J Adv Prosthodont.  2013 Aug;5(3):359-363. 10.4047/jap.2013.5.3.359.

Minimally invasive treatment for esthetic enhancement of white spot lesion in adjacent tooth

• Lee JH
• Kim DG
• Park CJ
• Cho LR

• KMID: 2118177
• DOI: http://doi.org/10.4047/jap.2013.5.3.359

Abstract

This article describes the treatment provided to a patient with the maxillary anterior teeth exhibiting severe secondary caries beneath the previous restoration and a white spot lesion on the adjacent incisor. Two implants were placed after extraction of hopeless teeth with the guided bone regeneration technique. A white spot lesion of the adjacent incisor was treated with minimally invasive treatment. This clinical report describes the multidisciplinary treatment for the white spot lesion and esthetic restoration of missing anterior teeth.

Keyword

Bleaching; Clinical report; Resin infiltration; White spot

MeSH Terms

Bone Regeneration
Dental Caries
Humans
Incisor
Tooth

Figure

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  Fig. 1 (A) Pre-treatment clinical view, (B) Pre-treatment radiograph. Note the cervical white spot lesion with poor oral hygiene.

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  Fig. 2 (A) Extraction socket after 6-week-healing, (B) Defects covered with resorbable bilayer collagen membrane.

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  Fig. 3 Placement of provisional restoration.

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  Fig. 4 (A) Left central incisor after bleaching, (B) 2 weeks after bleaching, (C) Hydrochloric acid etching for resin infiltration technique, (D) After resin infiltration technique, (E) Composite resin restoration. Note the disappearance of general white bandlike area in the middle portion and distal part of white spot lesion after resin infiltration.

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  Fig. 5 (A) Clinical photograph with shade guide, (B) Shade mapping on clinical photograph.

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  Fig. 6 (A) Post-treatment clinical view after 1 month, (B) Post-treatment clinical view after 6 months.

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