 |
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 5
Subject Collection: Oral and Dental Medicine
Pages: 626-630
DOI: 10.5272/jimab.2014205.626
Published online: 03 November 2014
J of IMAB 2014 Oct-Dec;20(5):626-630
NON-OPERATIVE TREATMENT OF NON-CAVITATED APPROXIMAL CARIOUS LESIONS OF PERMANENT CHILDREN’S TEETH.
Rossiza I. Kabakchieva1 Natalia H. Gateva1
, Hristina D. Mihaylova2.
1) Department of Paediatric Dentistry, Faculty of Dental Medicine, Medical University –Sofia, Bulgaria,
2) Department of Imaging and Oral Diagnostic, Faculty of Dental Medicine, Medical University –Sofia, Bulgaria.
ABSTRACT:
Aim: To apply and follow up in clinical conditions the success rate of microinvasive technique of infiltration with low viscosity resin ICON® (DMG) of non cavitated approximal caries lesions of permanent children's teeth for a period of one year.
Material and methods: The study included 18 children aged 7-16 years. They were divided into two groups - children with medium and high caries risk. The survey include 20 teeth with approximal non-cavitated enamel lesions up to the outer third of dentin (E1, E2, D1 – according to the manufacturer’s instructions of ICON®). The size of the lesions was determined using bitewing radiographs and the activity - by Papilla Bleeding Index. The clinical application of the infiltr+ant (ICON® Caries Infiltrant Proximal, DMG) was conducted according to the manufacturer's instructions.
Bitewing radiographs were made at 6 and 12 months after infiltration in order to evaluate the success of the method. A test of the difference between two relative proportions and alternative test for analysis of the results were used.
Results: Our study confirm the hypothesis that this method of infiltration is equally successful for permanent teeth in patients with moderate caries risk as well as those at high caries risk.
Conclusion: This study is the first survey regarding the success of the application of ICON® for treatment of non-cavitated approximal carious lesions in permanent dentition of children in the country. Research in this direction should continue in order to increase the conviction that caries can be controlled and arrested in its earliest stages.
Key words: caries infiltration, permanent teeth, non-cavitated approximal carious lesions,
- Download FULL TEXT /PDF 540 KB/
Please cite this article in PubMed Style or AMA (American Medical Association) Style:
Kabakchieva RI, Gateva NH, Mihaylova HD. Non-operative treatment of non-cavitated approximal carious lesions of permanent children’s teeth. J of IMAB. 2014 Oct-Dec;20(5):626-630.
doi: http://dx.doi.org/10.5272/jimab.2014205.626
Correspondence to: Assoc. Prof. Dr Natalia Gateva, PhD, Department of Paediatric Dentistry, Faculty of Dental Medicine, Medical University – Sofia; 1, Sv. Georgi Sofiyski Blvd, 1431 Sofia, Bulgaria; E-mail: nataliagateva@yahoo.de
REFERENCES:
1. Dawson AS, Makinson OF. Dental treatment and dental health. Part 2. An alternative philosophy and some new treatment modalities in operative dentistry. Aust Dent J 1992 Jun;37(3):205-10. [PubMed]
2. White J, Eakle WS. Rationale and Treatment Approach in Minimally Invasive Dentistry, J Am Dent Assoc. 2000 Jun;131 Suppl:13S-19S. [PubMed] [CrossRef]
3. Fejerskov O, Nyvad B, Kidd E. Clinical and histological manifestations of dental caries. In: Fejerskov O, Kidd E. Dental caries: The disease and its clinical management. Copenhagen: Blackwell Munksgaard 2003: 71-97.
4. Marsh PD, Nyvad B. The oral microflora and biofilms on teeth. In: Feierskov O, Kidd E. Dental caries: The disease and its clinical management. Copenhagen: Blackwell Munksgaard 2003: 29-49
5. Varlinkova-Nikolova K, R. Kabaktchieva, H. Mihailova. Clinically undetected approximal and occlusal caries in Bulgarian preschool children, 12th congress of the BaSS, Istanbul, Turkey, 12-14 April, 2007, abstr.p.19
6. Kidd EA, Pitts NB. A reappraisal of the value of the bitewing radiograph in the diagnosis of posterior approximal caries. Br Dent J. 1990 Oct 6;169(7):195-200
7. Kidd EA, Mejáre I, Nyvad B. Clinical and radiographic diagnosis. In: Feierskov O, Kidd E. Dental caries: The disease and its clinical management. Copenhagen: Blackwell Munksgaard 2003: 111-128
8. Splieth CH. Revolutions in pediatric dentistry, Quintessence. 2011; 89-101
9. Wenzel A, Pitts N, Verdonschot EH, Karlsbeek H. Developments in radiographic caries diagnosis. J Dent. 1993; 21:131-140
10. Pitts NB, Rimmer PA. An in vivo comparison of radiographic and directly assessed clinical caries status of posterior approximal surfaces in primary and permanent teeth. Caries Res. 1992; 26(2):146–152. [PubMed]
11. Mileman PA, Mulder E, van der Weele L. Factors influencing the likelihood of successful decisions to treat dentin caries from bitewing radoigraphs. Community Dent Oral Epidemiol. 1992 Aug;20(4):175-180. [PubMed]
