INFILTRAÇÃO RESINOSA EM LESÕES BRANCAS NÃO CARIOSAS: SÉRIE DE CASOS
DOI:
https://doi.org/10.21680/2446-7286.2025v11n3ID41113Resumo
Introdução: As lesões brancas cariosas e não cariosas, como a hipoplasia do esmalte e a fluorose, apresentam desafios estéticos e funcionais para pacientes. O infiltrante resinoso surge como uma solução minimamente invasiva, eficaz tanto para interromper a progressão da cárie quanto para mascarar lesões brancas. Objetivo: Este trabalho objetivou utilizar o tratamento da infiltração resinosa, em casos clínicos de lesões brancas não cariosas. Metodologia: Este artigo relata quatro casos clínicos de pacientes com lesões brancas não cariosas tratadas com o infiltrante resinoso (3 casos de hipoplasia e 1 caso de fluorose). O protocolo incluiu a aplicação de ácido clorídrico 15% (Icon-Etch), etanol (Icon-Dry) e a resina fluida (Icon-Infiltrant), de acordo com as instruções do fabricante (DMG), com acompanhamento fotográfico de quatorze dias a sete meses após o tratamento. Resultados: Em todos os casos, observou-se significativa melhora estética, com destaque para o mascaramento das manchas hipoplásicas mais profundas e desaparecimento das manchas de fluorose, além da satisfação dos pacientes. Conclusões: Conclui-se que a técnica é eficaz na camuflagem de lesões brancas não cariosas, oferecendo uma alternativa conservadora aos métodos restauradores convencionais.
Palavras-Chave: Estética dentária; Hipoplasia do esmalte dentário; Fluorose dentária; Tratamento conservador.
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1. Altan H, Yilmaz RE. Clinical evaluation of resin infiltration treatment masking effect on hypomineralised enamel surfaces. BMC Oral Health. 2023;23(1):444. https://doi.org/10.1186/s12903-023-03140-6
2. Askar H, Lausch J, Dörfer CE, Meyer‑Lueckel H, Paris S. Penetration of micro filled infiltrant resins into artificial caries lesions. J Dent. 2015;43(7):832‑8. https://doi.org/10.1016/j.jdent.2015.03.002
3. Paris S, Meyer‑Lueckel H, Cölfen H, Kielbassa AM. Resin infiltration of artificial enamel caries lesions with experimental light curing resins. Dent Mater J. 2007;26(4):582‑8. https://doi.org/10.4012/dmj.26.582
4. Wierichs RJ, Langer F, Kobbe C, Abou‑Ayash B, Esteves‑Oliveira M, Wolf M, Knaup I, Meyer‑Lueckel H. Aesthetic caries infiltration—long‑term masking efficacy after 6 years. J Dent. 2023;132:104474. https://doi.org/10.1016/j.jdent.2023.104474
5. Puleio F, Fiorillo L, Gorassini F, Iandolo A, Meto A, D’Amico C, et al. Systematic review on white spot lesions treatments. Eur J Dent. 2022;16(1):41‑8. https://doi.org/10.1055/s-0041-1731931
6. Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask post‑orthodontic or non‑orthodontic lesions or fluorosis – a systematic review and meta‑analysis. Clin Oral Investig. 2024;25(8):4711‑9. https://doi.org/10.1007/s00784-021-03931-7
7. Mazur M, Westland S, Ndokaj A, Nardi GM, Guerra F, Ottolenghi L. In‑vivo colour stability of enamel after ICON® treatment at 6 years of follow‑up: a prospective single center study. J Dent. 2022;122:103943. https://doi.org/10.1016/j.jdent.2021.103943
8. Splieth CH, Kanzow P, Wiegand A, Schmoeckel J, Jablonski‑Momeni A. How to intervene in the caries process: proximal caries in adolescents and adults — a systematic review and meta‑analysis. Clin Oral Investig. 2020;24(5):1623‑36. https://doi.org/10.1007/s00784-020-03201-y
