Medicine in evolution








- Abstract -

Objectives: Dental caries on proximal tooth surfaces is still a problem in many industrialized countries. The objectives of this review were to present the scientific basis and the principles of the resin infiltration concept, to discuss the inherent clinical applications, and to describe how these backgrounds can be integrated into the concept of minimum intervention dentistry.
Data sources: Data were identified by searches of the Cochrane Registers, Medline, and Scopus. Papers published in English and German up to October 2010 were selected and most up-to-date or relevant references were chosen. Crossreferencing of significant papers identified additionally relevant articles written in other languages and those of historical value.
Study selection: A total of 18 in vitro studies (focusing on penetration depths or demineralization prevention) were found, and four clinical/ one in situ study (involving 213 subjects) could be retrieved; these studies were not comparable.
Conclusions: The clinical research evidence on the resin infiltration technique currently is of moderate extent to reach any decisive conclusions; however, based on available laboratory and clinical studies it seems convincing that resin infiltration of enamel lesions should reduce (or even stop) the progress of white spot lesions. Combining this ultraconservative restorative approach (which is considered microinvasive) with a substantial caries remineralization program may provide therapeutic benefits and significantly reduce both longterm restorative needs and costs, thus complementing the concept of minimum intervention dentistry.

Key words: enamel, fluoride, minimum intervention dentistry, remineralization, resin infiltration, subsurface caries lesion


Webmaster: Creanga Madalina