Mohamed Yomna Said, Shamel Mohamed, Banna Sara El
Department of Pediatric Dentistry, Faculty of Dentistry, Newgiza University, Giza, Egypt.
Department of Oral Biology, Faculty of Dentistry, The British University in Egypt, El Sherouk City, Egypt.
Odontology. 2025 Jul;113(3):965-972. doi: 10.1007/s10266-024-01026-9. Epub 2024 Nov 26.
Managing white spot lesions (WSLs) remains a challenging issue that has yet to be fully resolved. WSLs are areas of demineralized enamel that most commonly occur following orthodontic treatments. They can potentially lead to enamel caries and are also esthetically undesirable. The current study investigated and analyzed the effects of Icon resin infiltration (Icon) and Clinpro XT varnish (Clinpro), both alone and in combination with a diode laser, on the restoration of WSLs. Color change, microhardness, and scanning electron microscopy were used to evaluate the WSLs after the different treatment applications. Results showed that the combination of Icon and Clinpro, along with a diode laser, enhanced color stability and restoration of enamel hardness in white spot lesions. Utilizing a diode laser significantly improved the efficacy of both Icon and Clinpro therapies. SEM examination verified that laser-assisted treatments resulted in almost total blockage of enamel rods, indicating enhanced effectiveness. Conclusions: Integrating diode laser treatment with Icon and Clinpro XT Varnish has significantly improved the esthetic outcomes and mechanical properties of treated enamel.
处理白斑病变(WSLs)仍然是一个具有挑战性的问题,尚未得到充分解决。WSLs是牙釉质脱矿区域,最常见于正畸治疗后。它们可能会导致牙釉质龋,并且在美观上也不理想。本研究调查并分析了Icon树脂渗透(Icon)和Clinpro XT清漆(Clinpro)单独使用以及与二极管激光联合使用对WSLs修复的影响。使用颜色变化、显微硬度和扫描电子显微镜来评估不同治疗应用后的WSLs。结果表明,Icon和Clinpro与二极管激光联合使用,增强了白斑病变中牙釉质的颜色稳定性和硬度恢复。使用二极管激光显著提高了Icon和Clinpro疗法的疗效。扫描电子显微镜检查证实,激光辅助治疗几乎完全封闭了牙釉质柱,表明有效性增强。结论:将二极管激光治疗与Icon和Clinpro XT清漆相结合,显著改善了治疗后牙釉质的美学效果和机械性能。