Changes in the Color and Brightness of White Spots Associated with Orthodontic Treatment 6 Months after the Application of Infiltrative Resins: Systematic Review and Meta-Analysis

Hugo Baptista-Sánchez, Laura Antonio-Zancajo, Alberto Albaladejo-Martínez, Pedro Colino Gallardo, Daniele Garcovich, Mario Alvarado-Lorenzo and Alfonso Alvarado-Lorenzo
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Hugo Baptista-Sánchez: Department of Oral Surgery, Orthodontics Postgraduate, Universidad de Salamanca, 37007 Salamanca, Spain
Laura Antonio-Zancajo: Department of Oral Surgery, Orthodontics Postgraduate, Universidad de Salamanca, 37007 Salamanca, Spain
Alberto Albaladejo-Martínez: Department of Oral Surgery, Orthodontics Postgraduate, Universidad de Salamanca, 37007 Salamanca, Spain
Pedro Colino Gallardo: Department of Dentistry, Universidad Católica de Murcia, 30107 Murcia, Spain
Daniele Garcovich: Department of Dentistry, Universidad Europea de Valencia, 46010 Valencia, Spain
Mario Alvarado-Lorenzo: Department of Dentistry, Universidad Católica de Murcia, 30107 Murcia, Spain
Alfonso Alvarado-Lorenzo: Department of Oral Surgery, Orthodontics Postgraduate, Universidad de Salamanca, 37007 Salamanca, Spain

IJERPH, 2022, vol. 19, issue 15, 1-11

Abstract: One of the risks that we find after orthodontic treatment is the secondary appearance of white spot lesions (WLS) after the removal of fixed multi-bracket appliances. Today, there are several treatment methods, resin infiltration being the most used in the most serious cases. The objective of this study is to carry out a systematic review and meta-analysis to determine the efficacy and stability in the variables of color and gloss, six months after resin infiltration. A comprehensive search was performed in the following databases: PubMed, Embase, Google Scholar, Scopus, Medline, and Web of Science. Articles published in the last 10 years were selected, including in vivo studies with a six-month follow-up. PRISMA guidelines were followed to carry out this systematic review. All studies where the application of resin was performed on carious lesions were discarded. Once the inclusion and exclusion criteria were applied, a final sample of four articles was obtained, on which the review and meta-analysis were carried out. Once examined, all authors considered that there was an immediate improvement in both variables. However, statistically significant differences were obtained in the color change outcome, but not in the brightness outcome in the subgroup analysis after six months of icon resin infiltration.

Keywords: white spot lesion; orthodontic treatment; resin infiltration; lightness; colour (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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