Laboratory Evaluation of Color Change and Surface Roughness of White Spot Lesions Treated with Resin Infiltration and Fluoride Therapy

 Two non-invasive treatment methods for treating white spot lesions (WSLs) include resin infiltration and fluoride therapy. Contradictions have been raised regarding the color change and surface roughness of the lesions based on these methods. Therefore, this study was conducted to investigate the color change and surface roughness of white spot lesions after treatment with resin infiltration and fluoride therapy.

 In this laboratory study, 40 buccal and lingual sections were prepared from 20 extracted healthy premolar teeth. 10 samples were considered as the control group, and in the other 30 samples, decayed lesions were created artificially. White spot lesions were randomly prepared in three groups without treatment, 0.05% sodium fluoride solution and resin infiltration (n=10). Then, the rate of color change and surface roughness of the samples after being placed in black tea and also after brushing were measured and compared using spectrophotometer and profilometer.

 The surface roughness of samples in resin infiltration, intact enamel and fluoride groups were 163.46±64.67, 259.6±43.12 and 293.92±41.36 micrometers, respectively (p<0.001). Before placing in tea and after brushing, no significant difference was observed in the color of the samples, but after staining, the color change in WSL (9.14±5.85), fluoride (17.40±4.13) and resin infiltration (12.13±4.88) groups was significant (p=0.004); the fluoride group showed significantly more color change compared to the WSL group (p=0.003), but the difference between the other groups was not significant.

 The results of this study show that if the resin infiltration method is used in the treatment of white spot lesions, less surface roughness and color change is observed compared to fluoride therapy.