Stomatology ›› 2023, Vol. 43 ›› Issue (10): 872-877.doi: 10.13591/j.cnki.kqyx.2023.10.002

• Basic Research • Previous Articles     Next Articles

Observation of Icon on early enamel caries prevention and treatment

LIU Xin1,HUANG Yinzhu2,JIN Chengri2()   

  1. Department of Stomatology, Beijing Aerospace General Hospital, Beijing 100076, China
  • Revised:2023-07-07 Online:2023-10-28 Published:2023-10-20

Abstract:

Objective To evaluate the utility of Icon in preventing early enamel caries and provide a theoretical and laboratory research basis to cure early enamel caries in a safe, effective, easy and feasible way. Methods In the present study, 110 premolars of patients aged 10-25 who underwent orthodontic treatment were included. The artificial caries samples were established with an acid gel. The atomic absorption spectrophotometer was used to detect concentration of Ca2+in an acid solution and the anti-acid effect of enamel surface with Icon, fluoride protector and sodium fluoride was evaluated. The scanning electron microscope was used to observe ultrastructure of enamel surfaces and the longitudinal profile and then the blocking effect of demineralization zone with Icon was evaluated. Results The measurement results of Ca2+ concentration showed that the Ca2+ release levels in the Icon group, fluoride protector group, and sodium fluoride group were (6.432±1.867), (31.208±7.784), and (41.176±3.512)μg/mL, respectively. The Ca2+release in the resin infiltration group was significantly lower than that in the fluoride protector group and sodium fluoride group, with statistically significant difference (P<0.01). SEM observations revealed that the enamel surface in the Icon group exhibited a complete and relatively smooth material coverage. Icon formed a thin resin film on the enamel surface and penetrated well into the porous demineralized areas, forming a dense mesh-like network. Fluoride protector and sodium fluoride groups exhibited a fractured glass-like crystalline structure on the enamel surface, with significantly larger void diameters compared to the Icon group. Conclusion Icon can inhibit enamel demineralization effectively and enhance the acid resistance of enamel surface. It is better than fluoride protector and sodium fluoride.

Key words: dental caries, enamel caries, sodium fluoride, fluoride protector, infiltrated resin, acid resistance

CLC Number: