MacLean – Less is More: Minimally Invasive Treatment Options for Enamel Caries and Defects



Unsightly congenital enamel defects and acquired white spot lesions are undesirable for many patients. They have historically been treated with invasive and expensive resin bonding and veneers. These lesions may be a source of embarrassment for some patients or may progress to cavitation (particularly post-orthodontic white spot lesions). In this course, the presenter will review three simple and painless options to manage enamel defects: MI Paste, Icon Resin Infiltration, and Etch/Bleach/Seal. These treatments can improve or even completely reverse the appearance while preserving tooth structure and repairing the patient’s natural enamel. Deciding when to surgically repair incipient interproximal lesions can be a challenge for practitioners. This course will review two non-invasive treatment options to consider in lieu of a “watch and wait” approach. Resin infiltration and silver diamine fluoride are alternatives to the surgical management of non-cavitated interproximal lesions which help preserve sound tooth structure.

Educational Objectives:

  • Describe the evidence for using MI Paste, ICON Resin Infiltration, and Etch/Bleach/Seal
  • Discuss the use of silver diamine fluoride for posterior incipient interproximal lesions
  • Review informed consent, coding, and billing for minimally invasive procedures
  • Describe case selection, materials, and clinical protocol for each procedure
  • Review the pros and cons for each technique

CE Credit Units:

3 CEUs

Level of skill recommended for participants:

Of interest to Dentists, Students & Residents, Dental Auxiliaries and Dental Office Staff

Instructor Information

Jeanette MacLean, DDS is the owner of Affiliated Children’s Dental Specialists in Glendale, Arizona, and mother of two. She received her dental degree, with honors, from the University of Southern California in 2003 and completed her specialty training in pediatric dentistry in 2005 at Sunrise Children’s Hospital through the University of Nevada School of Medicine.

Instructor Disclosure of any conflicts of interest:

Neither myself or my family members have any owner interest or stock with any of the products mentioned in this presentation.

Refund Policy:

There are no refunds for CSPD Online CE courses. For any questions, please contact CSPD Executive Director, Paul Reggiardo, DDS, at

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