HIỆU QUẢ ĐIỀU TRỊ SÂU RĂNG GIAI ĐOẠN SỚM Ở RĂNG TRƯỚC VĨNH VIỄN VỚI NHỰA XÂM NHẬP

Abstract

Objective: This study aims to evaluate a modified resin infiltration technique. Subjects and methods: 16 patients, 97 anterior initial carious lesions (ICL) (ICDAS-1: n = 10; ICDAS-2: n = 42; ICDAS 3: n = 45) were included in the study. Before treatment, lesions were remineralized with Fluoride (3M Vanish 5% Sodium Fluoride White Varnish) and CPP-ACP (GC Tooth Mousse, 3M, USA) for 2 weeks. Treatment with resin infiltration (ICON, DMG) was performed, incorporating microabrasion (Opalustre, D.O.E) depending in the lesion extent. The etching procedure was unlimited. Standardized digital images were captured before (T0) and immediately after (T1) the intervention. The outcome included evaluation differences between (T0) and (T1) by quantitative (ICDAS) and qualitative methods ((5-point Likert Scale ranging from deteriorated (1), unchanged (2), improved but not satisfying (3), improved and no further treatment required (4), and completely masked (5)). Differences in time points with ICDAS were analyzed by using chi-square tests. Results: 16 patients (13 females, 3 males) with a mean (SD) age of 12.88 (±3.5). After treatment, only 0.3% results classified as unchanged, whereas 30% and 59,8% of the lesions were “improved and no further treatment required” and “completely masked”, respectively (Fleiss Kappa: T1 = 0.72 (substantial agreement)). Notably, ICDAS score after treatment significantly decreased (p<0.05; chi-square test). Conclusion: Modified resin infiltration technique efficiently masks initial carious lesions immediately after treatment.