PENETRATION DEPTH AND ENAMEL MICROHARDNESS OF RESIN INFILTRANT AND TRADITIONAL TECHNIQUES FOR TREATMENT OF ARTIFICIAL ENAMEL LESIONS | ||
| Alexandria Dental Journal | ||
| Article 4, Volume 41, Issue 1, April 2016, Pages 20-25 PDF (816.16 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/adjalexu.2016.59167 | ||
| Authors | ||
| El-zankalouny Shimaa M* ; Abd El Fattah Wegdan M* ; El- Shabrawy Sonia M* | ||
| Bachelor of Dentistry, BDS, Faculty of Dentistry, Alexandria University, Alexandria, Egypt. | ||
| Abstract | ||
| INTRODUCTION: Enamel white spot subsurface lesions compromise esthetics and precede cavitation; therefore, they must be halted by effective materials. OBJECTIVE: This study was done to evaluate the penetration depth and enamel microhardness of artificial enamel lesions treated with Icon, CPP-ACP, Exite F. MATERIALS AND METHODS: A sample of 49 sound premolars, indicated for orthodontic extraction were used to form the study group. The teeth were coated with a nail varnish, leaving a window of 4 mm × 4 mm, on buccal surfaces of sound, intact enamel. Teeth were immersed in demineralizing solution for 4 days to produce artificial enamel lesions. Seven of the demineralized teeth were treated with low viscosity resin (Icon Infiltrant, DMG, Hamburg, Germany), Seven with CPP-ACP (Tooth Mousse from G. C. Corporation, Japan) and seven with Exite F adhesive. Specimens were observed with a stereomicroscope and the penetration depth of the materials were measured. Enamel microhardness test were determined also on specimens using calibrated Vickers indenter. RESULTS: The maximum penetration depth was found in group I (Icon) followed by group II (CPP-ACP) finally group III (Exite F) and there was significant difference between them p=0.001 and the maximum microhardness was found in group I (Icon) followed by group II (CPP-ACP) followed by group III (Exite F) finally group IV(control) and there was significant difference between them p=0.009. CONCLUSIONS: Resin infiltration significantly has the highest penetration depth in comparison to Cpp-acp and Exite F,resin infiltration also significantly increase microhardness of demineralized enamel in comparison to Cpp-acp and Exite F. | ||
| Keywords | ||
| Resin infiltration; CPP-ACP; Exite F; white spot; penetration depth; microhardeness | ||
| References | ||
|
1. Silverstone LM. Structural alterations of human dental enamel during incipient carious lesion development. In: Rowe N (ed). Proceedings of symposium on incipient caries of enamel. November 11-12, 1977, the University of Michigan, School of Dentistry, Ann Arbor, MI: University of Michigan School of Dentistry; 1977. pp. 3-42.
2. Mann AB, Dickinson ME. Nanomechanics, chemistry, and structure at the enamel surface. Monogr Oral Sci. 2006; 19: 105-31.
3. Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res. 2004; 83 Spec No C: C35-8.
4. Cha SW, Yoon TC, Park SH, Lee CY, Kum KY. Quantitative analysis of mineral change in the initial carious lesion using confocal laser scanning microscopy. J Kor Acad Cons Dent. 2001; 26: 1-8.
5. Kwun JW, Kim KY, Lee SJ, Jung IY, Lee CY. The effect of the supersaturated solutions containing high concentrations of fluoride on seeded crystal growth. J Kor Acad Cons Dent. 1999; 24: 330-6.
6. Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in vitro: Influence of the application procedure. Oper Dent. 2006; 31: 338- 45.
7. Paris S, Meyer-Lueckel H. Inhibition of caries progression by resin infiltration in situ. Caries Res. 2010; 44: 47-54.
8. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86: 662-6.
9. Meyer-Lueckel H, Paris S. Improved resin infiltration of natural caries lesions. J Dent Res. 2008; 87: 1112-6.
10. Paris S, Dörfer CE, Meyer-Lueckel H. Surface conditioning of natural enamel caries lesions in deciduous teeth in preparation for resin infiltration. J Dent. 2010; 38: 65-71.
11. Shen P, Cail F, Nowicki A, Vincent J, Reynolds EC. Remineralization of enamel subsurface lesions by sugar-free chewing Gum Containing Casein Phosphopeptide-Amorphous Calcium Phosphate CPP-ACP. J Dent Res. 2001; 80: 2066-70.
12. Kumar VL, Itthagarun A, King NM. The effect of casein phosphopeptide-amorphous calcium phosphate on remineralization of artificial caries-like lesions: An in vitro study. Aust Dent J. 2008; 53: 34- 40.
13. Taranath A, Pai D, Chakravarthy K. The role of casein phosphopeptide-amorphous calcium phosphate products in remineralization of incipient enamel lesions and its substantivity J Exp Integr Med. 2014; 4: 67-70.
14. Subramaniam P, Girish Babu KL, Lakhotia D. Evaluation of penetration depth of a commercially available resin infiltrate into artificially created enamel lesions. J Conserv Dent. 2014; 17: 146-9.
15. Davari AR, Kazemi AD, Ataei E, Vatanpour M, Abdollahi H. Effects of bleaching and remineralizing agents on the surface hardness of enamel. J Dent. 2012; 13: 156-63.
16. Library of congress cataloging-in publication data. Howell DC. Fundamental statistics for the behavioral sciences. Belmont, CA: Thomson/Wadsworth, 7th ed. 2011.
17. Andrian S. Tratamentul minim invaziv al cariei dentare. Editura, Princeps Edit, Iasi 2002; 94-5.
18. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86: 662-6.
19. Gugnani N, Pandit IK, Gupta M, Josan R. Caries infiltration of noncavitated white spot lesions: A novel approach for immediate esthetic improvement. Contemp Clin Dent. 2012; 3: S199-202.
20. Paris S, Meyer-Lueckel H, Colfen H, Kielbassa AM. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater. 2007; 23: 742- 8.
21. Paris S, Lausch J, Selje T, Dörfer CE, Meyer-Lueckel H. Comparison of sealant and infiltrant penetration into pit and fissure caries lesions in vitro. J Dent. 2014; 42: 432-8.
22. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86: 662-6.
23. Reynolds EC, Cai F, Cochrane NJ, Shen P, Walker GD, Morgan MV, et al. Fluoride and Casein Phosphopeptide-Amorphous Calcium Phosphate. J Dent Res. 2008; 87; 344-8.
24. Meyer-Lueckel H, Paris S, Mueller J, Cölfen E, Kielbassa AM. Influence of the application time on the penetration of different dental adhesives and a fissure sealant into artificial subsurface lesions in bovine enamel. Dent Mater. 2006; 22: 22-8.
25. Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progression of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006; 40: 124-9.
26. Paris S, Meyer-Lueckel H, Cölfen H, Kielbassa AM. Resin Infiltration of Artificial Enamel Caries Lesions with Experimental Light Curing Resins. Dent Mater J. 2007; 26: 582-8.
27. Altarabulsi MB, Alkilzy M, Petrou MA, Splieth C. Clinical safety, quality and effect of resin infiltration for proximal caries. Eur J Pediatr Dent. 2014; 15: 39- 44.
28. Meyer-Lueckel H, Bitter K, Paris S. Randomized controlled clinical trial on proximal caries infiltration: three-year follow up. Caries Res. 2012; 46: 544-8.
29. Torres CRG, Rosa PCF, Ferreira NS, Borges AB. Effect of caries infiltration technique and fluoride therapy on microhardness of enamel carious lesions. Oper Dent. 2012; 37: 363-9.
30. Paris S, Schwendicke F, Seddig S, Müller WD, Dörfer C, Meyer-Lueckel H. Micro-hardness and mineral loss of enamel lesions after infiltration with various resins: Influence of infiltrant composition and application frequency in vitro. J Dent. 2013; 41: 543-8.
31. Taher NM, Alkhamis HA, Dowaidi SM. The influence of resin infiltration system on enamel microhardness and surface roughness: An in vitro study. Saudi Dent J. 2012; 24: 79-84.
32. Bailey DL, Adams GG, Tsao CE, Hyslop A, Escobar K, Manton DJ, et al. Regression of post-orthodontic lesions by a remineralizing cream. J Dent Res. 2009; 88: 1148-53.
33. Reynolds EC, Cai F, Cochrane NJ, Shen P, Walker GD, Morgan MV, et al. Fluoride and casein phosphopeptide-amorphous calcium phosphate. J Dent Res. 2008; 87: 344-8.
34. Pancu G, Andrian S, Iovan G, Ghiorghe A, Topoliceanu C, Moldovanu A, et al. Study regarding the assessment of enamel microhardness in incipient carious lesion treated by ICON method. Romanian J Oral Rehabil2011; 3: 94-100. | ||
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