Early enamel affected lesions: benefits and limitations of simplified resin techniques

Authors

  • Gabriela Guarda DallaVilla Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos. Bauru, SP, Brazil. https://orcid.org/0000-0002-4437-1423
  • Mylena Proença Costa Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos. Bauru, SP, Brazil. https://orcid.org/0000-0002-1396-0233
  • Sérgio Kiyoshi Ishiriama Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos. Bauru, SP, Brazil. https://orcid.org/0000-0003-0064-1783
  • Linda Wang Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos. Bauru, SP, Brazil. https://orcid.org/0000-0001-6308-2769
  • Marina Ciccone Giacomini Universidade de São Paulo, Faculdade de Odontologia de Bauru, Departamento de Dentística, Endodontia e Materiais Odontológicos. Bauru, SP, Brazil. https://orcid.org/0000-0002-9886-7264

DOI:

https://doi.org/10.4322/bds.2025.e4549

Abstract

Objectives: Advances in the early diagnosis and detection of enamel lesions have led to the development of commercially available adhesive resin-based systems designed to enable smart and minimally invasive treatment strategies. These systems are particularly valuable when the exclusive management of etiological factors and/or remineralization is insufficient or no longer effective. In addition to their management, carious lesions invoke strategies aimed at filling the subsurface porosities, whereas erosive tooth wear (ETW) requires the application of external protective measures that serve as a mechanical barrier to mitigate the effects of acidic attacks. Case Report: The present article presents two case reports involving young patients treated with simplified techniques, either with resin infiltration to recover white spot lesions caused by caries or ion-enriched systems to protect the external surfaces affected by ETW. Effective, reliable, and long-term outcomes depend on a thorough comprehension of dental surface alterations which guides the appropriate selection and use of simplified and conservative resin materials. Conclusion: The integration of early diagnosis with minimally invasive procedures, supported by a person-centered care approach, has demonstrated long-lasting and successful clinical outcomes.

KEYWORDS

Dental caries; Early diagnosis; Resin infiltrant; S-PRG particle; Tooth erosion.

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Published

2025-04-01

Issue

Section

Case Report or Clinical Technique