Comparison of Enamel Microabrasion with a Combined Approach to the Esthetic Management of Fluorosed Teeth

Celik, EU; Yildiz, Gul; Yazkan, Başak

doi:10.2341/12-317-c

Cited by 26 publications

(21 citation statements)

References 10 publications

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“…Regarding DF, 8 of the selected studies assessed the bleaching of the affected teeth, 9 analyzed the effects of enamel microabrasion, 4 evaluated the effect of a combined treatment (tooth bleaching and enamel microabrasion) and Gugnani et al used a resin infiltrant. Gupta et al and Mehta et al studied the effect of oral administration of calcium and vitamins in reducing lesion size whereas Hasanuddin et al applied fissure sealants to molars with DF.…”

Section: Resultsmentioning

confidence: 99%

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Dental hypomineralization treatment: A systematic review

Coelho

Mata²,

Lino

et al. 2018

J Esthet Restor Dent

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Introduction Defects in the maturation stage of amelogenesis result in a normal volume of enamel but insufficient mineralization, called hypomineralization. Molar‐incisor hypomineralization (MIH), amelogenesis imperfecta and dental fluorosis (DF) are examples of such defects. Objective To evaluate the effectiveness of the treatments applied to the different forms of dental hypomineralization. Materials and Methods PubMed, Scopus, Cochrane Library, Web of Science, and Embase were screened. The research was limited to studies published in English, Spanish, and Portuguese, until May 30, 2018. The research question was formulated following the Population, Intervention, Comparison, Outcome strategy. The quality of the methodology of each article was evaluated employing the Cochrane Handbook for Systematic Reviews. Results From the initial research, 7895 references were obtained, of which 33 were included in the systematic review. The following treatments were reported: desensitizing and remineralizing products, resin infiltration, restorations, fissure sealants, tooth bleaching, enamel microabrasion and calcium, and vitamins supplements. Conclusions Although the results are suggestive, there is a clear need for a greater uniformity of the methodologies, thus allowing for the development of clinical guidelines. Nevertheless, it was possible to identify several effective treatments for teeth with MIH (arginine pastes or fluoride varnishes) and DF (tooth bleaching and/or enamel microabrasion). Clinical Significance Because MIH, amelogenesis imperfecta, and DF are commonly seen in dental daily practice, it is extremely important to analyze the literature regarding its treatment.

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Section: Resultsmentioning

confidence: 99%

“…All authors analyzed the effectiveness of the treatments through a visual evaluation. Of these, 14 resorted to photographs and 2 used a chromameter.…”

Section: Resultsmentioning

confidence: 99%

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Dental hypomineralization treatment: A systematic review

Coelho

Mata²,

Lino

et al. 2018

J Esthet Restor Dent

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“…Additionally, tooth bleaching or combination of both has been successful at minimizing superficial enamel opacities. [18][19][20][21] Composite resins are an option for moderate to severe cases, but may require knowledge of adhesive systems for optimum bonding strenghts. 22,23 The finest and most durable restorative option for fluorotic teeth is the etched porcelain veneer restoration.…”

Section: Fluorosis Stained Teethmentioning

confidence: 99%

Restoration of Fluorosis Stained Teeth

Slaska

Liebman

Kukleris³

2015

Dental Clinics of North America

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“…[1][2][3] It is indicated to correct surface irregularities and for the removal of superficial stains on the dental enamel due to imperfect amelogenesis, fluorosis, hyperplasia, or other conditions. [4][5][6][7][8] The use of acids to remove stains on enamel was first described in 1916. 9 A correct diagnosis is the first step to a successful approach, since different levels of compromised dental structure require different decisions to avoid sub-or over-treatment.…”

Section: Introductionmentioning

confidence: 99%

Quantitative analysis of dental enamel removal during a microabrasion technique

Ramalho

Aranha

Eduardo

et al. 2014

Clin. Lab. Res. Dent.

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Objective: To quantify, by means of profi lometry, the removal of dental enamel during the use of a microabrasion technique involving the use of hydrochloric acid and manual abrasion with a plastic spatula. Method: Thirty six specimens obtained from human third molars were polished to obtain fl at surfaces and divided into 3 groups (n = 12) according to the different treatments received: A placebo treatment with deionized water as a negative control (CG); microabrasion with 6.6% hydrochloric acid, Opalustre TM (G1); and microabrasion with 6% hydrochloric acid, Whiteness RM TM (G2). The microabrasion was performed in a standardized manner by submitting the specimens to 4 cycles of 10 seconds each and manual abrasion using a plastic spatula (200 g load). The loss of enamel surface was measured after each cycle of treatment by contact profi lometry. Results: Enamel loss was already observed after the fi rst 10 seconds of abrasion with hydrochloric acid in both treated groups (G1 and G2). After 4 abrasions of 10 seconds each, the average fi nal enamel losses in the treated groups were 46.04 µm (G1) and 54.65 µm (G2). In the G1 and G2 groups, a signifi cant increase in enamel wear was detected in each cycle in comparison to the control group (p ≤ 0.05). A signifi cant difference in enamel loss between G1 and G2 was found after 30 and 40 seconds of microabrasion. Relevance: The results of this study provide objective data for safely performing the microabrasion technique on dental enamel using hydrochloric acid and manual abrasion using a plastic spatula. Dental Enamel; Hydrochloric Acid; Enamel Microabrasion.Análise quantitativa da remoção de esmalte dental durante a técnica de microabrasão • Objetivo: Quantifi car, por meio de perfi lometria, a profundidade de esmalte dental removido durante o emprego de uma técnica de microabrasão utilizando-se ácido clorídrico e abrasão manual com espátula plástica. Método: Trinta e seis espécimes obtidos de terceiros molares humanos foram polidos, para obtenção de superfícies planas, e divididos em 3 grupos (n = 12) de acordo com os diferentes tratamentos recebidos: tratamento placebo com água deionizada, como controle negativo (CG); microabrasão com ácido clorídrico a 6.6%, Opalustre TM (G1); e ácido clorídrico a 6%, Whiteness RM TM (G2). A microabrasão foi realizada, de forma padronizada, submetendo os espécimes a 4 ciclos de 10 segundos cada e abrasão manual utilizando-se uma espátula plástica com carga de 200 g. A perda da superfície de esmalte foi medida após cada um dos ciclos de tratamento por meio de perfi lômetro de contato. Resultados: Após os primeiros 10 segundos de abrasão, já foi encontrada perda de esmalte em ambos os grupos tratados (G1 e G2). Nos grupos G1 e G2, a cada ciclo de 10 segundos, foi observado um aumento signifi cativo na perda de esmalte (p ≤ 0.05). Após 4 abrasões de 10 segundos cada, as médias de perda de esmalte nos grupos tratados foram 46.04 µm (G1) e 54.65 µm (G2). Foi encontrada uma diferença signifi cativa entre G1 e G2 com relação à perda de ...

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Comparison of Enamel Microabrasion with a Combined Approach to the Esthetic Management of Fluorosed Teeth

Abstract: The combined therapy, including enamel microabrasion and in-office bleaching, was more effective than enamel microabrasion alone in the esthetic management of fluorosed teeth.

Cited by 26 publications

References 10 publications

Dental hypomineralization treatment: A systematic review

Dental hypomineralization treatment: A systematic review

Restoration of Fluorosis Stained Teeth

Quantitative analysis of dental enamel removal during a microabrasion technique

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