Skip to main content

Resin Infiltration After Enamel Etching

  • Chapter
  • First Online:
Tooth Whitening

Abstract

Buccal white spot lesions are an unpleasant but frequent side effect of orthodontic treatment with fixed appliances but also developmental defects such as fluorosis appear as “white spots.” Resin infiltration was originally developed to arrest the progression of noncavitated caries lesions. The technique uses low-viscosity resins that penetrate the porous lesion body of white spot lesions. After infiltration, the material is light cured and thus blocks the diffusion pathways for acids and dissolved minerals. A positive side effect of resin infiltration is that infiltrated lesions lose their whitish appearance and look more similar to sound enamel. This effect can be used to camouflage aesthetically impairing white spot lesions. Using resin infiltration much less enamel is removed compared to micro-abrasion or restorative approaches. Nonetheless, significantly better aesthetic results compared with noninvasive approaches such as fluoridation can be achieved.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Attal JP, Atlan A, Denis M, Vennat E, Tirlet G (2014) White spots on enamel: treatment protocol by superficial or deep infiltration (part 2). Int Orthod 12(1):1–31. doi:10.1016/j.ortho.2013.12.011

    PubMed  Google Scholar 

  • Auschill TM, Schmidt KE, Arweiler NB (2015) Resin infiltration for aesthetic improvement of mild to moderate fluorosis: a six-month follow-up case report. Oral Health Prev Dent 13(4):317–322. doi:10.3290/j.ohpd.a32785

    PubMed  Google Scholar 

  • Crombie F, Manton D, Palamara J, Reynolds E (2014) Resin infiltration of developmentally hypomineralised enamel. Int J Paediatr Dent 24(1):51–55. doi:10.1111/ipd.12025

    Article  PubMed  Google Scholar 

  • Diab M, elBadrawy HE (2000) Intrusion injuries of primary incisors. Part III: effects on the permanent successors. Quintessence Int 31(6):377–384

    PubMed  Google Scholar 

  • Eckstein A, Helms HJ, Knosel M (2015) Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: one-year follow-up. Angle Orthod 85(3):374–380. doi:10.2319/050914-334.1

    Article  PubMed  Google Scholar 

  • Gugnani N, Pandit IK, Goyal V, Gugnani S, Sharma J, Dogra S (2014) Esthetic improvement of white spot lesions and non-pitted fluorosis using resin infiltration technique: series of four clinical cases. J Indian Soc Pedod Prev Dent 32(2):176–180. doi:10.4103/0970-4388.130996

    Article  PubMed  Google Scholar 

  • Keyes PH (1960) The infectious and transmissible nature of experimental dental caries. Findings and implications. Arch Oral Biol 1:304–320

    Article  PubMed  Google Scholar 

  • Kidd EAM, Fejerskov O (2004) What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res 83 Spec No C:C35–38

    Google Scholar 

  • Kim S, Kim EY, Jeong TS, Kim JW (2011) The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent 21(4):241–248. doi:10.1111/j.1365-263X.2011.01126.x

    Article  PubMed  Google Scholar 

  • Lovrov S, Hertrich K, Hirschfelder U (2007) Enamel demineralization during fixed orthodontic treatment – incidence and correlation to various oral-hygiene parameters. J Orofac Orthop 68(5):353–363

    Article  PubMed  Google Scholar 

  • Marsh PD (2003) Are dental diseases examples of ecological catastrophes? Microbiology 149(Pt 2):279–294

    Article  PubMed  Google Scholar 

  • Meyer-Lueckel H, Paris S (2008) Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res 42(2):117–124. doi:10.1159/000118631

    Article  PubMed  Google Scholar 

  • Meyer-Lueckel H, Paris S, Kielbassa AM (2007) Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res 41(3):223–230. doi:10.1159/000099323

    Article  PubMed  Google Scholar 

  • Mitchell L (1992) Decalcification during orthodontic treatment with fixed appliances – an overview. Br J Orthod 19(3):199–205

    Article  PubMed  Google Scholar 

  • Munoz MA, Arana-Gordillo LA, Gomes GM, Gomes OM, Bombarda NH, Reis A, Loguercio AD (2013) Alternative esthetic management of fluorosis and hypoplasia stains: blending effect obtained with resin infiltration techniques. J Esthet Restor Dent 25(1):32–39. doi:10.1111/j.1708-8240.2012.00527.x

    Article  PubMed  Google Scholar 

  • Paris S, Meyer-Lückel H (2012) Paradigmenwechsel. In: Meyer-Lückel H, Paris S, Ekstrand KR (eds) Karies, Wissenschaft und klinische Praxis. Thieme, Stuttgart, pp 70–75

    Google Scholar 

  • Paris S, Meyer-Lueckel H (2009) Masking of labial enamel white spot lesions by resin infiltration – a clinical report. Quintessence Int 40(9):713–718

    PubMed  Google Scholar 

  • Paris S, Hopfenmuller W, Meyer-Lueckel H (2010) Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res 89(8):823–826. doi:10.1177/0022034510369289

    Article  PubMed  Google Scholar 

  • Paris S, Schwendicke F, Keltsch J, Dorfer C, Meyer-Lueckel H (2013) Masking of white spot lesions by resin infiltration in vitro. J Dent. doi:10.1016/j.jdent.2013.04.003

    Google Scholar 

  • Qvist V (2008) Longevity of restorations: the ‘death spiral’. In: Fejerskov O, Kidd EAM (eds) Dental caries: the disease and its clinical management, vol 2. Blackwell Munksgaard, Oxford, pp 444–455

    Google Scholar 

  • Takahashi K, Correia Ade S, Cunha RF (2009) Molar incisor hypomineralization. J Clin Pediatr Dent 33(3):193–197

    Article  PubMed  Google Scholar 

  • Thylstrup A, Fejerskov O (1978) Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol 6(6):315–328

    Article  PubMed  Google Scholar 

  • Twetman S, Ekstrand KR (2013) Caries management by influencing mineralization. In: Meyer-Lueckel H, Paris S, Ekstrand KR (eds) Caries management – science and clinical practice, vol 1. Thieme, Stuttgart, pp 176–192

    Google Scholar 

  • Weerheijm KL (2003) Molar incisor hypomineralisation (MIH). Eur J Paediatr Dent 4(3):114–120

    PubMed  Google Scholar 

  • Willmott NS, Bryan RA, Duggal MS (2008) Molar-incisor-hypomineralisation: a literature review. Eur Arch Paediatr Dent 9(4):172–179, doi:08.39 [pii]

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Sebastian Paris .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Paris, S., Meyer-Lueckel, H. (2016). Resin Infiltration After Enamel Etching. In: Perdigão, J. (eds) Tooth Whitening. Springer, Cham. https://doi.org/10.1007/978-3-319-38849-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-38849-6_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-38847-2

  • Online ISBN: 978-3-319-38849-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics