RESIN INFILTRATION FOR THE ESTHETIC IMPROVEMENT OF ANTERIOR TEETH WITH DEVELOPMENTAL DEFECTS AND POST-ORTHODONTIC DECALCIFICATION

전치부의 발육 결함 및 교정 후 탈회 병소의 심미적 개선을 위한 resin infiltration

  • Kim, Eun-Young (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • An, Ul-Jin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Shin (Department of Pediatric Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Tae-Sung (Department of Pediatric Dentistry, School of Dentistry, Pusan National University)
  • 김은영 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 안울진 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 김신 (부산대학교 치의학전문대학원 소아치과학교실) ;
  • 정태성 (부산대학교 치의학전문대학원 소아치과학교실)
  • Received : 2010.01.11
  • Accepted : 2010.04.19
  • Published : 2010.05.31

Abstract

The prevalence of developmental defects of enamel and lesios by post-orthodontic decalcification has been reported with increasing frequency. Even though there have been increasing interests and clinical challenges in esthetic improvement of these lesions, few of studies were reported for using non-invasive approach which is a very significant matter for child and young adults. This study was conducted to assess clinical effect on the improvement in color of these lesions via resin infiltration method developed as minimum invasive technique for white spot. For the 38 maxillary anterior teeth with calcification problem, the changes in color between before- and after- infiltration treatment, were evaluated and summarized as following. 1. A week after infiltration, 25% of developmental defects and 61% of decalcification lesions were improved in color as the value of ${\Delta}E $ below 3.7. 2. 40% of the developmental defects and 6% of decalcification lesions showed no significant change. 3. The developmental defects showed more remarkable changes in color 1 week after infiltration rather than immediately after the treatment. From our study results, it is considered that the amount of color improvement depended on the depth of lesion. In other words, for the lesion having more depth than the depth infiltrant resin can penetrate into, infiltration treatment showed no significant effect. Therefore, for clinical indication of resin infiltration treatment, further research on precise measurement technique of lesion depth is strongly required.

어린이 영구전치의 법랑질 발육 결함이나 고정성 장치에 의한 교정치료 후 탈회 병소는 흔히 심미적 문제를 유발한다. 본 연구는 상악 전치부에 위 원인에 의한 탈회로 인하여 백반양 병소를 보이는 21명 어린이의 38개 치아를 대상으로, 최근 비침습적인 방법으로 소개된 resin infiltration 기법을 적용하고, 병소의 색조의 임상적 개선 효과를 비교, 분석하여 다음과 같은 결과를 얻었다. 1. 1주 후 색조가 개선된 병소는 발육 결함 병소의 25%, 교정 탈회 병소의 61%로 나타났다. 2. 발육 결함 병소의 40%, 교정치료 후 탈회 병소의 6%에서는 시술 전후의 색조변화를 관찰할 수 없었다. 3. 법랑질 발육결함 병소에서는 시술 직후 보다 1주 후에 더 많은 색조 변화를 관찰할 수 있었다. 결과적으로 일부 증례에서는 색조의 극적인 개선이 관찰되었으나, 또 일부 증례에서는 변화가 거의 나타나지 않았는데, 이는 병소 깊이의 차이에 기인한 것으로 사료되었다.

