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ISSN 0001-0944 (Impreso)
Órgano Oficial de la Asociación Dental Mexicana

2012, Número 1

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Rev ADM 2012; 69 (1)


Resinas Infiltrantes, una novedosa opción para las lesiones de caries no cavitadas en esmalte

Cedillo VJJ,Cedillo FJE

Idioma: Español
Referencias bibliográficas: 66
Paginas: 38-45
Archivo PDF: 337.32 Kb.


RESUMEN

En la odontología actual existe una premisa: devolver la salud al paciente o a los órganos dentarios, tratando de afectar la menor cantidad de tejido sano, por lo cual han surgido diversas técnicas y materiales dentales que tienen este fin. Aunque se ha tratado de respetar esta filosofía, hay situaciones donde no es del todo fácil. Hasta ahora para el tratamiento de lesiones incipientes en esmalte, sólo había dos alternativas: evitar el progreso de desmineralización y revertirlo por medio de sustancias como el flúor o el CPP-ACP (Recaldent) entre otras, o realizar una cavidad para eliminar la caries y restaurarla. Pero ambos tienen desventajas, ya que al tratar de remineralizar se está expuesto a que el paciente no siga las indicaciones de la manera adecuada y que al realizar una restauración siempre existe la posibilidad de remover tejido sano. Sin embargo, gracias a los nuevos materiales y tecnología actual, ha salido al mercado un tipo de resinas nuevas llamadas infiltrantes. Esta resina funciona infiltrando en el tejido desmineralizado, sin necesidad de realizar una cavidad. Lo anterior se debe al uso del ácido clorhídrico al 15% en vez de ácido fosfórico, que permite la infiltración de una resina con alto coeficiente de penetración. Por medio de esta técnica se logra detener el proceso de desmineralización en dientes, incluso en dentina superficial (ICDAS II: 2), y se protege al diente de posibles lesiones futuras. Esto sin la necesidad de realizar cavidades y con la seguridad de que la desmineralización no avanzara.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. 1.De Miguel A. Caries: Patogenia y anatomía patológica. En: García Barbero J. Patología y Terapéutica Dental. 1 ed. Madrid: Ed. Síntesis; 2005. p. 172-181.

  2. 2.Murdoch-Kinch CA, Mc Lean ME. Minimally invasive dentistry. J Am Dent Assoc 2003; 134(1): 87-95.

  3. 3.Walsh T, Worthington HV, Glenny AM; Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010; 20(1): CDO07868.

  4. 4.Paris S, Meyer-Lueckel. Masking of labial enamel white spot lesions by resin infiltration-a clinical report. Quintessence Int 2008; 40(9): 713-718.

  5. 5.Robinson C, Hallsworth As, Weatherell JA, Kunzel W (1976) Arrest and control of caries lesions: a study based on preliminary experiments with resorcinol-formaldehyde resin. J Den Res 1976;55(5):812-8.

  6. 6.Gomez SS, Basiu CP, Emilson CG. A 2year clinical evaluation of sealed noncavitated approximal posterior carious lesions in adolescents. Clin Oral Investig 2005;9(4): 239-43.

  7. 7.Martignon S Approximal caries: Prevalence and progression rate in young Danish adults and an innovative nonoperative approach for lesions around the EDJ. (Tesis Doctoral). Copenhagen: University of Copenhagen; 2005.

  8. 8.Martignon S, Ekstrand Kr, Ellwood R. Efficacy of sealing proximal early active lesions: an 18-month clinical study evaluated by conventional and subtraction radiography. Caries Res 2006;40(5): 382-8.

  9. 9.Meyer-Lueckel H, Paris S, Mueller J, Colfen H, Kielbassa AM. Influence of the application time on the penetration of different dental adhesives and a fissure sealant into artificial subsurface lesions in bovine enamel. Dent Mater 2006;22(1): 22-8.

  10. 10.Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in vitro: Influence of the application procedure. Oper Dent 2006;31(3):338-45.

  11. 11.Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  12. 12.Kugel G, Arsenault P, Papas A. Treatment modalities for caries management, including a new resin infiltration system. Compend Contin Educ Dent. 2009;30 Spec No 3:1-10; quiz 11-2.

  13. 13.Paris S, Meyer-Lueckel H. Inhibition of caries progression by resin infiltration in situ. Caries Res. 2010;44(1):47-54.

  14. 14.International Caries Detection and Assessment System Coordinating Committee. Criteria Manual International Caries Detection and Assessment System (ICDAS II). 2009.

  15. 15.Mejaré I, Källest IC, Stenlund H. Incidence of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res 1999; 33(2): 93-100.

