Clinical performance of a combined approach for the esthetic management of fluorosed teeth: Three-year results

Çelik, Esra Uzer; Yazkan, Başak; Yildiz, Gul; Tunaç, Ayşe Tuğçe

doi:10.4103/1119-3077.180066

Cited by 6 publications

(9 citation statements)

References 1 publication

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“…Literature search did not show any evidence on objective evaluation of interim or long-term clinical color stability results for at-home bleaching combined with resin infiltration and microabrasion for management of stained fluorotic teeth. One report by Celik et al was a three-year posttreatment subjective evaluation for the stability of the color change achieved with enamel microabrasion and at-home bleaching (10% carbamide peroxide, Opalescence, Ultadent Inc, UT, United States) for fluorotic teeth [21]. It was concluded that there was significant relapse in esthetic improvement and brown stains recurrence [21].…”

Section: Discussionmentioning

confidence: 99%

“…One report by Celik et al was a three-year posttreatment subjective evaluation for the stability of the color change achieved with enamel microabrasion and at-home bleaching (10% carbamide peroxide, Opalescence, Ultadent Inc, UT, United States) for fluorotic teeth [21]. It was concluded that there was significant relapse in esthetic improvement and brown stains recurrence [21]. Some of the cases in the present report are part of the clinical trial aimed to assess the long-term objective assessment of color stability achieved with at-home bleaching combined with microabrasion and resin infiltration.…”

Section: Discussionmentioning

confidence: 99%

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Management of Stained Fluorotic Teeth by Combined Minimal Invasive Esthetic Procedure – Case Series

Sherwood¹,

Divyameena²,

Rahul³

et al. 2020

JDOA

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Objective: Esthetic management of stained fluorotic teeth mainly depends on clinical presentation of the condition. Clinical presentation of fluorotic teeth is varied and clinician must be able to appreciate this and choose the appropriate treatment option. Clinical Considerations: Contemporary esthetic procedures allow these teeth to be restored to have appearance similar to normal healthy teeth in the most minimalistic invasive manner. This case report aims to highlight the three-treatment combination for esthetic correction of fluorotic teeth. Also, inform about the advantages, drawbacks of various treatment choices and apprise the clinician of the appropriate esthetic conservative management protocol for dental fluorosis with diverse clinical appearance. Conclusion: The combination of microabrasion, dentist supervised at-home bleaching and resin infiltration is the most minimalistic invasive treatment option for changing the appearance of stained fluorotic teeth to normal healthy teeth.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Management of Stained Fluorotic Teeth by Combined Minimal Invasive Esthetic Procedure – Case Series

Sherwood¹,

Divyameena²,

Rahul³

et al. 2020

JDOA

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“…Some disadvantages of microabrasion include difficulties in the complete elimination of deep white opaque area and brown stain from the tooth, slightly yellowish color of enamel after treatment, and uniformity of the tooth appearance is disrupted. [29]…”

Section: Discussionmentioning

confidence: 99%

Interventions in management of dental fluorosis, an endemic disease: A systematic review

Shahroom

Mani

Ramakrishnan

2019

J Family Med Prim Care

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Objective:Mottling and pitting of enamel due to excess fluoride consumption may affect one's self-esteem due to unaesthetic appearance and also in turn can affect the quality of life. This present study was conducted to assess various treatment approaches available for patients with dental fluorosis.Materials and Methods:Literatures were searched from August 1998 to August 2019 for articles in the management of dental fluorosis. The databases used were National Center for Biotechnology Information (NCBI) and Google Scholar. In NCBI, the filters were modified to randomized controlled trial, clinical trial, human trial, and free full-text articles. The following queries were used in order to search for the article: treatment for dental fluorosis, intervention of dental fluorosis, and management of dental fluorosis.Results:All the five studies selected after screening were randomized controlled trials. Total number of patients included in this study were 304 with the mean age of 17.7 years old. They were treated with microabrasion, bleaching, resin infiltration or combination of microabrasion with bleaching, and resin infiltration with bleaching. Microabrasion resulted in less esthetic improvement compared with bleaching. Meanwhile, resin infiltration showed a greater improvement in esthetics in comparison to bleaching. Resin infiltration with additional infiltration time and combination of resin infiltration with bleaching are the best treatment options.Conclusion:Based on this systematic review, resin infiltration with increased infiltration time is the best treatment approach in treating dental fluorosis.

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“…Dental changes caused by fluorosis generate mild to severe esthetic problems 5 . Depending on the severity of the damage, it could impact patients' quality of life and psychosocial aspects related to esthetics 6 .…”

Section: Introductionmentioning

confidence: 99%

“…However, due to its lower molecular weight, HP can reach the pulp cavity, causing tooth sensitivity 16,17 . Therefore, changes caused in the enamel due to MA can be expected to increase the amount of HP inside the pulp chamber, 16,18,19 thus increasing tooth sensitivity (TS) 5,13,15 …”

Section: Introductionmentioning

confidence: 99%

Effects of microabrasion association to at‐home bleaching on hydrogen peroxide penetration and color change

Bernardi

Favoreto

Carneiro

et al. 2021

J Esthet Restor Dent

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Purpose This study aimed to quantify the penetration of hydrogen peroxide (HP) inside the pulp cavity and color change with two different concentrations of HP to at‐home bleaching associated or not with enamel microabrasion (MA). Methods Forty healthy premolars were randomly divided in four groups (n = 10): only HP4%, MA + HP4%, only HP10%, MA + HP10%. The concentration (μg/ml) of HP was assessed using UV–Vis spectrophotometry. The color change (ΔEab, ΔE00 and WID) was evaluated before and one‐week after bleaching. Data were evaluated for a two‐way ANOVA and the Tukey's test (α = 0.05). Results The application of MA increased the amounts of HP inside the pulp chamber when compared to without MA, as well as PH10% when compared to PH4% (p < 0.0001). PH10% showed higher WID when compared to PH4%. No significant difference was observed when ΔEab, and ΔE00 were used. Conclusions The enamel MA before at‐home bleaching promotes greater penetration of HP, although this procedure did not significantly affect the color change. Clinical Significance Since greater penetration of HP into the pulp chamber was detected when home bleaching was applied immediately after MA, the clinician should not apply home bleaching gels in the same session when MA was performed.

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Clinical performance of a combined approach for the esthetic management of fluorosed teeth: Three-year results

Cited by 6 publications

References 1 publication

Management of Stained Fluorotic Teeth by Combined Minimal Invasive Esthetic Procedure – Case Series

Management of Stained Fluorotic Teeth by Combined Minimal Invasive Esthetic Procedure – Case Series

Interventions in management of dental fluorosis, an endemic disease: A systematic review

Effects of microabrasion association to at‐home bleaching on hydrogen peroxide penetration and color change

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