Babu George, Mallikarjun Shanthala, Vijayan Vidhya, Abdu Zareena Madakkattayil, Sebastian Anesha
Department of Pediatric and Preventive Dentistry, KMCT Dental College, Calicut, Kerala, India.
Department of Pediatric and Preventive Dentistry, Coorg Institute of Dental Sciences (CIDS), Virajpet, Karnataka, India.
Int J Clin Pediatr Dent. 2024 Apr;17(4):390-394. doi: 10.5005/jp-journals-10005-2803.
Management of white spot lesions (WSLs) using resin infiltrants, like ICON®, is a novel technique that emphasizes the concept of minimally invasive dentistry.
Evaluate penetration depth and its effect on caries progression of ICON® in natural WSLs of primary molars.
A total of 30 human primary molars with natural WSLs were selected. A total of 15 samples each were randomly selected to evaluate penetration depth and caries progression. To evaluate penetration depth, lesion surfaces were sectioned into two halves, wherein one half served as control, while the other half received ICON® infiltration treatment. To evaluate the effect on caries progression, samples were sectioned into two halves, wherein one half served as a control to its experimental counterpart, which received ICON® infiltration. The initial depth of the subsurface lesion (baseline data) was measured, and all the sample subsets underwent pH cycling. Confocal laser fluorescence microscope (CFLM) evaluation was performed, and penetration depth was assessed using a laser scanning microscopy (LSM) image reader, while caries progression was evaluated using PhotoScape® software.
ICON® resin infiltrant penetrated to significant depths into the WSLs ( < 0.001) and demonstrated significant inhibition of caries progression ( < 0.001).
The novel technique using ICON® could be an invaluable tool in the management of WSLs in primary teeth.
Babu G, Mallikarjun S, Vijayan V, Evaluation of Penetration Depth and Caries Progression using Resin Infiltrant in Natural White Spot Lesions of Primary Molars. Int J Clin Pediatr Dent 2024;17(4):390-394.
使用如ICON®等树脂浸润剂来管理白斑病变（WSLs）是一种强调微创牙科概念的新技术。
评估ICON®在乳磨牙天然WSLs中的渗透深度及其对龋齿进展的影响。
总共选取了30颗有天然WSLs的人类乳磨牙。随机选取15个样本分别评估渗透深度和龋齿进展。为评估渗透深度，将病变表面切成两半，其中一半作为对照，另一半接受ICON®浸润处理。为评估对龋齿进展的影响，将样本切成两半，其中一半作为其接受ICON®浸润处理的实验对应物的对照。测量了表层下病变的初始深度（基线数据），所有样本子集均进行了pH循环。使用共聚焦激光荧光显微镜（CFLM）进行评估，使用激光扫描显微镜（LSM）图像读取器评估渗透深度，同时使用PhotoScape®软件评估龋齿进展。
ICON®树脂浸润剂显著深入渗透到WSLs中（<0.001），并显示出对龋齿进展的显著抑制作用（<0.001）。
使用ICON®的新技术可能是管理乳牙WSLs的一种非常有价值的工具。
Babu G, Mallikarjun S, Vijayan V, 使用树脂浸润剂评估乳磨牙天然白斑病变的渗透深度和龋齿进展。国际临床儿科牙科学杂志2024；17(4):390 - 394。