  16. 16.Ekstrand KR, Bakhshandeh A, Martignon S. Treatment of proximal superficial caries lesions on primary molar teeth with resin infiltration and fluoride varnish versus fluoride varnish only: efficacy after 1 year. Caries Res. 2010;44(1):41-6.

  17. 17.Rocha C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the color masking of white spot lesions. J Dent. 2011;39(3):202-7.

  18. 18.Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent. 2011;14(4):423-6.

  19. 19.Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progression of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006;40(2):124-9.

  20. 20.Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  21. 21.Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007; 41(3):223-30.

  22. 22.Paris S, Meyer-Lueckel H, Stiebritz M, Kielbassa AM. Surface Layer Erosion of Enamel Caries Lesions in Primary Teeth in Preparation for Resin Infiltration. Caries Res. 2007;41(2):268-334.

  23. 23.Meyer-Lueckel H, Paris S, Kielbassa AM. Influence of different etching gels on the mineral content of initial enamel lesions in primary teeth. Dtsch Zahnarztl Z 2007;62 (11, Supplement):D16.

  24. 24.Paris S, Meyer-Lueckel H, Colfen H, Kielbassa AM. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater. 2007;23(6):742-8.

  25. 25.Meyer-Lueckel H, Paris S, Kielbassa AM. Infiltration of natural caries lesions in primary teeth with experimental infiltrants in vitro. Dtsch Zahnarztl Z 2007;62(11, Supplement):D16.

  26. 26.Paris S, Meyer-Lueckel H. Influence of application frequency of an infiltrant on enamel lesions. J Dent Res 2008;87(Spec Iss B):1585.

  27. 27.Meyer-Lueckel H, Chatzidakis A, Naumann M, Dörfer CE, Paris S. Influence of application time on penetration of an infiltrant into natural enamel caries. J Dent. 2011;39(7):465- 469.

  28. 28.Yang F, Mueller J, Kielbassa AM. Surface substance loss of subsurface bovine enamel lesions after different steps of the resinous infiltration technique: a 3D topography analysis. Odontology. (En línea) 2011 (fecha de acceso 8 de enero del 2011); URL disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21678019.

  29. 29.Paris S, Meyer-Lueckel H. Caries inhibition by infiltrants in situ. Caries Res 2009;43(3): 228.

  30. 30.Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res. 2010;89(8):823-6.

  31. 31.Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res. 2004;83:35-38.

  32. 32.Mattousch TJ, Van der veen MH, Zeutuer A. Caries lesion after orthodontic treatment followed by quantitative light induced fluorescence: 2 year follow up. Eur J Orthod. 2007; 29:294–8.

  33. 33.Cedillo VJ, Treviño BE. Tecnología en el diagnóstico de caries. Rev ADM. 2007:64(5):211-214.

  34. De Miguel A. Caries: Patogenia y anatomía patológica. En: García Barbero J. Patología y Terapéutica Dental. 1 ed. Madrid: Ed. Síntesis; 2005. p. 172-181.

  35. Murdoch-Kinch CA, Mc Lean ME. Minimally invasive dentistry. J Am Dent Assoc 2003; 134(1): 87-95.

  36. Walsh T, Worthington HV, Glenny AM; Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010; 20(1): CDO07868.

  37. Paris S, Meyer-Lueckel. Masking of labial enamel white spot lesions by resin infiltration-a clinical report. Quintessence Int 2008; 40(9): 713-718.

  38. Robinson C, Hallsworth As, Weatherell JA, Kunzel W (1976) Arrest and control of caries lesions: a study based on preliminary experiments with resorcinol-formaldehyde resin. J Den Res 1976;55(5):812-8.

  39. Gomez SS, Basiu CP, Emilson CG. A 2year clinical evaluation of sealed noncavitated approximal posterior carious lesions in adolescents. Clin Oral Investig 2005;9(4): 239-43.

  40. Martignon S Approximal caries: Prevalence and progression rate in young Danish adults and an innovative nonoperative approach for lesions around the EDJ. (Tesis Doctoral). Copenhagen: University of Copenhagen; 2005.

  41. Martignon S, Ekstrand Kr, Ellwood R. Efficacy of sealing proximal early active lesions: an 18-month clinical study evaluated by conventional and subtraction radiography. Caries Res 2006;40(5): 382-8.

  42. Meyer-Lueckel H, Paris S, Mueller J, Colfen H, Kielbassa AM. Influence of the application time on the penetration of different dental adhesives and a fissure sealant into artificial subsurface lesions in bovine enamel. Dent Mater 2006;22(1): 22-8.

