Spectrophotometric analysis of Icon treatment outcome in two celiac siblings with developmental defects of enamel, a case report

Developmental defects of enamel (DDE) are common oral manifestation of celiac disease whose onset can overlap to teeth calcification in permanent dentition. The defects of the enamel symmetrically and chronologically occur in all the four quadrants, particularly in maxillary and mandibular incisors and molars. Icon® infiltration technique is a minimally invasive procedure for DDE treatment. This paper reports two cases of treatment of celiac siblings with aesthetic purpose. The aesthetic evaluation was made by means of spectrophotometry as a standardized method. International Commision on Illumination (CIE) L*a*b*, ΔE variations, contrast ratio (CR), and opalescence, measured against black and white backgrounds before and after the treatment, provide all the quantitative information about the outcome of the Icon® infiltration technique. Icon® infiltration technique has been showed to be an effective procedure for DDE treatment.