Enamel Microabrasion: A New Approach

Croll, Theodore P.; Helpin, Mark L.

doi:10.1111/j.1708-8240.2000.tb00202.x

Cited by 42 publications

(57 citation statements)

References 7 publications

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“…The macroabrasion step which is recomended in the literature before microabrasion 23 was skipped because the presence of enamel is important for treatments such as bleaching and resin infiltration, so even a small thickness of enamel was preserved and kept intact. Also, severely stained and defective structure was located beneath the equator line close to cervical area where the enamel thickness is very low and it is hard to perform a well controled macroabrasion at these areas.…”

Section: Discussionmentioning

confidence: 99%

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Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

GÖZETİCİ¹,

KUŞDEMİR²,

BOZKURT³

2016

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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In todays' modern dentistry, the undesirable appearence of dental fluorosis need to be improved to satisfy patients' esthetic requirements in a minimally invasive manner. The approach proposed for the treatment should remove the stained enamel defects, provide blending effect for chalky white appearence and strengthen the enamel against caries development. The purpose of this case report is to present the clinical results of a combined esthetic treatment of a severe fluorosis case with microabrasion, bleaching and resin infiltration. Treatment plan was based on a combined approach of microabrasion, home bleaching and resin infiltration. An improvement in the esthetic appearence was achieved and remained stable in the 6-months follow-up. The technique might be more minimally invasive, less time consuming and cheaper compared to restorative techniques.

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Section: Discussionmentioning

confidence: 99%

“…Subsequent to microabrasion, home bleaching was performed to better harmonize tooth color 24 . Bleaching combined with microabrasion was first described by Archambault 25 and since then it has been the recommended treatment approach for dental fluorosis in many publications 12,25,26 .…”

Section: Discussionmentioning

confidence: 99%

Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

GÖZETİCİ¹,

KUŞDEMİR²,

BOZKURT³

2016

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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“…después de la aplicación del compuesto como: ausencia de sensibilidad térmica postoperatoria en los dientes tratados. 9 Además, el ácido utilizado no es capaz de penetrar la dentina, por lo cual no existe contacto alguno entre la dentina, tejido pulpar y tejido periodontal. 1,10 La expectativa y la ansiedad desarrollada por los padres y del niño en relación con la estética facial del paciente odontopediá-trico, puede comprometer el desenvolvimiento psicológico del niño perjudicando su autoestima.…”

Section: Caso Clínico N°unclassified

“…3 La mezcla de H 3 PO 4 y piedra pómez en una proporción de 1:1, produce acción ácido-abrasiva, ya que provee al diente un aspecto lustroso y brillante permanente, reduciendo las probabilidades de formación de caries en la superficie del mismo. 9,10 Algunos estudios refieren que la acción de ambos ácidos presentan resultados exitosos similares y que el color del esmalte mejora con el tiempo, 15 además…”

