Editorial Type:
Article Category: Case Report
 | 
Online Publication Date: 26 Aug 2022

Enamel Developmental Defect Masking on Central Incisor with Infiltrant Resin

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Page Range: 476 – 480
DOI: 10.2341/21-123-S
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SUMMARY

The aim of this paper is to present a case of masking of a hypoplastic lesion using the infiltrating resin technique, without use of drilling or any loss of tooth structure. A 22-year-old female patient complained of a noncarious white spot on the buccal surface of the upper right central incisor which affected the esthetics of her smile. Despite the tooth discoloration, the tooth structure was intact, with no depressions, cracks, or grooves. During the anamnesis, she reported that the white spot had been present since childhood. On the basis of the information provided by the patient and collected during intraoral clinical examination, it was determined that the stain was suggestive of enamel hypoplasia. The treatment proposed to the patient was the application of infiltrating resin to mask the hypoplasia on the surface of the tooth enamel without any loss of tooth structure. In this case, Icon infiltrating resin proved to be efficient in masking the hypoplastic lesion. The final appearance of the treated tooth was satisfactory, with homogeneity and gloss on the surface, which minimized the characteristics of an unpleasant smile.

Copyright: 2022
Figure 1.
Figure 1.

Lesion’s initial appearance


Figure 2.
Figure 2.

Icon vestibular kit - DMG (Hamburg, Germany)


Figure 3.
Figure 3.

Rubber dam isolation to avoid contact of the acid with gingiva


Figure 4.
Figure 4.

Conditioning the enamel surface with Icon-Etch


Figure 5.
Figure 5.

Application of Icon-Dry


Figure 6.
Figure 6.

Application of the infiltrating resin


Figure 7.
Figure 7.

Photopolymerization


Figure 8.
Figure 8.

Final appearance of the masking restoration


Figure 9.
Figure 9.

Final appearance of the masking restoration


Figure 10.
Figure 10.

Final appearance of the masking restoration in the patient’s smile


Contributor Notes

*Corresponding author: Rua Lourenço Kelmer, s/n - São Pedro, Juiz de Fora/MG; email: dra.marisimoes@gmail.com

Clinical Relevance

This study presents an option for management of developmental lesions without the need for tooth structure loss.

Accepted: 21 Oct 2021
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