.6) |
Index/Variable | Values | |||||
---|---|---|---|---|---|---|
FDI | 1 | 2 | 3 | 4 | 5 | |
Time 0 | 6 (18.2) | 16 (48.5) | 11 (33.3) | |||
Time 1 | 20 (60.6) | 6 (18.2) | 2 (6.1) | 5 (15.1) | ||
Time 2 | 20 (60.6) | 7 (21.2) | 4 (12.1) | 2 (6.1) | ||
Wong Scale | 0 | 2 | 4 | 6 | 8 | 10 |
Time 0 | 14 (42.4) | 7 (21.2) | 4 (12.1) | 1 (3.1) | 5 (15.1) | 2 (6.1) |
Time 1 | 26 (78.8) | 4 (12.1) | 3 (9.1) | |||
Time 2 | 28 (84.9) | 5 (15.1) | ||||
Shiff Air Index | 0 | 1 | 2 | 3 | ||
Time 0 | 17 (51.5) | 5 (15.1) | 3 (9.1) | 8 (24.3) | ||
Time 1 | 27 (81.8) | 4 (12.1) | 2 (6.1) | |||
Time 2 | 27 (81.8) | 6 (18.2) |
Variable | Coefficient | 95% C.I. | p-Value |
---|---|---|---|
DDE Type | |||
1. Moderate or low-grade MIH | Reference | ||
2. Moderate or low-grade Fluorosis | 0.6 | (−0.1, −1.3) | 0.09 |
3. Trauma | 0.5 | (−0.3, 1.3) | 0.2 |
Time | |||
0 | Reference | ||
1 | −2.5 | (−2.8, −2.2) | <0.001 |
2 | −2.5 | (−2.8, −2.3) | <0.001 |
Interaction WSL Type × Time | |||
1 × 0 | Reference | ||
2 × 1 | −0.9 | (−1.6, −0.2) | 0.009 |
2 × 2 | −0.9 | (–1.5, −0.2) | 0.012 |
3 × 1 | 2 | (1.3, 2.7) | <0.001 |
3 × 2 | 1.3 | (0.6, 2.0) | 0.001 |
Variable | Coefficient | 95% C.I. | p-Value |
---|---|---|---|
DDE Type | |||
1. Moderate or low-grade MIH | Reference | ||
2. Moderate or low-grade Fluorosis | −0.5 | (−2.5, 1.6) | 0.7 |
3. Trauma | −2.3 | (−4.5, 0.1) | 0.052 |
Time | |||
0 | Reference | ||
1 | −2.4 | (−3.3, −1.5) | <0.001 |
2 | −2.8 | (−3.7, −1.9) | <0.001 |
Interaction WSL Type × Time | |||
1 × 0 | Reference | ||
2 × 1 | −0.4 | (−2.6, 1.8) | 0.7 |
2 × 2 | 0.1 | (−2.2, 2.2) | 0.9 |
3 × 1 | 1.4 | (−1.0, 3.8) | 0.3 |
3 × 2 | 1.8 | (−0.6, 4.2) | 0.1 |
Variable | Coefficient | 95% C.I. | p-Value |
---|---|---|---|
DDE Type | |||
1. Moderate or low-grade MIH | Reference | ||
2. Moderate or low-grade Fluorosis | 0.3 | (−0.5, 1.1) | 0.5 |
3. Trauma | −0.6 | (−1.5, 0.3) | 0.2 |
Time | |||
0 | Reference | ||
1 | −0.8 | (−1.2, −0.5) | <0.001 |
2 | −0.9 | (−1.2, −0.5) | <0.001 |
Interaction WSL Type × Time | |||
1 × 0 | Reference | ||
2 × 1 | −0.2 | (−1.0, 0.7) | 0.7 |
2 × 2 | −0.3 | (−1.2, 0.5) | 0.4 |
3 × 1 | 0.3 | (−0.6, 1.3) | 0.5 |
3 × 2 | 0.4 | (−0.5, 1.3) | 0.4 |
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Brescia, A.V.; Montesani, L.; Fusaroli, D.; Docimo, R.; Di Gennaro, G. Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study. Children 2022, 9, 1365. https://doi.org/10.3390/children9091365
Brescia AV, Montesani L, Fusaroli D, Docimo R, Di Gennaro G. Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study. Children. 2022; 9(9):1365. https://doi.org/10.3390/children9091365
Chicago/Turabian StyleBrescia, Alessia Vincenza, Lorenzo Montesani, Dimitri Fusaroli, Raffaella Docimo, and Gianfranco Di Gennaro. 2022. "Management of Enamel Defects with Resin Infiltration Techniques: Two Years Follow Up Retrospective Study" Children 9, no. 9: 1365. https://doi.org/10.3390/children9091365