Join us   Log in  


Pages: 28-42

Date of Publication: 01-Feb-2019

Print Article   Download XML  Download PDF



Author: André Codoi, Stanca Maria Muresan

Category: Medical


Minimally invasive treatments for incipient dental caries is an avant-garde area of ??dental medicine, allowing the maintenance of adjacent dental tissues.

By documenting these techniques, fluid resin microinfiltrations appeared to be the rescue solution for injuries when primary prophylaxis procedures failed.

In this paper we have chosen a representative case by point of view of severity of the lesion and we have tried to apply a border model between the primary prophylaxis protocol and secondary prophylaxis and to verify in practice the feasibility of these protocols in the dental office.

To increase diagnostic accuracy, the patient received a professional hygiene session, including professional dental brushing and scrubbing.

The visual diagnosis of dental lesions followed.

The identified caries lesions were classified in the ICDAS and SiSta classifications for the evaluation of histological correspondence and the application of the optimal therapeutic technique.

The selected case was treated with fluid-flow infiltration, as well as a personalized prophylaxis plan for carious disease based on the identified risk factors and the classification in the carious risk group.

Post-follow-up monitoring data was established and the patient was clinically re-evaluated at each presentation.


  1. Carlos JP, Cohen B, Krasse B et all. Etiologie et prevention de la carie dentare. Rapport d’un groupe de scientifiques de l’OMS. Serie de rapports techniques. No 494. Geneve: Organisation Mondiale de la Sante 1972;5-14
  2. Fejetskov O. Changing paradigms in concepts on dental caries: consquence for oral health care. Caries Res. 2004; 38.(3):182-191
  3. Kaqueller JC, Le May. Anatomie pathologique bucco-dentaire. (Collection abrege d’odonto-stomatologie), Paris: Masson 1998
  4. Roman A, Pop A. Caria dentara de la teorie la practica, Ed. Dacia, Cluj-Napoca 2000;49
  5. Keyes PH. The infectious and transmissible nature of experimental dental caries. Findings and implications. Arch Oral Biol. 1960;1:304-320
  6. Newbrun E. Cariology, Baltimore: Williams and Wilkins 1978
  7. Muresanu L. Odontologie, Ed. Medicala Universitara „I. Hatieganu” Cluj-Napoca 2000
  8. Gheorghiu IM. Complicatiile distructiilor dentare coronare; Ed. Universitara „Carol Davila”, Bucure?ti 2013
  9. Cocarl? E. Stomatologie pediatrica Editura Medicala Universitara „Iuliu-Hatieganu” Cluj-Napoca 2000;170-196
  10. Iliescu AA, Gafar M. Cariologie si odontoterapie restauratoare, Ed. Medicala, Bucuresti 2006
  11. ICDAS International Caries Clasiffication and Management System (ICCMSTM) pe accesat la 02.06 2017
  12. Hintze H, Wenzela, Danielsen B. Behaviour of approximal carious lesions assessed by clinical examination after tooth separation and radiography: a 2.5- year longitudinal study in young adults. Caries Res. 1999;33:415-422
  13. Piette E. Le dent normale et pathologique. Bruxelles, De Boeck Universite 2001
  14. Lafargues JJ, Colon P. Odontologie conservatrice et restauratrice. Tome 1 : une approche medicale globale. Rueil-Malmaison:Cdp 2009
  15. Gueders A, Geert S. Les methodes diagnostiques en dentistrerie restauratrice et prophylactique: evolution des outils de detectiondes lesions carieuses pour un diagnostique precoce. J Dentiste 2006;338:2-6
  16. Lussi A, Schaffner M. Diagnostique et traitment de la carie. Forum Med Suisse 2002;8:166-170
  17. Chala S, Boumara S, Abdallaoui F. Methodes de diagnostic des lesions carieuses initiales. Rev Odontostomatol 2004;33(4):297-310
  18. Pretty IA. Caries detection and diagnosis: Novel technologies.J Dent. 2006;36 :727-739
  19. Ekstrand KR, Bakhshandek A, Martignon S. Treatment of proximal superficial caries lesions on primary molar teeth with resin infiltration and fluoride varnish versus fluoride varnish only: efficacy after 1 year. Caries Res.2010; 44(1):41-46
  20. Hintze H, Wenzel A, Danielsen B, Nyvad B. Reliability of visual examination, fibre optic transillumination, and bite-wing radiography, and reproductibility of direct visual examination following tooth separation for the identification of carious lesions in contacting approximal surfaces. Caries Res. 1998;32:204-209
  21. Badea ME, Avram R. La prophylaxie de la carie dentaire, Ed. Medical? Universitar? I.Ha?ieganu, Cluj-Napoca 2007
  22. Berchier CE, Slot DE, Haps S, Van Der Weijden GA. The efficacy of dental floss in addition to a toothbrush on plaque and parameters of gingival inflammation: a systematic review. International Journal of Dental Hygiene 2008;6:265-279
  23. Berchier C, Slot D, Van Der Weijden G. The efficacy of 0.12% chlorhexidine mouthrinse compared with 0.2% on plaque accumulation and periodontal parameters: a systematic review. Journal of Clinical Periodontology 2010;37(9): 829-839
  24. Dumitrache A, Lazarescu F, Sfeatcu R, Stanciu D, Temelcea A. Societatea de Stomatologie Estetica din Romania. Strategii preventive adaptate grupelor de risc pentru afectiunile orale – Ghid de profilaxie 2011
  25. Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: the WHO approach. Community Dent Oral Epidemiol. 2004;32:319-21
  26. Marthaler TM. Changes in dental caries 1953-2003. Review. Caries Res. 2004;38(3):173-81
  27. Mini KJ, Anulekh B, Anupama SG. Incipient caries: an early intervention approach, International Journal of Community Medicine and Public Health John MK et al. Int J Community Med Public Health. 2015;2(1):10-14
  28. Burlacu L. Fluorizarea topica, accesata la 07.07.2017
  29. Somasundaram P, Vimala N, Gauri Mandke L. Protective potential of casein phosphopeptide amorphous calcium phosphate containing paste on enamel surfaces J Conserv Dent. 2013;16(2):152–156
  30. Ionescu Al. GC tooth mousse 2016. accesat la 07.07.2017
  31. Ionescu A. Tratament profilactic-sigilare santuri si fosete 2013 accesat la 07.07.2017
  32. Greenwall L. Eradicarea leziunilor albe folosind infiltrarea rasinilor IDEM Esthetics. Bucuresti 2016. /814790044fc9e3ab881 ae4cd5bf588ab _24-28.pdfhttp// accesat? la 07.07.2017
  33. - accesat? la 07.07.2017