The document “DMG ICON CB Smooth Surface 1” is a comprehensive clinical casebook showcasing the use of Icon Smooth Surface resin infiltration for the aesthetic treatment of white spot lesions (WSLs) and enamel hypomineralization. It includes detailed case studies, treatment protocols, and key learnings from dental professionals worldwide.

Case Categories Covered

1. Cariogenic White Spot Lesions

• Common after orthodontic treatment with brackets
• Icon effectively masks these lesions by infiltrating porous enamel
• Key techniques: Etching with 15% HCl, ethanol drying (Icon-Dry), resin infiltration (Icon-Infiltrant)

2. Dental Fluorosis (Mild to Severe)

• Caused by excessive fluoride intake during enamel formation
• Icon is effective for mild to moderate fluorosis
• For severe cases, a combination of:
  • Microabrasion
  • Bleaching
  • Composite restoration
  • Deep infiltration is recommended

3. Traumatic Hypomineralization

• Resulting from trauma to primary teeth affecting permanent successors
• Icon can be used alone or with localized enamel removal for deeper lesions
• Transillumination helps assess lesion depth

4. Molar Incisor Hypomineralization (MIH)

• Affects first permanent molars and incisors
• Icon alone may not suffice due to lesion depth and structure
• Deep infiltration (mechanical prep + Icon) often needed
• Sometimes combined with composite restorations