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Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up

OBJECTIVES: This study aimed to qualitatively and quantitatively assess the masking efficacy and color stability of resin infiltration on post-orthodontic ICL after 1 year. MATERIALS AND METHODS: In 17 adolescents, 112 ICL (ICDAS-1: n = 1; ICDAS-2: n = 111) in 112 teeth were treated by resin infiltr...

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Autores principales: Wierichs, R. J., Abou-Ayash, B., Kobbe, C., Esteves-Oliveira, M., Wolf, M., Knaup, I., Meyer-Lueckel, H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160188/
https://www.ncbi.nlm.nih.gov/pubmed/36627531
http://dx.doi.org/10.1007/s00784-022-04843-w
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author Wierichs, R. J.
Abou-Ayash, B.
Kobbe, C.
Esteves-Oliveira, M.
Wolf, M.
Knaup, I.
Meyer-Lueckel, H.
author_facet Wierichs, R. J.
Abou-Ayash, B.
Kobbe, C.
Esteves-Oliveira, M.
Wolf, M.
Knaup, I.
Meyer-Lueckel, H.
author_sort Wierichs, R. J.
collection PubMed
description OBJECTIVES: This study aimed to qualitatively and quantitatively assess the masking efficacy and color stability of resin infiltration on post-orthodontic ICL after 1 year. MATERIALS AND METHODS: In 17 adolescents, 112 ICL (ICDAS-1: n = 1; ICDAS-2: n = 111) in 112 teeth were treated by resin infiltration (Icon, DMG) 3 to 12 months after bracket removal. The etching procedure was performed up to 3 times. Standardized digital images were taken before treatment (T(0)), 7 days (T(7)) and 12 months (T(365)) after treatment. Outcomes included the evaluation of the color differences between infiltrated and healthy enamel at T(0), T(7), and T(365) by quantitative (colorimetric analysis (ΔE), ICDAS scores) and qualitative methods (5-point Likert scale (deteriorated (1), unchanged (2), improved, but not satisfying (3), improved and no further treatment required (4), completely masked (5)).) Differences between time points were analyzed by using Friedman test (ΔΕ) and chi-square tests (ICDAS). RESULTS: The median color difference (25(th)/75(th) percentiles) between carious and healthy enamel at baseline (ΔΕ(0)) was 10.2(7.7/13.6). A significant decrease was observed 7 days after treatment (ΔΕ(7) = 3.1(1.8/5.0); p < 0.001; ICDAS; p < 0.001). No significant changes based on ΔΕ (p = 1.000), and ICDAS grade (p = 0.305) were observed between T(7) and T(365) (ΔΕ(12) = 3.4 (1.8/4.9)). Furthermore, at T(365) four experienced dentists classified 55% and 39% of the lesions as “improved and no further treatment required” and “completely masked,” respectively (Fleiss kappa: T(365) = 0.851 (almost perfect)). CONCLUSION: Resin infiltration efficaciously masked post-orthodontic ICL 7 days and 12 months after treatment. These results for most of the teeth could not only be observed by quantitative but also by qualitative analysis. CLINICAL RELEVANCE: Resin infiltration efficaciously masks post-orthodontic initial carious lesions. The optical improvement can be observed directly after treatment and remains stable for at least 12 months. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00784-022-04843-w.
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spelling pubmed-101601882023-05-06 Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up Wierichs, R. J. Abou-Ayash, B. Kobbe, C. Esteves-Oliveira, M. Wolf, M. Knaup, I. Meyer-Lueckel, H. Clin Oral Investig Research OBJECTIVES: This study aimed to qualitatively and quantitatively assess the masking efficacy and color stability of resin infiltration on post-orthodontic ICL after 1 year. MATERIALS AND METHODS: In 17 adolescents, 112 ICL (ICDAS-1: n = 1; ICDAS-2: n = 111) in 112 teeth were treated by resin infiltration (Icon, DMG) 3 to 12 months after bracket removal. The etching procedure was performed up to 3 times. Standardized digital images were taken before treatment (T(0)), 7 days (T(7)) and 12 months (T(365)) after treatment. Outcomes included the evaluation of the color differences between infiltrated and healthy enamel at T(0), T(7), and T(365) by quantitative (colorimetric analysis (ΔE), ICDAS scores) and qualitative methods (5-point Likert scale (deteriorated (1), unchanged (2), improved, but not satisfying (3), improved and no further treatment required (4), completely masked (5)).) Differences between time points were analyzed by using Friedman test (ΔΕ) and chi-square tests (ICDAS). RESULTS: The median color difference (25(th)/75(th) percentiles) between carious and healthy enamel at baseline (ΔΕ(0)) was 10.2(7.7/13.6). A significant decrease was observed 7 days after treatment (ΔΕ(7) = 3.1(1.8/5.0); p < 0.001; ICDAS; p < 0.001). No significant changes based on ΔΕ (p = 1.000), and ICDAS grade (p = 0.305) were observed between T(7) and T(365) (ΔΕ(12) = 3.4 (1.8/4.9)). Furthermore, at T(365) four experienced dentists classified 55% and 39% of the lesions as “improved and no further treatment required” and “completely masked,” respectively (Fleiss kappa: T(365) = 0.851 (almost perfect)). CONCLUSION: Resin infiltration efficaciously masked post-orthodontic ICL 7 days and 12 months after treatment. These results for most of the teeth could not only be observed by quantitative but also by qualitative analysis. CLINICAL RELEVANCE: Resin infiltration efficaciously masks post-orthodontic initial carious lesions. The optical improvement can be observed directly after treatment and remains stable for at least 12 months. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00784-022-04843-w. Springer Berlin Heidelberg 2023-01-11 2023 /pmc/articles/PMC10160188/ /pubmed/36627531 http://dx.doi.org/10.1007/s00784-022-04843-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research
Wierichs, R. J.
Abou-Ayash, B.
Kobbe, C.
Esteves-Oliveira, M.
Wolf, M.
Knaup, I.
Meyer-Lueckel, H.
Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
title Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
title_full Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
title_fullStr Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
title_full_unstemmed Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
title_short Evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
title_sort evaluation of the masking efficacy of caries infiltration in post-orthodontic initial caries lesions: 1-year follow-up
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10160188/
https://www.ncbi.nlm.nih.gov/pubmed/36627531
http://dx.doi.org/10.1007/s00784-022-04843-w
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