Resin infiltration of trauma-induced enamel cracks – a proof-of-concept

Abstract

Objectives

The aim of this in-vitro study was to investigate the masking efficacy of adhesively sealed enamel cracks with resin infiltration compared with the use of a universal adhesive.

Methods

Enamel cracks were induced on the labial surfaces of bovine teeth using a pendulum impact tester. Specimens were treated adhesively by resin infiltration with ICON (DMG) or Scotchbond Universal Plus (3M). Standardized digital images were taken pre- and postoperatively by three methods: flashlight from the front, transmitted light from behind, and DiagnoCam (KaVo). Four calibrated raters performed the qualitative visual evaluation of all images of each type: severely visible enamel cracks (1), clearly visible enamel cracks (2), slightly visible/aesthetically acceptable enamel cracks (3) and no visible enamel cracks (4). Specimens were selected to measure infiltration depth by confocal microscopy.

Results

Postoperatively, the masking efficacy in teeth with enamel cracks was significantly higher using ICON compared with Scotchbond Universal Plus in all groups (p < 0.001). Infiltration depths of ICON were significantly higher compared to those of Scotchbond Universal Plus (p < 0.002).

Conclusions

Resin infiltration offers a straightforward and effective treatment option for masking trauma-induced enamel cracks, demonstrating superior efficacy over adhesive sealing. Further studies are necessary to evaluate the long-term stability of the optical improvements achieved through resin infiltration.

Clinical Significance

Resin infiltration might pose a therapeutic option for clinicians to enhance the aesthetic appearance of trauma-induced enamel cracks.