9. Garg SA, Chavda SM. Color masking white fluorotic spots by resin infiltration and its quantitation by computerized photographic analysis: a 12‑month follow‑up study. Oper Dent. 2020;45(1):1‑9. https://doi.org/10.2341/17-260-t
10. Muñoz MA, Arana‑Gordillo LA, Gomes GM, Gomes OM, Bombarda NH, Reis A, Loguercio AD. Alternative esthetic management of fluorosis and hypoplasia stains: blending effect obtained with resin infiltration techniques. J Esthet Restor Dent. 2013;25(1):32‑9. https://doi.org/10.1111/j.1708-8240.2012.00527.x
11. Ozgur B, Unverdi GE, Ertan AA, Cehreli ZC. Effectiveness and color stability of resin infiltration on demineralized and hypomineralized (MIH) enamel in children: six‑month results of a prospective trial. Oper Dent. 2023;48(3):258‑67. https://doi.org/10.2341/22-041-c
12. Lin GSS, Chan DZK, Lee HY, Low TT, Laer TS, Pillai MPM, Yew YQ, Wafa SWWSS T. Effectiveness of resin infiltration in caries inhibition and aesthetic appearance improvement of white-spot lesions: an umbrella review. J Evid Based Dent Pract. 2022;22(3):101723. https://doi.org/10.1016/j.jebdp.2022.101723
13. Casaña‑Ruiz MD, Martínez LM, Miralles EG. Management of hypoplastic or hypomineralized defects with resin infiltration at pediatric ages: systematic review. Int J Environ Res Public Health. 2023;20(6):5201. https://doi.org/10.3390/ijerph20065201
14. Arora TC, Arora D, Tripathi AM, Yadav G, Saha S, Dhinsa K. An in‑vitro evaluation of resin infiltration system and conventional pit and fissure sealant on enamel properties in white spot lesions. J Indian Soc Pedod Prev Dent. 2019;37(2):133‑9. https://doi.org/10.4103/1319-2442.261345
15. Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent. 2011;21(4):241‑8. https://doi.org/10.1111/j.1365-263x.2011.01126.x
16. Çiloğlu M, Keskin G. Visualization of etching cycles efficacy at the resin infiltration into artificial enamel caries: in‑vitro study on bovine teeth. J Clin Pediatr Dent. 2024;48(1):191‑7. https://doi.org/10.22514/jocpd.2024.021
17. Abbas BA, Marzouk ES, Zaher AR. Treatment of various degrees of white spot lesions using resin infiltration — in vitro study. Prog Orthod. 2018;19(1):1‑10. https://doi.org/10.1186/s40510-018-0223-3
18. Arnold WH, Haddad B, Schaper K, Hagemann K, Lippold C, Danesh G. Enamel surface alterations after repeated conditioning with HCl. Head Face Med. 2015;25:1‑7. https://doi.org/10.1186/s13005-015-0089-2
19. Brescia AV, Montesani L, Fusaroli D, Docimo R, Di Gennaro G. Management of enamel defects with resin infiltration techniques: two years follow up retrospective study. Children. 2022;9(9):1‑11. https://doi.org/10.3390/children9091365
20. Gençer MDG, Kirzioğlu Z. A comparison of the effectiveness of resin infiltration and microabrasion treatments applied to developmental enamel defects in color masking. Dent Mater J. 2019;38(2):295‑302. https://doi.org/10.4012/dmj.2018-074
21. Saxena P, Grewal MS, Agarwal P, Kaur G, Verma J, Chhikara V. Clinical efficacy of resin infiltration technique alone or in combination with micro abrasion and in‑office bleaching in adults with mild‑to‑moderate fluorosis stains. J Pharm Bioallied Sci. 2021;13(Suppl 13):301‑5. https://doi.org/10.4103/jpbs.jpbs_795_20
22. Sinanovic AL, Messer-Hannemann P, Samadi M, Schwendicke F, Effenberger S. Effect of bleaching on resin-infiltration-masked artificial white spots in vitro. J Funct Biomater. 2024;15:125.https://doi.org/10.3390/jfb15050125
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