title: White spots on enamel: treatment protocol by superficial or deep infiltration (part 2).
abstract: In this 2nd part, the current treatment of white spot lesions by erosion/infiltration is presented, beginning with a reminder of the principle of superficial infiltration, which enables most early carious lesions, fluorosis and post-traumatic lesions to be treated. However, this technique has met with frequent failures in cases of MIH or deep lesions of traumatic origin or those associated with fluorosis. For this reason a new deep infiltration technique is proposed: thanks to its global treatment concept, this enables all white spots to be treated. The place of whitening in these treatment options is discussed, with explanations of the main reasons for its failures.
authors: Unité de recherches biomatériaux innovation et interfaces (URB2i), faculté de chirurgie dentaire, Paris Descartes, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Faculté de chirurgie dentaire, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Hôpital Charles-Foix, 7, avenue de la République, 94205 Ivry-sur-Seine, France. Electronic address: jean-pierre.attal@parisdescartes.fr.
authors: Jean-Pierre
authors: JP
authors: Attal
authors: Unité de recherches biomatériaux innovation et interfaces (URB2i), faculté de chirurgie dentaire, Paris Descartes, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Faculté de chirurgie dentaire, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Hôpital Charles-Foix, 7, avenue de la République, 94205 Ivry-sur-Seine, France.
authors: Anthony
authors: A
authors: Atlan
authors: Unité de recherches biomatériaux innovation et interfaces (URB2i), faculté de chirurgie dentaire, Paris Descartes, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Faculté de chirurgie dentaire, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Hôpital Charles-Foix, 7, avenue de la République, 94205 Ivry-sur-Seine, France.
authors: Maud
authors: M
authors: Denis
authors: École centrale Paris, laboratoire MSSMat, grande voie des Vignes, 92295 Châtenay-Malabry, France.
authors: Elsa
authors: E
authors: Vennat
authors: Faculté de chirurgie dentaire, 1, rue Maurice-Arnoux, 92120 Montrouge, France; Hôpital Charles-Foix, 7, avenue de la République, 94205 Ivry-sur-Seine, France.
authors: Gilles
authors: G
authors: Tirlet
mesh_terms: D000134:Acid Etching, Dental / Q000379:methods; D003188:Composite Resins / Q000737:chemistry; D003731:Dental Caries / Q000628:therapy*; D003743:Dental Enamel / Q000473:pathology*; D003744:Dental Enamel Hypoplasia / Q000628:therapy; D003764:Dental Materials / Q000737:chemistry*; D003793:Dental Restoration, Permanent / Q000379:methods*; D019243:Enamel Microabrasion / Q000379:methods; D000431:Ethanol; D009050:Fluorosis, Dental / Q000628:therapy; D006801:Humans; D055115:Light-Curing of Dental Adhesives / Q000379:methods; D012117:Resins, Synthetic / Q000737:chemistry*; D012973:Sodium Hypochlorite / Q000627:therapeutic use; D014073:Tooth Bleaching / Q000379:methods; D014075:Tooth Discoloration / Q000188:drug therapy / Q000628:therapy; D018677:Tooth Injuries / Q000628:therapy
chemical_list: D003188:Composite Resins; D003764:Dental Materials; D012117:Resins, Synthetic; C578177:icon infiltrant; D000431:Ethanol; D012973:Sodium Hypochlorite
keywords: Deep infiltration; Fluorosis; MIH; Superficial infiltration; Traumatic hypomineralization; White spot