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优化磨牙切牙低矿化病变的树脂浸润程序。

Optimizing Resin Infiltration Procedure in Molar Incisor Hypomineralization Lesions.

作者信息

Torres Carlos Rocha Gomes, Pereira Talita Portela, Effenberger Susanne, Borges Alessandra Bühler

机构信息

Department of Restorative Dentistry, Sao Paulo State University-UNESP, Institute of Science and Technology, Sao Paulo, Brazil.

Department of Conservative Dentistry and Periodontology, LMU Klinikum, Munich, Germany.

出版信息

J Esthet Restor Dent. 2025 Apr;37(4):827-833. doi: 10.1111/jerd.13358. Epub 2024 Oct 30.


DOI:10.1111/jerd.13358
PMID:39474718
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12080095/
Abstract

OBJECTIVE: This article aims to describe a new technique for predicting the results of resin infiltration procedure in molar incisor hypomineralization lesions, named Infiltration Monitoring by Transillumination. The technique involves the use of transillumination together with ethanol application during the steps of lesion body opening and resin penetration. It provides color contrast that enhances the removal of the less porous surface layer and controls the effectiveness of resin infiltration within the lesion. CLINICAL CONSIDERATIONS: The clinical procedure presented illustrates the steps involved in the resin infiltration procedure for color masking of molar incisor hypomineralization lesions in anterior teeth, highlighting the use of transillumination both for monitoring the lesion body opening step and the resin infiltration process. CONCLUSIONS: The monitoring with transillumination during the ethanol test can assist the removal of the enamel external layer over the lesion, necessary to expose the inner porosity to be infiltrated, in a very precise and conservative way. In addition, it can effectively help to determine the moment when the infiltrant resin has fully penetrated the lesion. CLINICAL SIGNIFICANCE: The Infiltration Monitoring by Transillumination technique offers the possibility to precisely control the infiltration procedure in molar incisor hypomineralization lesions, thereby improving the predictability of the esthetic outcome.

摘要

目的:本文旨在描述一种预测磨牙切牙矿化不全病变树脂渗透治疗效果的新技术,即透照渗透监测技术。该技术在病变体打开和树脂渗透步骤中,将透照与乙醇应用相结合。它提供颜色对比,增强了较致密表面层的去除效果,并控制了病变内树脂渗透的有效性。 临床考量:所介绍的临床操作展示了前牙磨牙切牙矿化不全病变颜色遮盖树脂渗透治疗的步骤,突出了在监测病变体打开步骤和树脂渗透过程中使用透照的情况。 结论:乙醇测试期间的透照监测能够以非常精确和保守的方式,协助去除病变上方的釉质外层,这对于暴露待渗透的内部孔隙是必要的。此外,它可以有效地帮助确定渗透树脂完全渗透病变的时刻。 临床意义:透照渗透监测技术为精确控制磨牙切牙矿化不全病变的渗透治疗提供了可能,从而提高了美学效果的可预测性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/04658aaa9387/JERD-37-827-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/fb5947b800ce/JERD-37-827-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/db5efa35b8f5/JERD-37-827-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/fd27450129e9/JERD-37-827-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/1256482e7d40/JERD-37-827-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/04658aaa9387/JERD-37-827-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/fb5947b800ce/JERD-37-827-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/db5efa35b8f5/JERD-37-827-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/fd27450129e9/JERD-37-827-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/1256482e7d40/JERD-37-827-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a85/12080095/04658aaa9387/JERD-37-827-g003.jpg

相似文献

[1]
Optimizing Resin Infiltration Procedure in Molar Incisor Hypomineralization Lesions.

J Esthet Restor Dent. 2025-4

[2]
How to Make Incisor Opacities Disappear in Children and Adolescents With Molar Incisor Hypomineralization? A Systematic Review.

J Esthet Restor Dent. 2025-9

[3]
Effectiveness of resin infiltration in the management of anterior teeth affected by molar incisor hypomineralisation (MIH): A systematic review and meta-analysis.

J Dent. 2024-10

[4]
Resin infiltration for the esthetic treatment of molar-incisor hypomineralization: 1-year follow-up.

Quintessence Int. 2025-6-20

[5]
Does the application protocol influence the masking effect of resin infiltration on MIH opacities? Systematic review and meta-analysis.

J Dent. 2025-4

[6]
Transillumination-aided infiltration: A diagnostic concept for treating enamel opacities.

J Esthet Restor Dent. 2020-6-4

[7]
Does the Transillumination Technique Using a Diagnostic White Tip Influence the Degree of Conversion of the Infiltrant Resin? A Case Report With In Vitro Insights: A New Technique to Improve the Predictability During the Application of Resin Infiltration: Transillumination Using a Diagnostic White Tip.

J Esthet Restor Dent. 2025-8

[8]
Aesthetic Management of Molar-Incisor Hypomineralization With Deep Resin Infiltration: A Case Report.

Cureus. 2025-6-11

[9]
Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review.

J Dent. 2017-1

[10]
Effect of photobiomodulation on the efficacy of anesthesia in maxillary permanent molar teeth with molar incisor hypomineralization: A randomized clinical trial.

Int J Paediatr Dent. 2024-5

本文引用的文献

[1]
Macroabrasion and/or Partial Veneers: Techniques for the Removal of Localized White Spots.

Case Rep Dent. 2022-2-10

[2]
The use of transillumination in mapping demarcated enamel opacities in anterior teeth: A cross-sectional study.

Int J Paediatr Dent. 2022-1

[3]
Transillumination-aided infiltration: A diagnostic concept for treating enamel opacities.

J Esthet Restor Dent. 2020-6-4

[4]
Color masking prediction of posterior white spot lesions by resin infiltration in vitro.

J Dent. 2020-2-26

[5]
Strategies to optimize bonding of adhesive materials to molar-incisor hypomineralization-affected enamel: A systematic review.

Int J Paediatr Dent. 2020-2-12

[6]
The use of transillumination in detecting subclinical extensions of enamel opacities.

J Esthet Restor Dent. 2019-6-19

[7]
Influence of infiltrant application time on the reduction of opaqueness of proximal enamel caries.

Indian J Dent Res. 2019

[8]
Fluorescence properties of demineralized enamel after resin infiltration and dental bleaching.

Am J Dent. 2019-2

[9]
Comparison of deproteinization agents on bonding to developmentally hypomineralized enamel.

J Dent. 2017-10-12

[10]
Structural, mechanical and chemical evaluation of molar-incisor hypomineralization-affected enamel: A systematic review.

Arch Oral Biol. 2017-8-19

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