Didem SAKARYALI UYAR, Tansel UYAR, Betül MEMİŞ ÖZGÜL

Erozyona Bağlı Diş Yüzeyi Kayıplarında Rezin İnfiltrasyon Tekniği Uygulanması: İn-Vitro Çalışma

Amaç: Süt ve daimi dişlerde erozyona uğramış mine yüzeylerinde rezin infiltrasyon tekniğinin etkinliğini DIAGNOdent kalemi ve CIE L*a*b değerleri ile değerlendirilmesidir. Gereç ve Yöntem: Çalışma sırasında 28 daimi ve 28 süt dişin bukkal yüzeylerinde 2*2mm genişlik*yükseklikte alan açıkta kalacak şekilde oje ile kaplanmış ve erozyon döngüsü kapsamında 4 gün portakal suyunda bekletilmiştir. Daha sonra tüm dişlere rezin infiltrasyon ajanı (ICON, DMG, Hamburg, Almanya) uygulanmıştır. Çalışma kapsamında erozyon öncesi, erozyon sonrası ve tedavi sonrası ölçümleri yapılarak lazer floresan kalem ve CIE L*a*b değerleri karşılaştırılmıştır. Erozyon öncesi, erozyon sonrası ve işlem sonrası için CIE L*a*b değerleri eşleştirilmiş T-testi, ΔLab değerleri Wilcoxon Signed Rank Test ile karşılaştırılmış ve istatistiksel anlamlılık düzeyi p<0.05 kabul edilmiştir. Bulgular: Süt ve daimi dişler için erozyon öncesi, erozyon sonrası ve tedavi sonrası lazer floresan bazlı kalem değerleri istatistiksel olarak anlamlı fark göstermiştir (p<0.05). Ayrıca, ΔLab değerleri de hem süt (p=0.04, p<0.05) hem daimi dişler (p=0.01, p<0.05) için istatistiksel olarak anlamlı fark göstermiştir. Sonuç: Bu çalışmanın sonuçları, DIAGNOdent kalemi ve CIE L*a*b değerleri ile ölçüm yaparak erozyon durumunda rezin infiltrasyon tekniğinin maskeleme yapabildiği gösterilmiştir. Bu nedenle daimi ve süt dişlerinde estetik kaygıya neden olan erozyon lezyonlarının maskelenmesinde estetik beklentiyi karşılamak için rezin infiltrasyon tekniği bir çözüm olabilir.

Anahtar Kelimeler:

Diş erozyon, Maskeleme, Rezin infiltrasyon tekniği

Application of Resin Infiltration Technique in the Treatment of Tooth Surface Losses Due to Erosion: In-Vitro Study

Objective: Study aimed to evaluate the efficiency of resin infiltration technique on the eroded enamel surface of both primary and permanent teeth with DIAGNOdent pen and CIE L*a*b values. Materials and Methods: Buccal surfaces of 28 permanent and 28 primary teeth were covered with nail polish leaving an area of 2*2mm width*height and kept in orange juice for 4 days as a part of the erosion cycle. Then, resin infiltration agent (ICON, DMG, Hamburg, Germany) was applied to all teeth. Within the scope of this study pre-erosion, post-erosion and post-treatment measurements were made before erosion, after erosion and after resin infiltration application with a fluorescent-based device and CIE L*a*b values. CIE L*a*b values were analyzed with paired T-test and ΔLab values were compared by Wilcoxon Signed Rank Test. Statistical significance level was p<0.05. Results: The results of fluorescence-based device were statistically significant for both primary and permanent teeth for pre-erosion, post-erosion and post-treatment (p<0.05). Also, ΔLab values were statistically significant for both primary (p=0.04, p<0.05) and permanent teeth (p=0.01, p<0.05). Conclusion: The results of the present study showed the masking ability of resin infiltration technique with DIAGNOdent pen and CIE L*a*b values. So, resin infiltration might be a solution for masking erosion lesions on permanent and primary teeth to provide aesthetic expectations.

Keywords:

