Modern Concepts in Material Science, cilt.6, sa.1, ss.1-8, 2024 (Hakemli Dergi)
White spot lesions (WSLs) occur due to hypomineralization of the enamel. Conditions causing enamel hypomineralization are fluorosis, trauma, molar-incisor hypomineralization, genetic defects, and environmental factors. Resin infiltration is a minimally invasive technique that aims to stabilize WSLs, prevent the progression of caries, and enhance the aesthetic appearance of affected teeth. In this report, the treatment of WSLs in four pediatric patients is presented. The present study aims to discuss the aesthetic results of resin infiltration treatment based on lesion variety in pediatric patients. A mild fluorosis case was treated only with the resin infiltration technique and a satisfactory outcome was achieved in the presented study. The efficacy of resin infiltration in the presented MIH cases was evaluated, and it was concluded that superficial and small white lesions presented favorable outcomes in terms of patient and practitioner satisfaction. Compared to white lesions, the deeper and yellowish-brown lesions required multiple etching applications. It has been determined that the aesthetic results do not provide sufficient satisfaction and reveal the need for additional composite restoration in deep WSLs. To determine the success of the treatment, it is important to select the cases carefully and assess the density of lesions before the treatment. In conclusion, standardized pretreatment, treatment, and posttreatment procedures would be required for the resin infiltration technique in pediatric patients to achieve better results.
Keywords:Resin infiltration technique; White spot lesions; Enamel hypomineralization