ICON penetrating resin for treatment of dental fluorosis: 1-year follow-up

doi:10.12307/2022.449

Abstract

Abstract: BACKGROUND: Dental fluorosis seriously affects the aesthetics of patients, and traditional oral filling materials have defects.
OBJECTIVE: To evaluate the clinical efficacy of Icon (DMG, Hamburg, Germany) penetrating resin in the treatment of dental fluorosis.
METHODS: ICON penetrating resin was used to treat dental fluorosis in 30 patients (200 teeth in total) admitted to Hebei Eye Hospital from December 2018 to December 2019. After treatment, patients’ subjective feelings about the treatment, including satisfaction with aesthetics, tooth sensitivity after treatment, and dignity with the treatment process, were counted through a questionnaire. The relationship between the size of the lesion, the tooth surface index of fluorosis, and the number of dental erosion required for the filling was calculated to investigate the effect of the lesion on the treatment.
RESULTS AND CONCLUSION: (1) The aesthetic satisfaction of 30 patients was higher at 3, 6, and 9 months after treatment than that before and immediately after treatment (P < 0.05). Among 30 patients, dentin hypersensitivity was not detected in 19 patients after resin restoration, and dentin sensitivity disappeared within 72 hours in 11 patients. All patients were satisfied with the treatment. (2) Before treatment, the proportion of tooth surface index of fluorosis scoring 1, 2, and 3 was 65.50%, 30.50%, and 4.00%,respectively. Immediately after treatment, the proportion of the tooth surface index of fluorosis scoring 0, 1, and 2 was 83.00%, 16.00%, and 1.00%, respectively. Spearman rank correlation analysis demonstrated a correlation between the number of dental erosion during the operation, the size of the lesion, and the tooth surface index of fluorosis. (3) It is concluded that ICON infiltration resin has a highly effective and stable effect for treating dental fluorosis. However, the size of the fluorosis lesion and the tooth surface index of fluorosis may affect the number of dental erosion during the procedure, which also needs to be taken into account by the practitioner.

Key words: dental fluorosis, resin infiltration, dental materials, minimally invasive techniques, number of dental erosion, tooth surface index of fluorosis, dentin sensitivity, aesthetic satisfaction

CLC Number:

Sun Honglei, Qi Fengna, Cheng Ruiqing. ICON penetrating resin for treatment of dental fluorosis: 1-year follow-up[J]. Chinese Journal of Tissue Engineering Research, 2022, 26(34): 5419-5424.

Figures/Tables 6

References

[1] 董国庆,李峥,熊传龙.国外饮用水氟与氟斑牙研究热点分析[J].中国卫生工程学,2018,17(1):11-14.
[2] 张成全,叶运莉,赖晋锋,等.燃煤污染型地氟病区中小学生氟斑牙流行现况[J].中国学校卫生,2018,39(4):609-611.
[3] 张琳.平阳县水氟含量和儿童氟斑牙患病率调查[J].中国热带医学, 2006(7):1326-1326.
[4] ROBINSON C, CONNELL S, KIRKHAM J, et al. The effect of fluoride on the developing tooth. Caries Res. 2004;38(3):e268-276.
[5] ZOTTI F, LAFFRANCHI L, FONTANA P, et al. Effects of fluorotherapy on oral changes caused by a vegan diet. Minerva Stomatol. 2014;63(5): e179-88.
[6] 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.
[7] WONG EY, STENSTROM MK. Onsite defluoridation system for drinking water treatment using calcium carbonate. J Environ Manage. 2018; 35(2):e137-143．
[8] 范淑玲,杨风莹.德州市饮水型氟病区氟斑牙患者心理健康研究[J].心理月刊,2020,15(18):220.
[9] 倪娜,张海涛,孙宁.8～12岁儿童氟斑牙检查方法[J].中国地方病防治杂志,2017,32(12):1336.
[10] 黄长青,王成海,张秀丽,等.地方性氟中毒病区与非病区儿童氟斑牙表现及意义[J].中华地方病学杂志,2005,24(1):64-66.
[11] 刘娅,赖晋锋,弓瑞琼,等. 地氟病区中学生氟斑牙患病现状及其与心理健康的关系[J].环境与职业医学,2014,31(8):591-595.
[12] NOR NAM. Methods and indices in measuring fluorosis: A review. Arch Orofac Sci. 2017;12(2):e77-85.
[13] Yeung CA. A systematic review of the efficacy and safety of fluoridation. Evid Based Dent. 2008;9(2):e39-43.
[14] MAZUR M, WESTLAND S, GUERRA F, et al. Objective and subjective aesthetic performance of icon® treatment for enamel hypomineralization lesions in young adolescents: A retrospective single center study. J Dent. 2018;68:e104-108.
[15] TIRLET G, CHABOUIS HF, ATTAL JP. Infiltration, a new therapy for masking enamel white spots: a 19-month follow-up case series. Eur J Esthet Dent. 2013;8(2):e180-190.
[16] CHEN M, LI JZ, ZUO QL, et al. Accelerated aging effects on color, microhardness and microstructure of ICON resin infiltration.European Review for Medical and Pharmacological Sciences. 2019;23(18):e7722-7731.
[17] LAFFRANCHI L, ZOTTI F, DALESSANDRI D, et al. Oral implications of the vegan diet: observational study. Minerva Stomatol. 2010;59(11-12): e583-591.
[18] ESTEVES CV, DE CAMPOS GW, GALLO RT, et al. Oral profile of eating disorders patients: case series. Spec Care Dentist. 2019;39(6):e572-577.
[19] ABDULLAH D, MOHAMED AMFS, LIEW AKC. Dentine hypersensitivity-like tooth pain associated with the use of high-dose steroid therapy. J Conserv Dent. 2019;22(1):e102.
[20] SHOJI N, ENDO Y, IIKUBO M, et al. Dentin hypersensitivity-like tooth pain seen in patients receiving steroid therapy: An exploratory study. J Pharmacol Sci. 2016;132(3):e187-191.
[21] ANDERSON CJ, KUGEL G, GERLACH R. A randomized, controlled comparison of two professional dentin desensitizing agents immediately post-treatment and 2 months post-treatment. Am J Dent. 2018;31(6):e297-302.
[22] MALCHIODI L, ZOTTI F, MORO T, et al. Clinical and esthetical evaluation of 79 lithium disilicate multilayered anterior veneers with a medium follow-up of 3 years. Eur J Dent. 2019;13(4):e581.
[23] TORLAKOVIC L, OLSEN I, PETZOLD C, et al. Clinical color intensity of white spot lesions might be a better predictor of enamel demineralization depth than traditional clinical grading. Am J Orthod Dentofacial Orthop. 2012;142(2):e191-198.
[24] ROQUE‐TORRES GD, KWON SR, OYOYO U, et al. Measurement of erosion depth using microcomputed tomography and light microscopy. Microsc Res Tech. 2020;83(12):e1450-1455.
[25] AUSCHILL TM, SCHMIDT KE, ARWEILER NB. Resin infiltration for aesthetic improvement of mild to moderate fluorosis: a six-month follow-up case report. Oral Health Prev Dent. 2015;13(4):e317-322.
[26] 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):e32-39.
[27] BORGES AB, CANEPPELE TMF, MASTERSON D, et al. Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review. J Dent. 2017;56:e11-18.
[28] PAN Z, QUE K, LIU J, et al. Effects of at-home bleaching and resin infiltration treatments on the aesthetic and psychological status of patients with dental fluorosis: A prospective study. J Dent. 2019;91: e103-228.
[29] LO GIUDICE R, LIPARI F, PULEIO F, et al. Spectrophotometric evaluation of enamel color variation using infiltration resin treatment of white spot lesions at one year follow-up. Dent J. 2020;8(2):e35.
[30] NARAYANAN R, PRABHUJI MLV, PARAMASHIVAIAH R, et al. Low-level Laser Therapy in Combination with Desensitising Agent Reduces Dentin Hypersensitivity in Fluorotic and Non-fluorotic Teeth—A Randomised, Controlled, Double-blind Clinical Trial. Oral Health Prev Dent. 2019; 17(6):e547-556.
[31] DUARTE-RODRIGUES L, RAMOS-JORGE ML, ALVES-DUARTE AC, et al. Oral disorders associated with the experience of verbal bullying among Brazilian school-aged children: A case-control study. J Am Dent Assoc. 2020;151(6):e399-406.
[32] TRIVEDI S, TRIVEDI A, BANDA NR, et al. Evaluation of Eruption Pattern and Caries Occurrence among Children Affected with Fluorosis. J Contemp Dent Pract. 2019;20:e1217-1222.
[33] ZAKIZADE M, DAVOUDI A, AKHAVAN A, et al. Effect of Resin Infiltration Technique on Improving Surface Hardness of Enamel Lesions: A Systematic Review and Meta-analysis. J Evid Based Dent Pract. 2020; 20(2):e101-405.