Effect of Resin Infiltration and Microabrasion on the Microhardness of the Artificial White Spot Lesions (An in Vitro Study)

Main Article Content

Reem Majeed H.J. Al-Mamoori
Aseel Haidar M.J. Al Haidar

Abstract

Background: White spot lesion is the first visible sign of dental caries that is characterized by demineralized lesion underneath an intact surface. Several studies demonstrated that they could be treated using noninvasive techniques like the use of fluoride or casein phospho-peptide and amorphous calcium phosphate. Improvement in aesthetic outcomes by covering the demineralized enamel is one of the advantages of the use of resin infiltration and opal-ustre microabrasion, which are two new techniques that had been used for treatment of white spot lesion. The purpose of this study was to evaluate the impact of resin infiltration and microabrasion in the microhardness of the artificial white spot lesions at various depths. Material and method: Forty-eight artificially white spot lesions were divided into three groups (n=16) according to the depth of the lesion (shallow enamel, deep enamel, shallow dentine). Then, each of the main groups was divided into two subgroups (n = 8), the first group was treated with resin infiltration, while the second one was treated with Opalustre microabrasion. Assessment of the microhardness was done using Vickers hardness at the baseline, after demineralization (formation of the white spot lesion) and after the treatment with the resin infiltration and the microabrasion. Results: There was a significant difference in the microhardness of all the layers after demineralization. Although the hardness values that found among the icon group in the inner enamel and the outer dentine were higher than that of the opalustre, statistically there was no significant difference between the two mate-rials in all the layers of the white spot lesion. Conclusion: Microhardness values decrease as the depth of the white spot lesion increase. There was an increase in the microhardness values after the treatment with the resin infiltration and the microabrasion.

Article Details

How to Cite
1.
Al-Mamoori RMH, Al Haidar AHM. Effect of Resin Infiltration and Microabrasion on the Microhardness of the Artificial White Spot Lesions (An in Vitro Study). J Bagh Coll Dent [Internet]. 2022 Mar. 15 [cited 2022 May 28];34(1):44-50. Available from: https://jbcd.uobaghdad.edu.iq/index.php/jbcd/article/view/3091
Section
Research Articles

References

Tashima AY, Aldrigui JM, Bussadori SK, et al. Enamel microabrasion in pediatric dent.: case report. ConScientiae Saude. 2009; 8(1):133-8.

Heravi F, Ahrari F, Mahdavi M, et al. Comparative evaluation of the effect of Er: YAG laser and low level laser irradiation combined with CPP-ACPF cream on treatment of enamel caries. J Clin Exp Dent. 2014;6(2):e121.

Poosti M, Ahrari F, Moosavi H, et al. The effect of fractional CO 2 laser irradiation on remineralization of enamel white spot lesions. Lasers Med Sci. 2014;29(4):1349-55.

Abbas BA, Marzouk ES, Zaher AR. Treatment of various degrees of white spot lesions using resin infiltration—in vitro study. Prog Orthod. 2018 ;19(1):1-0.

Kühnisch J, Bücher K, Henschel V, et al. Reproducibility of DIAGNOdent 2095 and DIAGNOdent Pen measurements: results from an in vitro study on occlusal sites. Eur J Oral Sci. 2007 ;115(3):206-11.

Lussi A, Hibst R, Paulus R. DIAGNOdent: an optical method for caries detection. J Dent Res. 2004 ;83(1_suppl):80-3.

Giray FE, Durhan MA, Haznedaroglu E, et al. Resin infiltration technique and fluoride varnish on white spot lesions in chil-dren: Preliminary findings of a randomized clinical trial. Niger J Clin Pract. 2018;21(12):1564-9.

Moriyama CM, Rodrigues JA, Lussi A, et al. Effectiveness of fluorescence-based methods to detect in situ demineralization and remineralization on smooth surfaces. Caries Res. 2014;48(6):507-14.

Savas S, Kavrìk F, Kucukyilmaz E. Evaluation of the remineralization capacity of CPP-ACP containing fluoride varnish by different quantitative methods. J Appl Oral Sci. 2016; 24:198-203.

Ebrahimi M, Mehrabkhani M, Ahrari F, et al. The effects of three remineralizing agents on regression of white spot lesions in children: A two-week, single-blind, randomized clinical trial. J Clin Exp Dent. 2017;9(5):e641.

Prajapati D, Nayak R, Pai D, et al. Effect of resin infiltration on artificial caries: an in vitro evaluation of resin penetration and microhardness. Int J Clin Pediatr Dent. 2017 ;10(3):250.