Keywords

References

  1. Weerheijm KL : Molar incisor hypomineralization (MIH): clinical presentation, aetiology and management. Dent Update, 31:9-12, 2004.
  2. Benham AW, Campbell PM, Buschang PH : Effectiveness of pit and fissure sealants in reducing white spot lesions during orthodontic treatment. A pilot study. Angle Orthod, 79:338-345, 2009. https://doi.org/10.2319/022808-30.1
  3. Suzuki M, Jordan RE, Skinner DH, et al. : Clinical management of non-carious enamel defects. Int Dent J, 32:148-158, 1982.
  4. Artun J, Brobakken BO : Prevalence of carious white spots after orthodontic treatment with multibonded appliances. Eur J Orthod, 8:229-234, 1986. https://doi.org/10.1093/ejo/8.4.229
  5. O'Reilly MM, Featherstone JD : Demineralization and remineralization around orthodontic appliances: an in vivo study. Am J Orthod Dentofacial Orthop, 92:33-40, 1987. https://doi.org/10.1016/0889-5406(87)90293-9
  6. Ogaard B, Rolla G, Arends J : Orthodontic appliances and enamel demineralization. Part 1. Lesion development. Am J Orthod Dentofacial Orthop, 94:68-73, 1988. https://doi.org/10.1016/0889-5406(88)90453-2
  7. Ogaard B : Prevalence of white spot lesions in 19-year-olds: a study on untreated and orthodontically treated persons 5 years after treatment. Am J Orthod Dentofacial Orthop, 96:423-427, 1989. https://doi.org/10.1016/0889-5406(89)90327-2
  8. Ardu S, Castioni NV, Benbachir N, et al. : Minimally invasive treatment of white spot enamel lesions. Quintessence Int, 38:633-636, 2007.
  9. 강지선, 이상호, 이난영 : CPP-ACP제제를 이용한 법랑질 초기 우식증의 재광화 치험례. 대한소아치과학회지, 35:159-165, 2008.
  10. Willmot DR : White lesions after orthodontic treatment: does low fluoride make a difference? J Orthod. 31:235-242, 2004. https://doi.org/10.1179/146531204225022443
  11. Wright JT : The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent, 24:249-252, 2002.
  12. Bussadori SK, do Rego MA, da Silva PE, et al. : Esthetic alternative for fluorosis blemishes with the usage of a dual bleaching system based on hydrogen peroxide at 35%. J Clin Pediatr Dent, 28:143-146, 2004.
  13. Haywood VB, Leonard RH, Nelson CF, et al. : Effectiveness, side effects and long-term status of nightguard vital bleaching. J Am Dent Assoc, 125:1219-1226, 1994.
  14. Leonard RH Jr. : Efficacy, longevity, side effects, and patient perceptions of nightguard vital bleaching. Compend Contin Educ Dent, 19:766-774, 1998.
  15. Basting RT, Rodrigues Junior AL, Serra MC : The effect of 10% carbamide peroxide bleaching material on microhardness of sound and demineralized enamel and dentin in situ. Oper Dent, 26:531-539, 2001.
  16. Welbury RR, Shaw L : A simple technique for removal of mottling, opacities and pigmentation from enamel. Dent Update, 17:161-163, 1990.
  17. Welbury RR, Carter NE : The hydrochloric acidpumice microabrasion technique in the treatment of post-orthodontic decalcification. Br J Orthod, 20:181-185, 1993.
  18. Croll TP, Bullock GA : Enamel microabrasion for removal of smooth surface decalcification lesions. J Clin Orthod, 28:365-370, 1994.
  19. Rodd HD, Davidson LE : The aesthetic management of severe dental fluorosis in the young patient. Dent Update, 24:408-411, 1997.
  20. 박미령, 김종수, 김용기 : Microabrasion technique을 이용한 치아변색의 치료증례. 대한소아치과학회지, 24:511-517, 1997
  21. Dalzell DP, Howes RI, Hubler PM : Microabrasion: effect of time, number of applications, and pressure on enamel loss. Pediatr Dent, 17:207-211, 1995.
  22. Wong FS, Winter GB : Effectiveness of microabrasion technique for improvement of dental aesthetics. Br Dent J, 193:155-158, 2002. https://doi.org/10.1038/sj.bdj.4801511
  23. Malterud MI : Minimally invasive restorative dentistry: a biomimetic approach. Pract Proced Aesthet Dent, 18:409-414, 2006.
  24. Stahl J, Zandona AF : Rationale and protocol for the treatment of non-cavitated smooth surface carious lesions. Gen Dent, 55:105-111, 2007.
  25. Meyer-Lueckel H, Paris S : Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res, 42:117-124, 2008. https://doi.org/10.1159/000118631