12. Ekstrand KR, Bruun G, Bruun M. Plaque and gingival status as indicators for caries progression on approximal surfaces. Caries Res. 1998; 32: 41-45. [PubMed]
13. Thylstrup A, Birkeland JM. Prognosis of caries. In: Textbook of Clinical Cariology, ed 2, Copenhagen: Munksgaard, 1994: 383-392
14. Paris S, Dorfer CE, Meyer-Lueckel H. Surface conditioning of natural enamel caries lesions in deciduous teeth in preparation for resin infiltration. J Dent. 2010 Jan;38(1):65-71. [PubMed] [CrossRef]
15. Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin Infiltration of Caries Lesions: an Efficacy Randomized Trial. J Dent Res. 2010 Aug;89(8):823-826. [PubMed] [CrossRef]
16. Phark JH, Duarte S Jr, Meyer-Lueckel H, Paris S. Caries Infiltration With Resins: A Novel Treatment Option for Interproximal Caries. Compend Contin Educ Dent. 2009 Oct;30 Spec No 3:13-17. [Pubmed]
17. Splieth CH, Ekstrand KR, Alkilzy M, Clarkson J, Meyer-Lueckel H, Martignon S, et al. Sealants in Dentistry: Outcomes of the ORCA Saturday Afternoon Symposium 2007. Caries Res. 2010 Mar;44(1):3-13. [PubMed] [CrossRef]
18. Kugel G, Arsenault P, Papas A. Treatment Modalities for Caries Management, Including a New Resin Infiltration System. Compend Contin Educ Dent 2009 Oct;30 Spec No. 3:1-10. [PubMed]
19. Shivanna V, Shivakumar B. Novel Treatment of white spot lesions: A report of two cases. J Conserv Dent 2011 Oct-Dec;14(4):423-426. [PMC] [CrossRef]
20. Academy of Operative Dentistry. Recommendations for clinical practice: fissure caries. Oper Dent 2001; 26: 324-327
21. Gomez SS, Basili CP, Emilson CG. A 2-year clinical evaluation of sealed noncavitated approximal posterior carious lesions in adolescents. Clin Oral Investig. 2005 Dec;9(4):239-243. [PubMed] [CrossRef]
22. Griffin SO, Oong E, Kohn W, Vidakovic B, Gooch BF, Bader J, et al. The effectiveness of sealants in managing caries lesions. J Dent Res. 2008 Feb;87(2):169-174. [PubMed] [CrossRef]
23. Martigton S, Ekstrand KR, Ellwood R. Efficacy of sealing proximal early active lesions: an 18-month clinical study evaluated by conventional and subtraction radiography. Caries Res. 2006; 40(5):382-388. [PubMed] [CrossRef]
24. Ekstrand KR, Bakhshandeh A, Martignon S. Treatment of proximal superficial caries lesions on primary molar teeth with resin infiltration and fluoride varnish versus fluoride varnish only: efficacy after 1 year. Caries Res 2010; 44(1):41-46. [PubMed] [CrossRef]
25. Meyer-Lueckel H, Paris S. Progression of artificial enamel caries lesions after infiltration with experimental light curing resins. Caries Res. 2008; 42(2):117–124. [Pubmed] [CrossRef]
26. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007 Jul;86(7):662-666. [PubMed]
27. Robinson C, Brookes SJ, Kirkham J, Wood SR, Shore RC. In vitro studies of the penetration of adhesive resins into artificial caries-like lesions. Caries Res 2001 Mar-Apr;35(2):136-141. [PubMed] [CrossRef]
28. Borges BC, de Souza Borges J, de Araujo LS, Machado CT, Dos Santos AJ, de Assunçao Pinheiro IV. Update on Nonsurgical, Ultraconservative Approaches to Treat Effectively Non-Cavitated Caries Lesions in Permanent Teeth. Eur JDent. 2011 Apr;5(2):229-236. [PubMed]
29. Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent. 2011 Jul;21(4):241-248. [PubMed] [CrossRef]
30. Kantovitz KR, Pascon FM, Nobre-dos-Santos M, Puppin-Rontani RM. Review of the effects of infiltrants and sealers on non-cavitated enamel lesions. Oral Health Prev Dent. 2010; 8(3):295-305. [PubMed] [CrossRef]
31. Kielbassa AM, Müller J, Gernhardt CR. Closing the gap between oral hygiene and minimally invasive dentistry: A review on the resin infiltration technique of incipient (proximal) enamel lesions. Quintessence Int. 2009 Sep;40(8):663-681. [PubMed]
32. Paris S, Bitter K, Naumann M, Dörfer CE, Meyer-Lueckel H. Resin infiltration of proximal caries lesions differing in ICDAS codes. Eur J Oral Sci. 2011 Apr;119(2):182–186. [PubMed] [CrossRef]
33. Paris S, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res. 2010 Aug;89(8):823-826. [PubMed] [CrossRef]
34. Kidd EA, Fejerkov OМ. What constitutes dental caries. Histopathology of carious enamel and dentin related to the action of cariogenic biofilms? J Dent Res. 2004 Jul;83 Spec No C:C35-C38. [PubMed] [CrossRef]
35. Paris S, Meyer-Lueckel H, Colfen H, Kielbassa M. Resin infiltration of artificial enamel caries lesions with experimental light curing resins. Dent Mater J. 2007 Jul;26(4):582-588. [PubMed] [CrossRef]
36. Davila JM, Buonocore MG, Greeley CB, Provenza DV. Adhesive penetration in human artificial and natural white spots. J Dent Res. 1975 Sep-Oct;54(5):999–1008. [PubMed] [CrossRef]
37. Meyer-Lueckel H, Paris S. Improved resin infiltration of natural caries lesion. J Dent Res. 2008 Dec;87(12):1112-1116. [PubMed] [CrossRef].
Received: 08 August 2014
Published online: 03 November 2014