Subject: Resin Infiltration of Incipient Smooth Surface Lesions
Reviewed: October 29, 2012
Important NoteThis Clinical Policy Bulletin expresses our determination of whether certain services or supplies are medically necessary. We have reached these conclusions based on a review of currently available clinical information including:
The restoration of decay that is present on a smooth surface and extends into the dentin is considered a one-surface resin-based composite. Restoration of an incipient lesion that does not extend into the dentin may be reported as a resin infiltration of incipient smooth surface lesion. Placement of an infiltrating resin restoration is for strengthening, stabilizing and/or limiting the progression of the lesion.
This technique is used to treat smooth surface white spot lesions microinvasively. It is based on the infiltration of an initial enamel caries lesion with low-viscosity light-curing resins called infiltrants. The surface layer is eroded and desiccated, followed by resin infiltrant application. The resin penetrates into the lesion microporosities driven by capillary force and is hardened by light curing. Infiltrated lesions lose their whitish appearance and look similar to sound enamel. Additionally, the treatment prevents lesion progression.
D2990* - Resin infiltration of incipient smooth surface lesions.
Revision DatesOriginal policy: October 29, 2012
The above policy is based on the following references:
American Dental Association. Current Dental Terminology, CDT 2013.*
2 Dorothy D. McComb, B.D.S., M.Sc.D., FRCD(C). NIH Consensus Development Conference on Caries. Copyright 2000 Regents of the University of Michigan. 2003.
3 Shivanna, V., Shivakumar B. Novel treatment of white spot lesions: a report of two cases. J Conserv Dent. 2011 Oct-Dec; 14 (4): 423–426. doi: 10.4103/0972-0707.87217
*Effective January 1, 2013.
Copyright 2012 American Dental Association. All rights reserved.
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