Masking, Resin infiltration technique, Tooth erosion,

PDF

___

1.Jensdottir T, Holbrook P, Nauntofte B, Buchwald C, Bardow A. Immediate Erosive Potential of Cola Drinks and Orange Juices. J Dent Res 2006;85(3):226–30.
2.Ritter AV, Boushell LW, Walter R. Sturdevant's Art and Science of Operative Dentistry. 7th ed. St. Louis, Missouri: Elsevier Mosby; 2019. p. 307-44.
3.Zafar MS, Ahmed N. Nanomechanical Characterization of Exfoliated and Retained Deciduous İncisors. Technol Health Care 2014;22(6):785–93.
4.Grewal N, Gumber S, Kaur N. Comparative Evaluation of Enamel Remineralization Potential of Processed Cheese, Calciumphosphate-based Synthetic agent and a Fluoride-Containing Toothpaste: An in situ study. J Indian Soc Pedod Prev Dent 2017;35(1):19-27.
5.Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res 2007;86(7):662-6.
6.Araújo GS, Naufel FS, Alonso RC, Lima DA, Puppin-Rontani RM. Influence of Staining Solution and Bleaching on Color Stability of Resin Used for Caries Infiltration. Oper Dent 2015;40(6):E250-E256.
7.Horuztepe SA, Ergin E, Gürgan S. Beyaz nokta lezyonlarının giderilmesinde yeni bir yöntem, rezin infiltrasyon tekniği: olgu bildirimi. Acta Odontol Turcica 2015;32(3):153-7.
8.Ozgul BM, Orhan K, Oz FT. Micro-computed tomographic analysis of progression of artificial enamel lesions in primary and permanent teeth after resin infiltration. J Oral Sci 2015;57(3):177-83.
9.Paris S, Bitter K, Krois J, Meyer-Lueckel H. Seven-year-efficacy of proximal caries infiltration-Randomized clinical trial. J Dent 2020;93:103277.
10.Gözetici B, Öztürk-Bozkurt F, Toz-Akalın T. Comparative Evaluation of Resin Infiltration and Remineralisation of Noncavitated Smooth Surface Caries Lesions: 6-month Results. Oral Health Prev Dent 2019;17(2):99-106.
11.Anauate-Netto C, Borelli L Neto, Amore R, DI Hipólito V, D'Alpino PHP. Caries progression in non-cavitated fissures after infiltrant application: a 3-year follow-up of a randomized controlled clinical trial. J Appl Oral Sci 2017;25(4):442-54.
12.Eckstein A, Helms HJ, Knösel M. Camouflage effects following resin infiltration of postorthodontic white-spot lesions in vivo: One-year follow-up. Angle Orthod 2015;85(3):374-80.
13.Hammad SM, Enan ET. In vivo effects of two acidic soft drinks on shear bond strength of metal orthodontic brackets with and without resin infiltration treatment. Angle Orthod 2013;83(4):648-52.
14.Arthur RA, Zenkner JE, d'Ornellas Pereira Júnior JC, Correia RT, Alves LS, Maltz M. Proximal carious lesions infiltration-a 3-year follow-up study of a randomized controlled clinical trial. Clin Oral Investig 2018;22(1):469-74.
15.Lee J, Okoye LO, Lima PP, Gakunga PT, Amaechi BT. Investigation of the esthetic outcomes of white spot lesion treatments. Niger J Clin Pract. 2020;23(9):1312-7.
16.Arjun DS, Bhat SS, Hegde SK, Bhat VS, Rao HTA, Ramdas SS. Comparative Evaluation of Two Remineralizing Agents on Artificial Carious Lesion Using DIAGNOdent. Int J Clin Pediatr Dent 2021;14(2):192-5.
17.Choi YY, Lee DY, Kim YJ. Colorimetric evaluation of white spot lesions following external bleaching with fluoridation: An in-vitro study. Korean J Orthod. 2018;48(6):377-83.
18.Hallgren K, Akyalcın S, English J, Tufekci E, Paravina RD. Color Properties of Demineralized Enamel Surfaces Treated with a Resin Inf|ltration System. JERD 2016;28(5):339-46.
19.de Oliveira Correia AM, Bühler Borges A, Torres CRG. Color masking prediction of posterior white spot lesions by resin infiltration in vitro. J Dent 2020;95:103308.
20.Garg SA, Chavda SM. Color Masking White Fluorotic Spots by Resin Infiltration and Its Quantitation by Computerized Photographic Analysis: A 12-month Follow-up Study. Oper Dent 2020;45(1):1-9.
21.Jansen EE, Meyer-Lueckel H, Esteves-Oliveira M, Wierichs RJ. Do bleaching gels affect the stability of the masking and caries-arresting effects of caries infiltration-in vitro. Clin Oral Investig. 2021;25(6):4011-21.
22.Paris S, Schwendicke F, Keltsch J, Dorfer C, Meyer-Lueckel H. Masking of white spot lesions by resin infiltration in vitro. J Dent 2013;41(Suppl 5):e28–e34.
23.Knosel M, Eckstein A, Helms HJ. Long-term follow-up of camouflage effects following resin infiltration of post orthodontic white-spot lesions in vivo. Angle Orthod 2019;89:33–9.
24.Kobbe C, Fritz U, Wierichs RJ, Meyer-Lueckel H. Evaluation of the value of re-wetting prior to resin infiltration of post-orthodontic caries lesions. J Dent 2019;91:103243.
25.Andrade RMPM, Lima TO, Menezes-Oliveira MA, Nogueira R, Lepri CP, Geraldo-Martins V. Clinical evaluation of the immediate masking effect of enamel white spot lesions treated with an infiltrant resin. Int J Esthet Dent 2020;15(3):306-16.