Resin infiltration for esthetic improvement of mild fluorosis in a patient with autism spectrum disorder: A 36-month follow-up
Keywords:Fluorosis, dental; Autism Spectrum Disorder; Resin infiltration; Enamel microabrasion; Infection control; Practice management.
Report a case using a minimally invasive technique (ICON®) to treat mild dental fluorosis in an adolescent with an autism spectrum disorder. Male patient, 15 years old, diagnosed with autism spectrum disorder, with the chief complaint of white spots on anterior teeth resulting in low self-esteem. Upon clinical examination, opaque white areas were observed in the enamel of all teeth, compatible with the diagnosis of mild dental fluorosis. As the patient has a mild degree of autism spectrum disorder and exhibits collaborative behavior, the treatment of choice was the resin infiltration in the maxillary incisors, canines, and first premolars. The step-by-step application was carried out according to the manufacturer’s recommendations under the rubber dam. An immediate improvement in the appearance of fluorosis was significant, and the aesthetic result was satisfactory, with color stability after 36 months of follow-up. Resin infiltration was excellent for treating mild dental fluorosis, improving aesthetics, and easy of application. Additionally, the infiltrant obtained color stability 36 months after treatment and met the expectations of the patient and his family. Aesthetics should be considered when they impact their lives, facilitating care in these cases is essential to complete treatment.
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-V) (A. P. Association (ed.); 5th ed.).
Aoba, T., & Fejerskov, O. (2002). Dental fluorosis: Chemistry and biology. Critical Reviews in Oral Biology and Medicine, 13(2), 155–170. https://doi.org/10.1177/154411130201300206
Auschill, T. M., Schmidt, K. E., & Arweiler, N. B. (2015). Resin Infiltration for Aesthetic Improvement of Mild to Moderate Fluorosis: A Six-month Follow-up Case Report. In Oral Health and Preventive Dentistry (Vol. 13, Issue 4, pp. 317–322).
Bhandary, S., & Hari, N. (2017). Salivary biomarker levels and oral health status of children with autistic spectrum disorders : a comparative study. European Archives of Paediatric Dentistry. https://doi.org/10.1007/s40368-017-0275-y
Borges, A. B., Caneppele, T. M. F., Masterson, D., & Maia, L. C. (2017). Is resin infiltration an effective esthetic treatment for enamel development defects and white spot lesions? A systematic review. Journal of Dentistry, 56, 11–18. https://doi.org/10.1016/j.jdent.2016.10.010
Cocco, A. R., Lund, R. G., Torre, E. N., & Martos, J. (2016). Treatment of fluorosis spots using a resin infiltration technique: 14-Month follow-up. Operative Dentistry, 41(4), 357–362. https://doi.org/10.2341/14-335-S
Coffield, K. D., Phillips, C., Brady, M., Roberts, M. W., Strauss, R. P., & Wright, J. T. (2005). The psychosocial impact of developmental dental defects in people with hereditary amelogenesis imperfecta. Journal of the American Dental Association, 136(5), 620–630. https://doi.org/10.14219/jada.archive.2005.0233
de Lacerda, A. J. F., da Silva Ávila, D. M., Borges, A. B., Pucci, C. R., & Rocha Gomes Torres, C. (2016). Adhesive Systems as an Alternative Material for Color Masking of White Spot Lesions: Do They Work? The Journal of Adhesive Dentistry, 18(1), 43–50. https://doi.org/10.3290/j.jad.a35518
Di Giovanni, T., Eliades, T., & Papageorgiou, S. N. (2018). Interventions for dental fluorosis: A systematic review. Journal of Esthetic and Restorative Dentistry, 30(6), 502–508. https://doi.org/10.1111/jerd.12408
