Naslov
Resin infiltration as an aesthetic solution for a patient with enamel hypomineralization caused by dental fluorosis
(Resin infiltration as an aesthetic solution for a patient with enamel hypomineralization caused by dental fluorosis)

Autori
Jauković, Vera ; Vrebac, Mihaela ; Grabarević, Lana ; Goršeta, Kristina

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, neobjavljeni rad, stručni

Skup
Kongres “Hrvatski dani dječje stomatologije – 2022“

Mjesto i datum
Zagreb, Hrvatska, 02.12.2022. - 03.12.2022

Vrsta sudjelovanja
Poster

Vrsta recenzije
Domaća recenzija

Ključne riječi
dentalna fluoroza ; infiltracija smolom ; minimalno invazivno
(dental fluorosis ; resin infiltration ; minimally invasive)

Sažetak
Introduction: Developmental enamel defects inevitably impair the aesthetics of the teeth and can subsequently have a negative effect on patient's self-confidence. During enamel formation, the leading cause for the development of dental fluorosis is excessive fluoride ingestion. Dental fluorosis is characterized as enamel hypomineralization which, due to the presence of porosity, refracts light differently compared to sound enamel. Clinically, it’s presented with mottled opacities, varying from white to yellowish. Several treatment options can be performed in this case, one of which is, in fact, invasive. Low-viscosity resin infiltration has shown to be a successful treatment option for white enamel lesions, mild to moderate fluorosis, and other hypomineralization lesions. Case report: In this clinical case, the patient expressed dissatisfaction with the aesthetics of the upper frontal teeth. A non-invasive low-viscosity resin infiltration technique (Icon®, DMG, Hamburg, Germany) was performed on a patient diagnosed with mild dental fluorosis (according to Dean), who had recently completed his fixed orthodontic therapy. Based on the "Tooth surface index of fluorosis" (TSIF), 4 etching cycles with Icon-Etch (15% hydrochloric acid) were determined in order to remove the lesions. Resin infiltration was performed in accordance with the manufacturer's instructions. With regard to the fluorosis index, 4 etching cycles were performed, after which the acid was rinsed thoroughly, furthermore the tooth was dried, and lastly the Icon-Dry (99% ethanol) solvent was applied. The surface of the teeth was observed in order to determine whether anticipated colour transformation had occurred. Furthermore, the resin Icon-Infiltrant (TEGDMA based resin matrix) was infiltrated. All lesions were completely removed in one visit. After 6 months, a follow-up consultation with the patient was scheduled, and the results demonstrated complete colour stability and definite patient satisfaction. Conclusion: In milder forms of dental fluorosis, surface infiltration of hypomineralized enamel with low-viscosity resin may be the only non-invasive therapeutic choice for complete removal of the lesion.

Izvorni jezik
Engleski

Znanstvena područja
Dentalna medicina

POVEZANOST RADA