Resin infiltration of natural caries lesions

J Dent Res. 2007 Jul;86(7):662-6. doi: 10.1177/154405910708600715.

Abstract

Infiltration of non-cavitated caries lesions with light-curing resins could lead to an arrest of lesion progression. The aim of this study was to evaluate the penetration of a conventional adhesive into natural enamel caries after pre-treatment with two different etching gels in vitro. Extracted human molars and premolars showing proximal white-spot lesions were cut across the lesions perpendicular to the surface. Corresponding lesion halves were etched for 120 sec with either 37% phosphoric acid gel (H(3)PO(4)) or 15% hydrochloric acid gel (HCl), and subsequently infiltrated with an adhesive. Specimens were observed by confocal microscopy. Mean penetration depths (SD) in the HCl group [58 (37) microm] were significantly increased compared with those of the H(3)PO(4) group [18 (11) microm] (p < 0.001; Wilcoxon). It can be concluded that etching with 15% hydrochloric acid gel is more suitable than 37% phosphoric acid gel as a pre-treatment for caries lesions intended to be infiltrated.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acid Etching, Dental / methods*
  • Bicuspid
  • Dental Caries / therapy*
  • Dental Enamel
  • Dental Enamel Permeability
  • Humans
  • Hydrochloric Acid
  • Molar
  • Phosphoric Acids
  • Resin Cements*
  • Statistics, Nonparametric

Substances

  • Phosphoric Acids
  • Resin Cements
  • phosphoric acid
  • Hydrochloric Acid