Treatment of white spot lesions: A minimal intervention approach: Case Repor

Kassandra Elizabeth Sigüenza González *, María Isabel Cordero Coronel and Daniela Astudillo-Rubio

Faculty of Dentistry, University of Cuenca, Cuenca, Ecuador.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(03), 2214–2220
Article DOI: 10.30574/wjarr.2024.22.3.1845
 
Publication history: 
Received on 07 May 2024; revised on 18 June 2024; accepted on 29 June 2024
 
Abstract: 
Background: A case report that seeks a minimally invasive alternative as a solution to one of the problems in dental esthetics, the presence of white spots.
Objective: To identify non-invasive alternatives for the elimination of white spots in healthy teeth.
Methods: Two patients were selected with white stain lesions on the vestibular surface. Three different techniques were applied for the removal of white stains.  One technique called Microabrasion (Opalustre, Ultradent), another technique known as Infiltration (Icon Vestibular, DMG) and finally a combination in which both products were applied, following in all cases the manufacturer's indications.
Results: The different techniques and products eliminated the white spot lesion when these are no more than 0.20 mm deep at the enamel level.
Conclusions: Enamel alterations which can be related to different factors such as white spots caused by caries in the first phase, hypomineralization, hypoplasias in dental pieces of which an alternative treatment is the use of microabrasion (Opalustre, Ultradent), and infiltrating resins (Icon Vestibular, DMG) as a non-traumatic method for the dental pieces, thus maintaining their structure without tenacity.
 
Keywords: 
White spot; Vestibular; Opalustre; Infiltrating resin
 
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