Universität zu Köln

Schoppmeier, Christoph M., Derman, Sonja H. M. ORCID: 0000-0003-2239-6010, Noack, Michael J. and Wicht, Michael J. (2018). Power bleaching enhances resin infiltration masking effect of dental fluorosis. A randomized clinical trial. J. Dent., 79. S. 77 - 85. OXFORD: ELSEVIER SCI LTD. ISSN 1879-176X

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Abstract

Objectives: Patients with moderate dental fluorosis often feel esthetically compromised. Aim of this RCT was to evaluate the objectively and self-assessed masking effect of resin infiltration alone or in combination with inoffice bleaching on dental fluorosis in adults. Methods: Twenty-seven patients (9 male, 18 female, 24.81 +/- 3.7 yrs) with 410 fluorotic teeth (TF 1-4) were randomly assigned to a treatment (BLI) or control group (NBLI). Patients underwent in-office bleaching (25% H2O2) in the BLI or a placebo bleaching (ACP gel) in the NBLI group followed by resin infiltration after two weeks. Standardized digital photographs were obtained at baseline; after bleaching; before and after resin infiltration and after 1, 3, and 6 months. Color differences (AE) between sound and fluorotic areas were calculated and patient satisfaction was evaluated using a VAS (1-10). Results: Statistical analysis revealed significant differences in the mean AE values 6 months after resin infiltration between the BLI (Delta E = 1.41) and the NBLI group (Delta E = 4.33) (p = 0.024). VAS values increased after resin infiltration (p < 0.05) in both groups. After 3 months patients in the BLI group had higher VAS values than in the NBLI group (p = 0.029). Conclusions: Findings of this study suggest that resin infiltration alone can effectively mask mild to moderate dental fluorosis in young adults. In-office bleaching with 25% H2O2 before resin infiltration provides significantly better masking effects. Clinical Significance: Resin infiltration is a safe and efficient treatment option for masking fluorotic opacities. A priori in-office bleaching with 25% H2O2 enhances the masking effect.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Schoppmeier, Christoph M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Derman, Sonja H. M. UNSPECIFIED orcid.org/0000-0003-2239-6010 UNSPECIFIED Noack, Michael J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wicht, Michael J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-163973
DOI:	10.1016/j.jdent.2018.10.005
Journal or Publication Title:	J. Dent.
Volume:	79
Page Range:	S. 77 - 85
Date:	2018
Publisher:	ELSEVIER SCI LTD
Place of Publication:	OXFORD
ISSN:	1879-176X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language WHITE SPOT LESIONS; SAMPLE-SIZE CALCULATIONS; QUALITY-OF-LIFE; ENAMEL MICROABRASION; AESTHETIC MANAGEMENT; CARIES INFILTRATION; COLOR STABILITY; FLUORIDE; PERCEPTIONS; SAFETY Multiple languages Dentistry, Oral Surgery & Medicine Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/16397