EFFECTIVENESS OF RESIN INFILTRATION IN CARIES INHIBITION AND AESTHETIC APPEARANCE IMPROVEMENT OF WHITE-SPOT LESIONS: AN UMBRELLA REVIEW

Galvin Sim Siang Lin; Daryl Zhun Kit Chan; Hern Yue Lee; Ting Ting Low; Thittikkon Suvanpratum Laer; Manushantini Pillai Muralitharan Pillai; Yun Qing Yew; Sharifah Wade'ah Wafa Syed Saadun Tarek Wafa

doi:10.1016/j.jebdp.2022.101723

EFFECTIVENESS OF RESIN INFILTRATION IN CARIES INHIBITION AND AESTHETIC APPEARANCE IMPROVEMENT OF WHITE-SPOT LESIONS: AN UMBRELLA REVIEW

J Evid Based Dent Pract. 2022 Sep;22(3):101723. doi: 10.1016/j.jebdp.2022.101723. Epub 2022 Mar 21.

Authors

Galvin Sim Siang Lin¹, Daryl Zhun Kit Chan², Hern Yue Lee³, Ting Ting Low⁴, Thittikkon Suvanpratum Laer⁵, Manushantini Pillai Muralitharan Pillai⁶, Yun Qing Yew⁷, Sharifah Wade'ah Wafa Syed Saadun Tarek Wafa⁸

Affiliations

¹ Department of Dental Materials, Faculty of Dentistry, Asian Institute of Medicine, Science and Technology (AIMST) University, Bedong, Kedah, Malaysia. Electronic address: galvin@aimst.edu.my.
² Yan Dental Clinic, Ministry of Health Malaysia, Yan, Kedah, Malaysia.
³ Seberang Jaya Dental Clinic, Ministry of Health Malaysia, Butterworth, Penang, Malaysia.
⁴ Gunung Rapat Dental Clinic, Ministry of Health Malaysia, Ipoh, Perak, Malaysia.
⁵ Bachok Dental Clinic, Ministry of Health Malaysia, Bachok, Kelantan, Malaysia.
⁶ Kuah Dental Clinic, Ministry of Health Malaysia, Langkawi, Kedah, Malaysia.
⁷ Bayan Lepas Dental Clinic, Ministry of Health Malaysia, Bayan Lepas, Penang, Malaysia.
⁸ Department of Paediatric Dentistry & Orthodontics, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.

PMID: 36162890
DOI: 10.1016/j.jebdp.2022.101723

Abstract

Objectives: Resin infiltration technique is a minimal interventive approach to manage white-spot lesions. The present umbrella review aimed to comprehensively appraise the previously published systematic reviews on the effectiveness of resin infiltration in arresting caries progression and improving the aesthetic appearance of white-spot lesions.

Material and methods: Ten electronic databases were searched between January 1960 and May 2021. Only systematic reviews published in English on the use of resin infiltration in primary or permanent teeth were included. The degree of overlap across each review was calculated using the Corrected Covered Areas method and their evidence quality were assessed using A MeaSurement Tool to Assess systematic Reviews 2 assessment tool. Umbrella meta-analysis was carried out using a random-effects model.

Results: Thirteen systematic reviews were chosen, but only eight were eligible for an umbrella meta-analysis. The overall Corrected Covered Areas value was very high (19.8%), whereas only three studies were classified as 'High Quality'. Qualitative synthesis suggested that resin infiltration demonstrated acceptable aesthetic results, whereas quantitative analysis showed favourable outcomes in minimizing the risk of caries progression (RR: 0.32; 95% CI: 0.29-0.36). White-spot lesions treated with resin infiltrant in permanent teeth demonstrated a lower risk of caries progression (P < .001) than primary teeth. Overall, low data heterogeneity was observed (I²: 0%-20%). However, quantitative umbrella analysis on the aesthetic outcome was unable to perform due to limited data.

Conclusion: Resin infiltration can be regarded as an effective treatment modality in minimizing the risk of caries progression and improving the aesthetic appearance of white-spot lesions. Future well-designed high-quality systematic reviews with long-term follow-up and more control of confounding variables are warranted.

Keywords: Conservative treatment; Dental caries; Dental resins; Evidence-based dentistry; Umbrella review.

Publication types

Meta-Analysis
Review

MeSH terms

Dental Caries Susceptibility*
Dental Caries* / prevention & control
Dentition, Permanent
Esthetics, Dental
Humans