Resin Infiltration and Resin Infiltration With Bleaching in Improving the Esthetics for Fluorosis Stains
Condition: Caries Infiltration; Fluorosis; Dental Care
MeSH terms: Fluorosis, Dental; Fluoride Poisoning
Study type: Interventional

Summary: 
      Dental fluorosis is a clinical manifestation of chronic exposure to high intakes of fluoride
      during the tooth development.

      The present study is planned to evaluate the efficacy of Resin Infiltration technique in
      improving the esthetics of non-pitted fluorosis stains on permanent anterior teeth. Resin
      infiltration is a novel method that has shown its efficacy in improving the esthetics of
      various types of white spot lesions (WSLs), particularly post orthodontics WSLs, in in-situ
      and in-vivo studies. The Resin Infiltration technique is also known to stop the progression
      of caries in non cavitated lesions in both, smooth surface and interproximal lesions.

      Therefore, the following trial will be conducted to assess the esthetic improvement of
      fluorosed permanent anterior teeth after resin infiltration and compare it with standard
      bleaching procedure and a combination of bleaching and Resin infiltration therapy in children
      with fluorosed teeth.
    


Intervention name(s): Office Bleaching; Resin Infiltration; Resin Infiltration twice; Bleaching + Resin Infiltration
Intervention type(s): Device; Device; Device; Device
Intervention description(s): Teeth will be cleaned with pumice first, followed by placing cheek retractors and covering of the lip surface with petroleum gel. Thereafter, teeth will be dried and gingival barrier will be applied to both arches - slightly overlapping enamel and interproximal spaces. Light curing of the gingival barrier will be done in a fanning motion for 10-20 seconds. This is followed by homogeneous mixing of the powder and liquid in a powder pot the application of a thick layer of the resulting gel to all teeth undergoing treatment (35 % Hydrogen Peroxide, Pola Office, SDI, Australia). The gel will be left in place for 8 minutes and subsequently removed using a surgical aspirator tip.; Fluorosed teeth will be isolated using a rubber dam and the resin infiltrant (Icon, DMG, Hamburg, Germany) will be applied as per manufactures' instructions. In short, tooth surface will be dried using cotton rolls and air syringe. This is followed by an etching (Icon Etch) and drying step (Icon-Dry) to open the lesion surface. Resin infiltrant will then be applied and allowed to seep in for 3 minutes followed by light curing for 40 seconds and subsequent cleaning of the surface with pumice and rubber polishing cup as well as rinsing with water for 30 sec.; The intervention will be done similar to the "Resin infiltration" arm, which the exception that the icon infiltration step will be done twice.; In this arm, the fluorosed teeth of the patients will first be bleached using 35 % Hydrogen Peroxide (Pola Office, SDI, Australia) as explained in the intervention arm "Office bleaching"; followed by wash over period of 20 days. After these 20 days, patients will be recalled and the fluorosed teeth will treated according to the description in the "Resin infiltrant" intervention arm using the resin infiltrant (Icon, DMG, Hamburg, Germany) as per manufactures' instructions.
Other intervention name(s): 35 % Hydrogen Peroxide, Pola Office, SDI, Australia; Icon, Kit for caries infiltration, DMG, Hamburg, Germany; Icon Kit for caries infiltration, DMG, Hamburg, Germany; Icon Kit for Caries Infiltration, DMG, Hamburg, Germany; 35 % Hydrogen Peroxide, Pola Office, SDI, Australia
Intervention MeSH terms: Hydrogen Peroxide
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: caries; caries infiltration; fluorosis treatment