Assessment of patient satisfaction and esthetic outcomes following treatment of post-orthodontic white spot lesions using a bioactive adhesive and resin infiltrant: a randomized split-mouth clinical trial

IF 5.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2026-04-01 Epub Date: 2026-02-07 DOI:10.1016/j.jdent.2026.106565

Zakereyya S.M. Albashaireh, Malak K. Altallaq

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引用次数: 0

Abstract

Objectives

This study compared the esthetic performance of a conventional resin infiltrant and a bioactive adhesive in the management of white spot lesions (WSLs) as assessed by patient and clinician satisfaction.

Methods

In this split-mouth randomized clinical trial, 20 patients with anterior WSLs were enrolled. Lesions in one quadrant received ICON resin infiltration, the contralateral quadrant received a bioactive adhesive (Hi-Bond Universal) following surface conditioning with 15 % hydrochloric acid. At the one-month follow-up, patients and two calibrated clinicians independently assessed esthetic changes. With 20 evaluations per quadrant, this resulted in 40 patient evaluations and 80 clinician evaluations, 40 per each clinical assessor. Evaluations were performed using a 100 mm visual analog scale (VAS), with scores categorized into 5 levels and then dichotomized into 'satisfactory' and 'unsatisfactory' outcomes as pre-specified in the study protocol.

Results

Both treatments effectively masked WSLs. Patients reported an identical satisfaction rate of 80 % for both materials (p > .999). Clinicians also found no significant difference between the treatment materials (p = .344). Inter-assessor agreement was fair for both groups (κ = 0.318–0.340), with statistically significant agreement in the ICON group, (p = .043).

Conclusions

Both the conventional resin infiltrant and the bioactive adhesive achieved favorable esthetic outcomes. While clinicians consistently provided more critical ratings than patients, no statistically significant differences were detected between the two treatment protocols. The findings suggest that bioactive adhesives are a viable alternative option for the initial management of white spot lesions.

Clinical significance

A bioactive adhesive combined with 15 % HCl pretreatment provides effective masking of post-orthodontic WSLs. At one month, this protocol achieved patient and clinician satisfaction results that did not differ significantly from those of specialized resin infiltration, suggesting its utility as a practical alternative in clinical practice.

查看原文本刊更多论文

使用生物活性粘接剂和树脂浸润剂治疗正畸后白斑病变后患者满意度和美观结果的评估：一项随机裂口临床试验：树脂浸润与生物活性粘接剂治疗初始龋：随机临床试验。

目的：本研究比较了传统树脂浸润剂和生物活性粘接剂在治疗白斑病变（WSLs）中的美观性能，并对患者和临床医生的满意度进行了评估。方法：采用裂口法随机临床试验，选取20例前路wsl患者。一个象限的病变接受ICON树脂浸润，对侧象限的病变接受生物活性粘合剂（Hi-Bond Universal），表面处理为15%的盐酸。在一个月的随访中，患者和两名经过校准的临床医生独立评估审美变化。每个象限有20个评估，结果是40个患者评估和80个临床医生评估，每个临床评估人员40个。使用100毫米视觉模拟量表（VAS）进行评估，评分分为5个等级，然后根据研究方案中预先指定的结果分为“满意”和“不满意”结果。结果：两种治疗方法均能有效掩盖wsl。患者报告两种材料的满意率相同，均为80% （p < 0.05）。临床医生也发现治疗材料之间没有显著差异（p = .344）。两组的评估间一致性均为公平（κ = 0.318-0.340），ICON组的一致性具有统计学意义（p = .043）。结论：常规树脂浸润剂和生物活性粘接剂均可获得良好的美观效果。虽然临床医生始终比患者提供更多的关键评分，但在两种治疗方案之间没有发现统计学上的显著差异。研究结果表明，生物活性粘接剂是一种可行的替代方案，初步管理白斑病变。临床意义：生物活性粘接剂联合15% HCl预处理可有效掩盖正畸后wsl。在一个月后，该方案达到了患者和临床医生满意的结果，与专门的树脂浸润没有显着差异，表明其在临床实践中的实用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.