Evaluation of color changes of white spot lesions treated with three different treatment approaches: an in-vitro study

• Published in: Dental press journal of orthodontics 2020-01, Vol.25 (1), p.26-27
• Main Authors: Hammad, Shaza M, El-Wassefy, Noha A, Alsayed, Mohamed A
• Format: Article
• Language: English
• Subjects: Color; Dental Caries; Dental Enamel; Dentistry; DENTISTRY, ORAL SURGERY & MEDICINE; Enamel; Humans; Microabrasion; Nano-hydroxyapatite; Online; Oral hygiene; Orthodontics; Resin infiltration; Resins, Synthetic; Spectrophotometry; Teeth; Toothpaste; White spot lesions
• ISSN: 2176-9451; 2177-6709; 2177-6709
• DOI: 10.1590/2177-6709.25.1.27.e1-7.onl

To qualitatively and quantitatively assess the color changes effect and the color stability of the resin infiltrant on white spot lesions (WSLs), in comparison with nano-hydroxyapatite (nano-HA) toothpaste and microabrasion. WSLs were artificially created on sixty human premolars enamel surfaces and randomly assigned to equal four groups (n = 15 each): nano-HA toothpaste, microabrasion (Opalusture), resin infiltrant (Icon) treatment, or artificial saliva (control group). The color change (ΔE) of each specimen was measured by dental spectrophotometer (Vita Easyshade) at different time points: baseline, after WSLs' creation, after application of treatments, one month, three and six months after treatments application. The ΔE value did not differ significantly for the four groups at baseline measurement before treatment (p> 0.05). Icon resin infiltrant improved the color of WSLs significantly immediately after its application, giving the lowest ΔE value (3.00 ± 0.59), when compared to other treatments (p< 0.001). There were no significant changes in ΔE (p> 0.05) for all groups during the follow up intervals (one month, three and six months after treatments application). Resin infiltrant can improve the color of WSLs and restore the natural appearance of enamel better than nano-HA toothpaste and microabrasion.