Goddard, L., O’Dowda, H., & Pring, L. (2017). Knowing me, knowing you: Self defining memories in adolescents with and without an autism spectrum disorder. Research in Autism Spectrum Disorders, 37, 31–40. https://doi.org/10.1016/j.rasd.2017.02.002
Hasmun, N., Lawson, J., Vettore, M. V., Elcock, C., Zaitoun, H., & Rodd, H. (2018). Change in oral health-related quality of life following minimally invasive aesthetic treatment for children with molar incisor hypomineralisation: A prospective study. Dentistry Journal, 6(4). https://doi.org/10.3390/dj6040061
Meireles, S. S., Goettems, M. L., Castro, K. S., Sampaio, F. C., & Demarco, F. F. (2018). Dental fluorosis treatment can improve the individuals’ OHRQoL? Results from a randomized clinical trial. Brazilian Dental Journal, 29(2), 109–116. https://doi.org/10.1590/0103-6440201801733
Meng, L., Hua, F., & Bian, Z. (2020). Coronavirus Disease 2019 (COVID-19): Emerging and Future Challenges for Dental and Oral Medicine. Journal of Dental Research, 99(5), 481–487. https://doi.org/10.1177/0022034520914246
Muñoz, M. A., Arana-Gordillo, L. A., Gomes, G. M., Gomes, O. M., Bombarda, N. H. C., Reis, A., & Loguercio, A. D. (2013). Alternative esthetic management of fluorosis and hypoplasia stains: Blending effect obtained with resin infiltration techniques. Journal of Esthetic and Restorative Dentistry, 25(1), 32–39. https://doi.org/10.1111/j.1708-8240.2012.00527.x
Peng, X., Xu, X., Li, Y., Cheng, L., Zhou, X., & Ren, B. (2020). Transmission routes of 2019-nCoV and controls in dental practice. International Journal of Oral Science, 12(1), 1–6. https://doi.org/10.1038/s41368-020-0075-9
Perdigão, J., Lam, V. Q., Burseth, B. G., & Real, C. (2017). Masking of enamel fluorosis discolorations and tooth misalignment with a combination of at-home whitening, resin infiltration, and direct composite restorations. Operative Dentistry, 42(4), 347–356. https://doi.org/10.2341/16-181-T
Revelo-Mejía, I. A., Hardisson, A., Rubio, C., Gutiérrez, Á. J., & Paz, S. (2021). Dental Fluorosis: the Risk of Misdiagnosis—a Review. Biological Trace Element Research, 199(5), 1762–1770. https://doi.org/10.1007/s12011-020-02296-4
Saxena, P., Grewal, M. S., Agarwal, P., Kaur, G., Verma, J., & Chhikara, V. (2021). Clinical Efficacy of Resin Infiltration Technique Alone or in Combination with Micro Abrasion and in-Office Bleaching in Adults with Mild-to-Moderate Fluorosis Stains. Journal of Pharmacy & Bioallied Sciences, 13(Suppl 1), S301–S305. https://doi.org/10.4103/jpbs.JPBS_795_20
Schoppmeier, C. M., Derman, S. H. M., Noack, M. J., & Wicht, M. J. (2018). Power bleaching enhances resin infiltration masking effect of dental fluorosis. A randomized clinical trial. Journal of Dentistry, 79, 77–84. https://doi.org/https://doi.org/10.1016/j.jdent.2018.10.005
Tchaconas, A., & Adesman, A. (2013). Autism spectrum disorders : a pediatric overview and update. 25(1), 130–143. https://doi.org/10.1097/MOP.0b013e32835c2b70
Torres, C. R. G., Borges, A. B., Torres, L. M. S., Gomes, I. S., & De Oliveira, R. S. (2011). Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. Journal of Dentistry, 39(3), 202–207. https://doi.org/10.1016/j.jdent.2010.12.004
Zotti, F., Albertini, L., Tomizioli, N., Capocasale, G., & Albanese, M. (2021). Resin infiltration in dental fluorosis treatment—1-year follow-up. Medicina (Lithuania), 57(1), 1–14. https://doi.org/10.3390/medicina57010022
How to Cite
Copyright (c) 2022 Rafael Reis Moraes; Michelle Coelho Ferreira Lotito; Michelle Jenné Allegretto; Vivian de Oliveira Marques ; Aline dos Santos Letieri ; Aline de Almeida Neves; Glória Fernanda Barbosa de Araújo Castro
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.