دورية أكاديمية
Masking efficacy of bleaching and/ or resin infiltration of fluorotic spots on anterior teeth - a systematic review and meta-analysis.
| العنوان: | Masking efficacy of bleaching and/ or resin infiltration of fluorotic spots on anterior teeth - a systematic review and meta-analysis. |
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| المؤلفون: | Wittich FK; Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Straße 32, 50931 Cologne, Germany. Electronic address: florian.wittich@uk-koeln.de., Cebula M; Clinical Research Department, DMG Dental Material Gesellschaft mbH, Elbgaustraße 248, 22547 Hamburg, Germany. Electronic address: MCebula@mtcompanies.com., Effenberger S; Clinical Research Department, DMG Dental Material Gesellschaft mbH, Elbgaustraße 248, 22547 Hamburg, Germany; Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University (LMU), Goethestr. 70, 80336 Munich, Germany. Electronic address: SEffenberger@mtcompanies.com., Schoppmeier CM; Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Straße 32, 50931 Cologne, Germany. Electronic address: christoph.schoppmeier@uk-koeln.de., Schwendicke F; Department of Conservative Dentistry and Periodontology, Ludwig-Maximilians-University (LMU), Goethestr. 70, 80336 Munich, Germany. Electronic address: Falk.Schwendicke@med.uni-muenchen.de., Barbe AG; Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Straße 32, 50931 Cologne, Germany. Electronic address: greta.barbe@uk-koeln.de., Wicht MJ; Department of Operative Dentistry and Periodontology, Centre of Dental Medicine, University of Cologne, Kerpener Straße 32, 50931 Cologne, Germany. Electronic address: michael.wicht@uk-koeln.de. |
| المصدر: | Journal of dentistry [J Dent] 2024 Oct; Vol. 149, pp. 105276. Date of Electronic Publication: 2024 Aug 03. |
| نوع المنشور: | Journal Article; Meta-Analysis; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: England NLM ID: 0354422 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-176X (Electronic) Linking ISSN: 03005712 NLM ISO Abbreviation: J Dent Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Kidlington : Elsevier Original Publication: Bristol, Eng., Wright. |
| مواضيع طبية MeSH: | Esthetics, Dental* , Fluorosis, Dental*/pathology , Fluorosis, Dental*/therapy , Tooth Bleaching*/methods , Tooth Bleaching Agents*/administration & dosage, Adolescent ; Adult ; Humans ; Color ; Dental Enamel/pathology ; Dental Enamel/drug effects ; Patient Satisfaction ; Resins, Synthetic/therapeutic use ; Treatment Outcome |
| مستخلص: | Objectives: The aim of this systematic review and meta-analysis was to evaluate the masking success of bleaching and/or resin infiltration treatment of fluorotic lesions in anterior teeth of adults and adolescents. Data Sources: PubMed, Cochrane Library, and Embase were systematically searched from the beginning of documentation to December 31, 2023. Primary Outcome Was the Number of Masked Teeth: A tooth was considered masked when the color difference (ΔE CIE76) between fluorotic areas and the surrounding sound enamel was ≤3.7 and unmasked if ΔE > 3.7. Secondary outcomes were mean ΔE values between fluorotic and sound enamel reported for a treatment group at baseline and after any intervention as well as patient satisfaction. Study Selection: Of 1575 search results 4 publications met the inclusion criteria, comprising 230 treated anterior teeth with fluorosis in 47 patients. Meta-analyses were performed comparing the result after treatment (bleaching, resin infiltration, or bleaching followed by resin infiltration) to baseline. Results: Bleaching and resin infiltration were suitable intervention strategies to improve the esthetics of fluorosis affected anterior teeth, with a combination of both treatment approaches being particularly effective in reducing the color difference between fluorotic defects and the surrounding sound enamel below the acceptability thresholds of 3.7 (success rate [95 %CI]: 0.75 [0.44, 1.06]). Patient satisfaction increased after treatments, indicating a beneficial impact on their mental health. The overall bias of the included studies was 2.5 (ROBINS-I analysis tool). Conclusion: There is evidence that resin infiltration with preceding bleaching therapy is more effective in masking fluorotic lesions in anterior teeth than bleaching alone. The combination therapy also showed a tendency towards higher success rates compared to infiltration alone. However, this difference was statistically not significant, and more studies are needed to further assess the efficacy of specific treatments and their combinations as well as the certainty in the evidence. The methodologic heterogeneity of study designs regarding estimation of color difference before and after treatment and bleaching protocols calls for unification in future studies. Clinical Significance: Results of this systematic review and meta-analysis revealed the combination of bleaching followed by resin infiltration as efficacious approach for masking fluorotic lesions in young adults. While resin infiltration alone improves the aesthetic appearance of fluorotic lesions, dentists should consider a combined bleaching-infiltration regimen to achieve more favorable clinical outcome for their patients. Competing Interests: Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: MJW and FS have been lecturing for DMG on ICON. MC and SE are employees of DMG Dental-Material Gesellschaft mbH, the company that is marketing the commercial resin infiltrate Icon, but do not receive any personal benefit from the sales of the product used in this study. CS is and MJW are main authors of one study included in the meta-analysis. (Copyright © 2024. Published by Elsevier Ltd.) |
| فهرسة مساهمة: | Keywords: Bleaching; Evidence-based dentistry; Fluorosis; Patient satisfaction; Resin infiltration; Systematic review |
| المشرفين على المادة: | 0 (Resins, Synthetic) 0 (Tooth Bleaching Agents) |
| تواريخ الأحداث: | Date Created: 20240805 Date Completed: 20240908 Latest Revision: 20240923 |
| رمز التحديث: | 20240923 |
| DOI: | 10.1016/j.jdent.2024.105276 |
| PMID: | 39103078 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1879-176X |
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| DOI: | 10.1016/j.jdent.2024.105276 |