Section: Diagnósticounclassified

Microabrasión dental para pacientes odontopediátricos: Una alternativa estética

Páucar

Gonzales

Cruces

et al. 2014

Odontol. sanmarquina

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IntroducciónLa microabrasión es un método novedoso y conservador de la estructura dentaria frente a defectos superficiales del esmalte (caries dental, fluorosis e hipoplasia del esmalte), 1, 2 el cual consiste en eliminar las manchas del esmalte mediante una ligera abrasión de este y respetar el esmalte sano situado por debajo.El primero en describir esta técnica fue el doctor Walter Kane en 1916, él utilizó el ácido clorhídrico al 36 % y calor para eliminar las manchas cafés de los dientes. Posteriormente en 1984, McCloskey modificó esta técnica y usó el ácido clorhídri-co (HCl) al 18 % sin el uso del calor. 1,3 Luego Croll y Cavanaugh en 1986 desarrollaron una técnica de aclareamiento por medio de la microabrasión, con una aplicación de una mixtura de ácido clorhídrico al 18 % y piedra pómez extrafina, en igual concentración utilizando un palillo de madera (técnica manual).4 Los resultados fueron buenos y duraderos, pero la técnica presentaba el inconveniente de trabajar con un ácido fuerte sin unión con la piedra pómez ofreciendo riesgos de alMicroabrasión dental para pacientes odontopediátricos: Una alternativa estética Dental microabrasion in children: An esthetic alternative ResumenLa microabrasión dental es un procedimiento efectivo y conservador frente a los defectos superficiales del esmalte. Las manchas blancas del esmalte dental, aparecen frecuentemente en los niños por caries de esmalte inactiva, hipoplasias y fluorosis. Cuando estas manchas afectan a los dientes anteriores producen un efecto antiestético. Se describe dos casos clínicos de microabrasión del esmalte utilizando H3PO4 al 37 % y piedra pómez, mediante una técnica mecánica (micromotor), en un niño de 7 años con diagnóstico de hipoplasia del esmalte y otro niño de 7 años con diagnostico de caries de esmalte inactivo, en ambos casos la manchas blancas fueron localizados en el sector anterosuperior. El objetivo fue comparar la efectividad de la microabrasión sobre manchas superficiales del esmalte utilizando el ácido ortofosfórico al 37 % mediante el empleo de diferentes aditamentos en la técnica mecánica. Se observó que después de realizar una primera sesión de microabrasión, el resultado más eficiente se obtuvo con el uso de copas para pulir resina y piedra de acrílico elaborada respecto al grupo que usó copas de caucho para profilaxis, pero estas diferencias estéticas fueron desapareciendo en los controles posteriores. AbstractThe dental microabrasion treatment is an effective and conservative procedure against enamel surface defects. The white spots appear frequently in children because inactive enamel caries, hypoplasia and fluorosis. When these spots affect anterior teeth produce an aesthetic effect. We describe two cases of enamel microabrasion of the upper incisors for both cases using 37 % H 3 PO 4 and a mechanical technique (micromotor) in a 7 year old child with enamel hypoplasia and a 7 year old boy with inactive enamel caries. The aim of study was to compare affectivity of enamel microabrasion with 37% H 3 PO 4 and pumice using ...

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“…It has been reported that microabrasion could invariably make improvements to the disfigured enamel, but a proportion of the patients were still not satisfied with the change and requested further improvement by composite/porcelain veneers, crowns, or vital bleaching. [11][12][13] Hence, the aims of this study were to investigate which type of opacity could be aesthetically improved by microabrasion to an appearance acceptable to the patient and to explore whether this technique could also be used as an aid to determine the cause of the enamel defect.…”

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confidence: 99%

Effectiveness of microabrasion technique for improvement of dental aesthetics

Wong

Winter

2002

Br Dent J

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Objectives To investigate which types of enamel opacity are effectively treated by the microabrasion technique and whether this technique could be used as a diagnostic aid to determine the aetiology of these defects. Materials and method Thirty two patients who had enamel opacities affecting both upper central incisors were selected and the disfigurements were classified into four types: single line, multi-line, patched and diffused. The patient's previous medical history, possible history of fluoride ingestion, presence of taurodontism and family history of similar enamel defects were recorded. Both incisors were treated with Prèma abrasive paste mixed with 18% hydrochloric acid. The aesthetic improvements were assessed by the patients and their parents and their satisfaction level after the treatment was recorded. Results Approximately two-thirds (65.6%) of the patients were satisfied with their appearance after microabrasion. Apart from four patients, the improved appearance was stable and acceptable to the remaining patients at the six month recall. Statistical analysis showed that acceptable improvement was found in patients with single line/patched types of defects but not in multi-line/diffused types (P=0.03). However, the aesthetic improvement was not related to the patient's fluoride history, presence of taurodontism or the family history of enamel defects. Conclusion Microabrasion using Prèma abrasives with 18% HCl is effective in improving the appearance of enamel with single-line or patched opacities, indicating that these defects are a surface phenomenon. For the multi-line and diffused types, the defects appear to extend deeper into the enamel. The technique failed to assist in determining the aetiology of these defects.The aetiology of intrinsic discolouration of enamel may sometimes be deduced from the patient's history, and one factor long associated with the problem has been a high level of fluoride intake. 1 However, Small and Murray 2 drew attention to the fact that 97

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Enamel Microabrasion: A New Approach

Cited by 42 publications

References 7 publications

Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

Microabrasión dental para pacientes odontopediátricos: Una alternativa estética

Effectiveness of microabrasion technique for improvement of dental aesthetics

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