The Icon Vestibular infiltration concept is very effective in infiltrating hypomineralised enamel of carious origin, commonly referred to as white spots. The one-off infiltration treatment gives the enamel back its natural refractive index and stabilises it. That’s because the innovative infiltration treatment gently cures the porous tooth and permanently seals the porous tissue. In our Caries Decision Tree decision-making tool you’ll find helpful planning decisions for a wide range of application steps – all geared towards successfully treating caries-related white spots. 

With MIH, the affected enamel structure differs significantly from the healthy enamel, and massive enamel collapses may also occur. Young MIH patients may also suffer from severe sensitivity in the affected teeth. In their 2021 study, Diago et al. were able to show that infiltration treatment with Icon Vestibular offers a minimally invasive solution, especially for children. It reduces hypersensitivity, facilitates better oral hygiene and helps prevent further dental complications. In other words, infiltration treatment with Icon Vestibular is a reliable aid in the effective and gentle treatment of MIH patients.

Example applications show that a bleaching treatment before infiltration can significantly improve the overall result. Bleaching reduces the colour difference between healthy and affected tooth enamel and removes discolouration. Especially for patients with developmental enamel defects such as fluorosis or MIH, Flairesse Bleaching Gel, which is approved as a medical product, is a gentle and painless alternative. When bleaching is combined with infiltration treatment, a waiting period of two weeks is recommended between treatments. The use of a bleaching gel containing carbamide peroxide reduces the brownish parts of organic protein structures. As a result, the teeth are visually whitened overall.

Transillumination is the perfect diagnostic aid before infiltration with Icon Vestibular, and can also be used for quality assurance during infiltration treatments. (Note: Do not use a curing lamp during infiltration.)

Transillumination before infiltration treatments literally sheds light on the darkness, because it makes the location and depth of the lesion visible in the enamel, thus minimising misdiagnoses and unnecessarily invasive treatments.

During the infiltration treatment, transillumination is an ideal tool for monitoring the success of the infiltration process and to better assess the drying stage – but be careful: do not use a polymerisation lamp for this!