Meyer-Lueckel H, Paris S. Improved resin infiltration of natural caries lesions. J Dent Res. 2008 ;87(12):1112-6.

Yetkiner E, Wegehaupt F, Wiegand A, et al. Colour improvement and stability of white spot lesions following infiltration, mi-cro-abrasion, or fluoride treatments in vitro. Eur J Orthod. 2014 ;36(5):595-602.

Croll TP, Helpin ML. Enamel microabrasion: a new approach. J Esthet Restor Dent. 2000 ;12(2):64-71.

Sundfeld RH, Croll TP, Briso AL, et al. Considerations about enamel microabrasion after 18 years. Am J Dent. 2007 ;20(2):67-72.

Attar IJ, Ghaib NH. The Effect of Some Remineralization Materials and Resin Infiltration (ICON) on the Depth of White Spot Lesions. J. Bagh. Coll. Dent. 2018;30(2).

Hussein KM, Al-Shamma AM. Effect of Staining and Brushing on the Surface Roughness of White Spot Lesions Treated with Resin Infiltration Technique. Indian J Public Health Res Dev. 2019 Oct 1;10(10).

Ansari MY, Agarwal DK, Gupta A, et al. Shear bond strength of ceramic brackets with different base designs: Comparative in-vitro study. JCDR. 2016 ;10(11):ZC64.

Bartlett DW, Coward PY. Comparison of the erosive potential of gastric juice and a carbonated drink in vitro. J Oral Rehabil. 2001 ;28(11):1045-7.

Jayarajan J, Janardhanam P, Jayakumar P. Efficacy of CPP-ACP and CPP-ACPF on enamel remineralization-An in vitro study using scanning electron microscope and DIAGNOdent®. Indian J Dent Res. 2011 ;22(1):77.

Ou XY, Zhao YH, Ci XK, et al. Masking white spots of enamel in caries lesions with a non-invasive infiltration technique in vitro. Genet Mol Res. 2014 ;13(3):6912-19.

Giray FE, Durhan MA, Haznedaroglu E, et al. Resin infiltration technique and fluoride varnish on white spot lesions in chil-dren: Preliminary findings of a randomized clinical trial. Niger J Clin Pract. 2018;21(12):1564-9.

Asl-Aminabadi N, Najafpour E, Samiei M, et al. Laser-Casein phosphopeptide effect on remineralization of early enamel lesions in primary teeth. J Clin Exp Dent. 2015 ;7(2):e261.

‏Mandava J, Reddy YS, Kantheti S, et al. Microhardness and penetration of artificial white spot lesions treated with resin or colloidal silica infiltration. JCDR. 2017 ;11(4): ZC142.‏

Esfahani KS, Mazaheri R, Pishevar L. Effects of treatment with various remineralizing agents on the microhardness of demin-eralized enamel surface. J Dent Res Dent Clin Dent Prospects. 2015;9(4):239.

Son JH, Hur B, Kim HC, et al. Management of white spots: resin infiltration technique and microabrasion. J Korean Acad Conserv Dent. 2011 ;36(1):66-71.

Torres CR, Rosa PC, Ferreira NS, et al. Effect of caries infiltration technique and fluoride therapy on microhardness of enamel carious lesions. Oper dent. 2012;37(4):363-9.

Gutiérrez-Salazar MD, Reyes-Gasga J. Microhardness and chemical composition of human tooth. Materials Research. 2003; 6:367-73.

Chuenarrom C, Benjakul P, Daosodsai P. Effect of indentation load and time on knoop and vickers microhardness tests for enamel and dentin. Mater. Res. 2009; 12:473-6.

Toledano M, Osorio R, Osorio E, et al. Microhardness of acid-treated and resin infiltrated human dentine. J. of dent. 2005 ;33(4):349-54.

Paris S, Schwendicke F, Seddig S, Müller WD, et al. Micro-hardness and mineral loss of enamel lesions after infiltration with various resins: influence of infiltrant composition and application frequency in vitro. J of dent. 2013 ;41(6):543-8.

Yazkan B, Ermis RB. Effect of resin infiltration and microabrasion on the microhardness, surface roughness and morphology of incipient carious lesions. Acta Odontol Scand. 2018 ;76(7):473-81.

Dos Santos Bertoldo CE, Pini NI, de Azevedo Miranda D, et al. Physicochemical properties of enamel after microabrasion technique. J of Res. in Dent. 2014;2(2):176-88.

Fragoso LS, Lima DA, De Alexandre RS, et al. Evaluation of physical properties of enamel after microabrasion, polishing, and storage in artificial saliva. Biomed Mater. 2011;6(3):035001.