Rubber dam should be inverted, or ideally ligated to prevent leakage or saliva contamination. God bless you! Remove rubber dam (Fig. Jaw Joint and Muscle Strain/Sprain Treatment Technique. 8). Lesions that occur from demineralization are the only suitable candidates for this procedure. We use cookies to make your website experience better. 2. Dental technology and our materials are evolving daily. The young lady and her family had been patients of mine for several years. DMG Icon is an extremely cost-effective treatment. 3. ... presents 22 clinical cases that clearly demonstrate the possibilities Icon infiltration offers for the vestibular region. No local anaesthesia is necessary, however to help keep my patient as comfortable as possible, I placed a liberal amount of topical anaesthetic to the gingiva, particularly where the rubber dam clamps would be placed. 21. 12 Paris S, Meyer-Lueckel H. Caries inhibition by infiltrants in situ. Can COVID-19 Damage Your Teeth And Mouth? This preview can be seen when the Icon … Tooth decay that has progressed beyond the early stage … At this point the final result can be previewed. You are all so wonderful. Caries Res 2010;44:408-414. Optimize your patient communication process by taking before and after pictures. 7. It is advisable to agitate the acid during this time period to prevent buffering and allow for a better result. DMG, Hamburg, Germany. 17. A series of case reports showing clinical challenges and their treatment solutions with Icon smooth surface. Lesions from fluorosis, hypocalcification, hypoplasia, erosion, developmental anomalies or trauma leading to enamel defects are not appropriate for caries infiltration. Up to three etching steps for two minutes per lesion are possible. The principle is: Air and water entrapments in the tooth have a lower refractive index than intact tooth structure.This leads to unesthetic discolorations. The tooth becomes porous. Glazer H, Treating White Spots: New Caries Infiltration Technique, Dentistry Today October 2009; Vol 28, No 10. Before: After: Multiple Teeth. Resin infiltration of natural caries lesions. An ethanol drying agent Icon-Dry, supplied in a syringe in the Icon kit, is applied as directed.8 After the drying step, an intermediate check can be carried out to see if the etching step has been successful. Clinical trials illustrate the performance of that product in vivo under ‘ideal conditions.’ However it is only once those hurdles are crossed, that it can be assessed for success in the “real world.” When I was introduced to the Icon system of caries infiltration, I was skeptical. In addition to this, we have also provided a downloadable diagram of the decision tree. Mechanism of Caries InfiltrationAs long as the surface of a lesion remains intact there is a possibility for arrest or remineralization. These include, but are not limited to; fluoride exposure, calcium and phosphate availability, glass ionomer restorative or preventative therapy, chlorhexidine use, xylitol exposure, and use of sealants. 4. The procedure is similar in many ways to traditional restorative methods that we use daily in restorative dentistry and so it is familiar to the general dentist. Fluorosis and other white spots . Meyer-Lückel H, Paris S. Improved resin infiltration of natural caries lesions. Icon-Infiltrant, a resin with a high penetration coefficient, is then applied with the supplied applicator in a series of two applications and cured as prescribed.9,10 Due to the dry field created by application of the Icon-Dry, the resin is drawn into the lesion by capillary action. 7). Icon is the product of the DMG for carie infiltration and stops early ... there has never really been a satisfactory solution for treating these white spots, which often occur after removing dental braces. The process is painless and incredibly quick! Novel treatment of white spot lesions: A report of two cases. Message. These photos give your patients definitive proof about the success of the treatment. There’s only one, it’s made by DMG and it’s called Icon. Effect of caries infiltration technique and fluoride therapy on the color masking of white spot lesions. If the opaque discoloration remains, then the etching process should be repeated. White spot lesions can develop in as little as one month.16-18 These lesions have been reported at incidences as high as 73%-95%.19-20 The lesions are not usually detected until debanding, presenting a significant esthetic problem. 15. Cosmetically remove white spots caused by early tooth decay, fluorosis or orthodontic treatment. An ethanol drying agent Icon-Dry, supplied in a syringe in the Icon kit, is applied as directed.8 After the drying step, an intermediate check can be carried out to see if the etching step has been successful. 2. Caries Res 44: 171–248, Abs. Post -Orthodontic White Spot LesionsLet us examine the scenario of demineralization and remineralization in the case of a patient with orthodontic banding and bracketing. ... there has been no satisfactory solution for treating the white spots that often occur after retainers have been removed. January 1, 2013 We have more information on this great treatment in the following articles and pages: 24. J Dent Res 88 (Spec Iss A) : Abstract Miami meeting 2009. Attach a vestibular tip to the Icon-Infiltrant and apply infiltrant by twisting the syringe. ead to continuous acid attack. 6. The hydrochloric acid is left in place for the prescribed time, washed and dried. J Conserv Dent 2011;14:423-6. Before/after documentation. When I sat down to do her “check up,” the young girl and her father told me how upset they were at the unsightly spots left behind after her braces had come off. Below, Dr. Fajiram talks about the case. Once light cured, the resin infiltrant occludes the microporosities thereby preventing further demineralization.11,12 The Icon-infiltrant is applied a second time in order to stop progression of demineralization and increase the microhardness of the enamel.13 In addition to halting the progression of the demineralization, treatment with infiltration changes the appearance of the lesion. Shivanna V, Shivakumar B. Luebbers D, Spieler-Husfeld K, Staude C. In vitro color stability of infiltrated carious lesions. Is Your Tongue Causing Your Health Problems? 5. Demineralization/RemineralizationIn order to understand the process and the rationale for case selection, one must first look at the aetiology of demineralization. Case StudyRecently a beautiful young girl was in my office for her post orthodontic cleaning and fluoride treatment. The Canary System Can Detect and Monitor Caries Treated With Resin Infiltration, Hyaluronic Acid Against Oral Lesions, A Trending Topic At The Journées Dentaires Internationales Du Qubéec 2016, The American Association of Orthodontists Partners with Renowned Chef John Besh to Highlight Orthodontic-Friendly Recipes, Probiotics help improve oral health in cleft lip and palate orthodontic patients, In a World of Zeros, Let Us Reclaim the Degrees, Airway Assessment and Management in Conscious Sedation Cases, Mystery Solved: Acid Reflux and the Oral Cavity, Mouth Breathing: Physical, Mental and Emotional Consequences, ‘Mask Mouth’ is a Seriously Stinky Side Effect of Wearing Masks, Paying it Forward: 8 Ideas that Helped Me Lose 50 lbs in 6 Months. 4). 23. J Dent Res 2007, 86(7):662-6. 2007; 68: 353 – 63. If you would like to see the excellent results of the dental care from Dr. Joseph Neeley, Dr. Dora Nemeth, Dr. Richard Hayashi, Dr. Laurie Bradley and Dr. Adam Hauser, we urge you to view our before and after photos. Before & After. J Dent Res 2008, (Spec Iss B):1585. Phark JH, Duarte S. Clinical performance and color stability of infiltrated smooth surface lesions. Single Tooth. Your email address will not be published. Cosmetic Dentistry Before and After Photos from Our Bloomington, Illinois Practice. 9. These photos give your patients definitive proof about the success of the treatment. Aetiology and prevention, Australian Dental Journal 1997;42:(5):322-7. By accepting this notice and continuing to browse our website you confirm you accept our Terms of Use & Privacy Policy. Caries Res 2010;44:47-54. These lesions occur with breaching of the enamel layer by acids resulting in subsurface demineralization. Rubber dam is placed to isolate the field — do not use rubber dam made with thermoplastic elastomers (Figs.