Dziaruddin Nabihah, Zakaria Ahmad Shuhud Irfani
Department of Paediatric Dentistry and Orthodontics, Faculty of Dentistry, Universiti Malaya, Kuala Lumpur 50603, Malaysia.
Department of Family Oral Health, Faculty of Dentistry, The National University of Malaysia, Kuala Lumpur 50300, Malaysia.
Children (Basel). 2022 Dec 2;9(12):1893. doi: 10.3390/children9121893.
The resin infiltration (RI) technique was introduced as one of the minimal intervention dentistry strategies in addressing dental caries among the paediatric population. This technique used the low-viscosity resin monomer to infiltrate the non-cavitated carious lesion and other developmental enamel porosities, thus allowing the conservation of the tooth structure. This narrative review aims to explore the value of RI in Paediatric Dentistry. Through our search of the literature, the development of the material, their clinical applications and shortcomings, as well as the innovation that has been carried out to improve the current RI, were discussed. There are number of high-level evidence supporting the use of RI in arresting non-cavitated proximal caries lesions in primary and permanent teeth, but its efficacy in managing anterior white spot lesions is still unclear. Limited penetration depth, not radiopaque and questionable long-term colour and material stability were among the limitation of the material. Various laboratory-based studies have been conducted to improve the current properties of RI. Nevertheless, RI has emerged as one of the important micro-invasive techniques in addressing non-cavitated and anterior white-spot enamel lesions in children and adolescents with great success.
树脂渗透(RI)技术作为儿童龋病治疗中最小干预牙科策略之一被引入。该技术使用低粘度树脂单体渗透非龋洞性龋损及其他发育性釉质孔隙,从而保留牙齿结构。本叙述性综述旨在探讨RI在儿童牙科中的价值。通过文献检索,讨论了该材料的发展、临床应用及缺点,以及为改进当前RI所进行的创新。有多项高级别证据支持使用RI来阻止乳牙和恒牙的非龋洞性邻面龋损,但其在处理前牙白斑病变方面的疗效仍不明确。材料的局限性包括渗透深度有限、不显影以及长期颜色和材料稳定性存疑。已经开展了各种基于实验室的研究来改善RI的当前性能。尽管如此,RI已成为治疗儿童和青少年非龋洞性及前牙白斑釉质病变的重要微创技术之一,并取得了巨大成功。