  26. Paris S, Meyer-Lueckel H, Colfen H, et al. : Resin infiltration of artificial enamel caries lesions with experimental light curing resins. Dent Mater J, 26:582-588, 2007. https://doi.org/10.4012/dmj.26.582
  27. Robinson C, Brookes SJ, Kirkham J, et al. : In vitro studies of the penetration of adhesive resins into artificial caries-like lesions. Caries Res, 35:136-141, 2001. https://doi.org/10.1159/000047445
  28. Mueller J, Meyer-Lueckel H, Paris S, et al. : Inhibition of lesion progression by the penetration of resins in vitro: influence of the application procedure. Oper Dent, 31:338-345, 2006. https://doi.org/10.2341/05-39
  29. 이금랑, 안명기, 정태성, 김신 : 인접면 초기 우식 병소의 깊이에 따른 therapeutic sealing의 유효성 평가. 대한소아치과학회지, 36:394-403, 2009.
  30. Paris S, Meyer-Lueckel H, Kielbassa AM : Resin infiltration of natural caries lesions. J Dent Res, 86: 662-666, 2007. https://doi.org/10.1177/154405910708600715
  31. 문은배 : 색체의 활용. 도서출판 국제, 서울, 61-82, 2002.
  32. Johnston WM, Kao EC : Assessment of appearance match by visual observation and clinical colorimetry. J Dent Res, 68:819-822, 1989. https://doi.org/10.1177/00220345890680051301
  33. Newbrun E, Brudevold F : Studies on the physical properties of fluorosed enamel. I. Microradiographic studies. Arch Oral Biol, 2:15-20, 1960. https://doi.org/10.1016/0003-9969(60)90032-7
  34. Fejerskov O, Yaeger JA, Thylstrup A : Microradiography of the effect of acute and chronic administration of fluoride on human and rat dentine and enamel. Arch Oral Biol, 24:123-130, 1979. https://doi.org/10.1016/0003-9969(79)90060-8
  35. Deery C, Hosey, Therese M, et al. : Paediatric Cariology. Quintessence Essentials, 14-17, 2004.
  36. Meyer-Lueckel H, Paris S. : Improved resin infiltration of natural caries lesions. J Dent Res, 87:1112-1116, 2008. https://doi.org/10.1177/154405910808701201
  37. Tong LS, Pang MK, Mok NY, et al. : The effects of etching, micro-abrasion, and bleaching on surface enamel. J Dent Res, 72:67-71, 1993. https://doi.org/10.1177/00220345930720011001
  38. Meyer-Lueckel H, Paris S, Kielbassa AM : Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res, 41:223-230, 2007. https://doi.org/10.1159/000099323
  39. Paris S, Meyer-Lueckel H, Colfen H, et al. : Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater, 23:742-748, 2007. https://doi.org/10.1016/j.dental.2006.06.029
  40. Meyer-Lueckel H, Paris S, Mueller J, et al. : 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, 22:22-28, 2006. https://doi.org/10.1016/j.dental.2005.03.005
  41. Benson PE, Pender N, Higham SM : Enamel demineralisation assessed by computerised image analysis of clinical photographs. J Dent, 28:319-326, 2000. https://doi.org/10.1016/S0300-5712(00)00002-6
  42. Willmot DR, Benson PE, Pender N, et al. : Reproducibility of quantitative measurement of white enamel demineralisation by image analysis. Caries Res, 34:175-181, 2000. https://doi.org/10.1159/000016586
  43. Cochran JA, Ketley CE, Sanches L, et al. : A standardized photographic method for evaluating enamel opacities including fluorosis. Community Dent Oral Epidemiol, 32 Suppl 1:19-27, 2004.
  44. Benson PE, Shah AA, Willmot DR : Measurement of white lesions surrounding orthodontic brackets: captured slides vs digital camera images. Angle Orthod, 75:226-260, 2005.
  45. Paul S, Peter A, Pietrobon N, et al. : Visual and spectrophotometric shade analysis of human teeth. J Dent Res, 81:578-582, 2002. https://doi.org/10.1177/154405910208100815
  46. Paul SJ, Peter A, Rodoni L, et al. : Conventional visual vs spectrophotometric shade taking for porcelain- fused-to-metal crowns: a clinical comparison. Int J Periodontics Restorative Dent, 24:222-231, 2004.
  47. Artun J, Thylstrup A : Clinical and scanning electron microscopic study of surface changes of incipient caries lesions after debonding. Scand J Dent Res, 94:193-201, 1986.
  48. Artun J, Thylstrup A : A 3-year clinical and SEM study of surface changes of carious enamel lesions after inactivation. Am J Orthod Dentofacial Orthop, 95:327-333, 1989. https://doi.org/10.1016/0889-5406(89)90166-2