Transillumination-aided infiltration: A diagnostic concept for treating enamel opacities.
demineralization
image analysis
in vivo imaging
infiltration
transillumination
Journal
Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.]
ISSN: 1708-8240
Titre abrégé: J Esthet Restor Dent
Pays: England
ID NLM: 101096515
Informations de publication
Date de publication:
Jul 2020
Jul 2020
Historique:
received:
29
04
2019
revised:
24
11
2019
accepted:
09
05
2020
pubmed:
5
6
2020
medline:
28
7
2020
entrez:
5
6
2020
Statut:
ppublish
Résumé
Esthetic management of enamel opacities related to molar-incisor hypomineralization is recognized as an unpredictable procedure when resin infiltration is used. The use of transillumination during this procedure may increase its predictability. The aim of this paper is to describe a new transillumination-based concept for treating enamel opacities with resin infiltration. This report describes a case of enamel opacities affecting the maxillary central incisors related to molar-incisor hypomineralization where transillumination-aided infiltration was used for treating these lesions. Pre-operatively, the lesion depth is assessed using transillumination, which shows the presence of enamel surface layer covering the lesion. The mandatory removal of this layer is also monitored using transillumination as the lesion is progressively exposed and brought into the surface. Then, the classic protocol of resin infiltration is followed. Transmitted light was also efficient in monitoring the progression of resin-infiltration. The appearance of the lesions' edges in transillumination was the main clue in indicating their depth and eventually their exposure into the surface. Transillumination was also reliable in monitoring the progression of the infiltration until complete saturation of the porous enamel. The use of the proposed concept may help the dental practitioner in obtaining predictable results when enamel opacities related to molar-incisor hypomineralization are treated with resin infiltration. Besides, transillumination can be used as a diagnostic tool during the lesion transformation as well as its infiltration.
Types de publication
Case Reports
Journal Article
Langues
eng
Pagination
451-456Informations de copyright
© 2020 Wiley Periodicals, Inc.
Références
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