Abstract

Management of white spot lesions has always been an important issue in modern dentistry. Many preventive measures have been suggested recently to slow the demineralization process and allow better remineralization of enamel as soon as white spot lesions begin to appear and just before proceeding into the cavitated lesion stage. A new technology in dealing with such lesions is known as Resin Infiltration. It seems to provide an intermediary treatment modality between prevention and restorative therapy. The concept was introduced as a micro-invasive approach for the management of smooth surface and proximal non-cavitated carious lesions. The purpose of this review is to present the scientific basis and principles of the usage of resin infiltration technique as well as its importance in the clinical practice.

Highlights

  • Enamel demineralization and remineralization are considered as a dynamic and continuous process that occurs throughout the whole life of a tooth

  • White spot lesions & early enamel lesions are probably considered as a first sign of dental caries disease

  • The degree of remineralization seems to be limited, and this has been attributed to the presence of organic substances attached to the enamel surface occluding the underlying pores in the carious lesions.[4]. In addition, the depth of remineralization is limited resulting in a slow, but continuous progression of the lesion into deeper layers.[4]. Sealing of interproximal initial lesions has been suggested, but despite its ability to arrest some caries lesions, it still exhibited a high percentage of lesion progression.[5]. In addition, the technique is difficult clinically

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Summary

Introduction

Enamel demineralization and remineralization are considered as a dynamic and continuous process that occurs throughout the whole life of a tooth. White spot lesions & early enamel lesions are probably considered as a first sign of dental caries disease They can occur on any tooth surface in the oral cavity where the microbial biofilm is allowed to develop and remain for a period of time. The degree of remineralization seems to be limited, and this has been attributed to the presence of organic substances attached to the enamel surface occluding the underlying pores in the carious lesions.[4] In addition, the depth of remineralization is limited resulting in a slow, but continuous progression of the lesion into deeper layers.[4] Sealing of interproximal initial lesions has been suggested, but despite its ability to arrest some caries lesions, it still exhibited a high percentage of lesion progression.[5] In addition, the technique is difficult clinically It only seals the superficial area of the lesion and the excess resin cannot be removed promoting the development of secondary caries and periodontal irritation.[6]. The treatment decision is difficult in those cases because of the risk of under- or over-treatment

Resin Infiltration Concept
Resin Infiltration Steps and Procedure
Resin Infiltration in Primary Teeth
Smooth Surface and Post-orthodontic Demineralization
Findings
Conclusions
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