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Clinical Oral Investigations

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Open Access 01-06-2024 | Research

Resin infiltration versus fluoride varnish for visual improvement of white spot lesions during multibracket treatment. A randomized-controlled clinical trial

Authors: Yamen Kashash, Sascha Hein, Gerd Göstemeyer, Pervin Aslanalp, Manon Isabelle Weyland, Theodosia Bartzela

Published in: Clinical Oral Investigations | Issue 6/2024

Abstract

Aims

This study aimed to evaluate the visual improvement of resin infiltration of white spot lesions (WSL) during orthodontic treatment with the multibracket appliance (MBA) compared to fluoride varnish.

Methods

Patients aged 12–17 years with at least one WSL with an International Caries Detection and Assessment System (ICDAS) score of 1–2 during an active MBA treatment were included and randomized to receive either resin infiltration (Icon) or fluoride application (Flairesse). Standardized digital images were obtained before, one-day, one-week, one-month, three-months and six-months after treatment using a DSLR camera and a matching polarization filter. A grey reference card was used for color standardization. A Matlab routine was used to measure the color difference between adjacent healthy enamel and treated WSL. The independent-samples t-test was used for intergroup and paired-samples t-test for intragroup comparison.

Results

Images of 116 teeth from 36 patients were analyzed. The ΔE for the “Icon” treated WSL was smaller (T1_ICON = 5.0 ± 1.4) than in the fluoride group (T1_Fluoride = 8.4 ± 3.2). Caries infiltration significantly improved the aesthetic appearance of WSL (p < 0.001), which remained satisfactory at six months (T5_ICON = 5.2 ± 1.6).

Conclusion

WSL infiltration management during orthodontic treatment was superior to topical fluoridation in not only arresting the enamel lesions but also significantly improving the aesthetic appearance of demineralized regions around the brackets.

Clinical relevance

WSL treatment in orthodontic patients is usually initiated after debonding. Research has shown that the earlier WSL is treated, the better the aesthetic outcome. There is limited data on the efficacy of resin infiltration of WSL during orthodontic treatment.

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Title: Resin infiltration versus fluoride varnish for visual improvement of white spot lesions during multibracket treatment. A randomized-controlled clinical trial
Authors: Yamen Kashash
Sascha Hein
Gerd Göstemeyer
Pervin Aslanalp
Manon Isabelle Weyland
Theodosia Bartzela
Publication date: 01-06-2024
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 6/2024
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-024-05695-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Resin infiltration versus fluoride varnish for visual improvement of white spot lesions during multibracket treatment. A randomized-controlled clinical trial

Abstract

Aims

Methods

Results

Conclusion

Clinical relevance

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aims

Methods

Results

Conclusion

Clinical relevance

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