  43. Mueller J, Meyer-Lueckel H, Paris S, Hopfenmuller W, Kielbassa AM. Inhibition of lesion progression by the penetration of resins in vitro: Influence of the application procedure. Oper Dent 2006;31(3):338-45.

  44. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  45. Kugel G, Arsenault P, Papas A. Treatment modalities for caries management, including a new resin infiltration system. Compend Contin Educ Dent. 2009;30 Spec No 3:1-10; quiz 11-2.

  46. Paris S, Meyer-Lueckel H. Inhibition of caries progression by resin infiltration in situ. Caries Res. 2010;44(1):47-54.

  47. International Caries Detection and Assessment System Coordinating Committee. Criteria Manual International Caries Detection and Assessment System (ICDAS II). 2009.

  48. Mejaré I, Källest IC, Stenlund H. Incidence of approximal caries from 11 to 22 years of age in Sweden: A prospective radiographic study. Caries Res 1999; 33(2): 93-100.

  49. Ekstrand KR, Bakhshandeh A, Martignon S. Treatment of proximal superficial caries lesions on primary molar teeth with resin infiltration and fluoride varnish versus fluoride varnish only: efficacy after 1 year. Caries Res. 2010;44(1):41-6.

  50. Rocha C, Borges AB, Torres LM, Gomes IS, de Oliveira RS. Effect of caries infiltration technique and fluoride therapy on the color masking of white spot lesions. J Dent. 2011;39(3):202-7.

  51. Shivanna V, Shivakumar B. Novel treatment of white spot lesions: A report of two cases. J Conserv Dent. 2011;14(4):423-6.

  52. Paris S, Meyer-Lueckel H, Mueller J, Hummel M, Kielbassa AM. Progression of sealed initial bovine enamel lesions under demineralizing conditions in vitro. Caries Res. 2006;40(2):124-9.

  53. Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions. J Dent Res. 2007; 86(7):662-6.

  54. Meyer-Lueckel H, Paris S, Kielbassa AM. Surface layer erosion of natural caries lesions with phosphoric and hydrochloric acid gels in preparation for resin infiltration. Caries Res. 2007; 41(3):223-30.

  55. Paris S, Meyer-Lueckel H, Stiebritz M, Kielbassa AM. Surface Layer Erosion of Enamel Caries Lesions in Primary Teeth in Preparation for Resin Infiltration. Caries Res. 2007;41(2):268-334.

  56. Meyer-Lueckel H, Paris S, Kielbassa AM. Influence of different etching gels on the mineral content of initial enamel lesions in primary teeth. Dtsch Zahnarztl Z 2007;62 (11, Supplement):D16.

  57. Paris S, Meyer-Lueckel H, Colfen H, Kielbassa AM. Penetration coefficients of commercially available and experimental composites intended to infiltrate enamel carious lesions. Dent Mater. 2007;23(6):742-8.

  58. Meyer-Lueckel H, Paris S, Kielbassa AM. Infiltration of natural caries lesions in primary teeth with experimental infiltrants in vitro. Dtsch Zahnarztl Z 2007;62(11, Supplement):D16.

  59. Paris S, Meyer-Lueckel H. Influence of application frequency of an infiltrant on enamel lesions. J Dent Res 2008;87(Spec Iss B):1585.

  60. Meyer-Lueckel H, Chatzidakis A, Naumann M, Dörfer CE, Paris S. Influence of application time on penetration of an infiltrant into natural enamel caries. J Dent. 2011;39(7):465- 469.

  61. Yang F, Mueller J, Kielbassa AM. Surface substance loss of subsurface bovine enamel lesions after different steps of the resinous infiltration technique: a 3D topography analysis. Odontology. (En línea) 2011 (fecha de acceso 8 de enero del 2011); URL disponible en: http://www.ncbi.nlm.nih.gov/pubmed/21678019.

  62. Paris S, Meyer-Lueckel H. Caries inhibition by infiltrants in situ. Caries Res 2009;43(3): 228.

  63. Paris S, Hopfenmuller W, Meyer-Lueckel H. Resin infiltration of caries lesions: an efficacy randomized trial. J Dent Res. 2010;89(8):823-6.

  64. Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res. 2004;83:35-38.

  65. Mattousch TJ, Van der veen MH, Zeutuer A. Caries lesion after orthodontic treatment followed by quantitative light induced fluorescence: 2 year follow up. Eur J Orthod. 2007; 29:294–8.

  66. Cedillo VJ, Treviño BE. Tecnología en el diagnóstico de caries. Rev ADM. 2007:64(5):211-214.




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