Microabrasion: A Treatment Option For White Spots

Vasconcelos, Manuel; Vieira, Karlla Almeida; Salgueiro, Mônica da Consolação Canuto; Alfaya, Thays Almeida; Ferreira, C Santos; Bussadori, Sandra Kalil

doi:10.17796/jcpd.39.1.t44j06u21764j888

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…13 Clinical studies have confirmed the benefit of using microabrasion to obtain a good esthetic outcome for WSLs. 14,15 The components of microabrasion include 6.6% hydrochloric acid and 20to 160-lm-sized silicon carbide microparticles that removes superficial parts of a lesion by chemical erosion and mechanical abrasion. 16 One case report comparing the esthetic effect of resin infiltration and microabrasion for WSLs showed that the resin infiltration technique seemed more efficient, with a diminution of lesion size.…”

Section: Introductionmentioning

confidence: 99%

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Yang

et al. 2019

The Angle Orthodontist

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Objective: To compare the esthetic improvement between postorthodontic white-spot lesions (WSLs) treated by resin infiltration and microabrasion for 12 months. Materials and Methods: A total of 20 patients with 128 teeth with postorthodontic WSLs were recruited. A simple randomized, split-mouth, positive controlled design was used to allocate patients to resin infiltration or microabrasion groups. The lesion area ratio (R value) was calculated between the area of a WSL and the labial surface of the corresponding tooth based on standardized clinical photographs. The color change (ΔE) of each tooth was measured with a Crystaleye spectrophotometer (Olympus, Tokyo, Japan). Every measurement was taken before treatment (T0) and at different time points after treatment: 1 week (T1), 6 months (T6), and 12 months (T12). Results: A total of 16 patients with 108 trial teeth were available at T12. Each group had 54 trial teeth. In both groups, there was a significant decrease in R value and ΔE between T1 and T0 (P < .0001). In the infiltration group, the R value and ΔE had no significant changes over time from T1 to T12. In the microabrasion group, the R value and ΔE decreased significantly from T1 to T6. The R value of resin infiltration was lower when compared with microabrasion at every recall point (P < .001). The ΔE had no significant differences between the two groups at any timepoint. Conclusions: Resin infiltration and microabrasion improved the esthetic appearance of WSLs and showed sufficient durability for 12 months. Resin infiltration showed a better esthetic improvement effect when compared with microabrasion at 12 months.

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Section: Introductionmentioning

confidence: 99%

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Yang

et al. 2019

The Angle Orthodontist

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“…A duração e a quantidade das aplicações, por sessão, ainda não foram completamente estabelecidas na literatura 1,12,22,[30][31][32] . Alguns estudos preconizaram a execução de dez aplicações com duração de 10s cada 13,19 .…”

Section: Resultsunclassified

“…Os espécimes foram analisados quanto à perda de estrutura de esmalte utilizando-se análise gravimétrica 22 . Trata-se de avaliação indireta da eficiência de abrasão dos produtos testados, determinando-se a perda de massa do esmalte, em gramas (g).…”

Section: Análise Gravimétricaunclassified

Efeito da apresentação comercial de ácido clorídrico para técnica de microabrasão na perda de estrutura e superfície do esmalte

Silva

Maciel

Martins

et al. 2020

R. Fac. Odontol. Porto Alegre

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Introduction: The microabrasion technique can be performed using a commercially available paste, or the dentist can prepare it in his office. Objective: To verify the effect of hydrochloric acid commercial presentation in the handling of microabrasion paste on the enamel surface. Methodology: Bovine incisors were divided into two groups, according to the commercial presentation of 10% hydrochloric acid (liquid or gel). The treatment was carried out through ten applications of 10 s duration each, intercalated with a 10s wash. Twenty teeth (n=10) were used to determine the loss of enamel structure. Each sample was weighed on an analytical balance before and after submission to microabrasion. Another 20 teeth (n=10) were used to determine the average surface roughness (Ra) using a rugosimeter. Three samples from each group of the previous experiment were selected, randomly, and another three additional samples were repared as a control (baseline) for SEM analysis. Results: There was a statistically significant difference between the final and initial mass and the surface roughness of the samples, regardless of the acid commercial presentation. In the SEM images, a regular surface was observed for the control group (baseline). In the other images, there was a surface with considerable irregularity and a slight dissolution of the enamel. Conclusions: The treatment carried out.

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“…When necessary, the microabrasion technique may be combined with other treatment approaches in order to improve the final esthetic result. Treatments such as dental bleaching may be useful to whiten the yellowish part of the tooth when there is a great enamel reduction and reduce contrast with the rest of the surface [6,10,18,21]. If, afterwards, there is still a need to further improve results, a resin-infiltration technique may be attempted and later, if necessary, a direct composite restoration.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Dentistry for Pre-Eruptive Enamel Lesions—A Case Series

et al. 2021

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Pre-eruptive enamel lesions occur during tooth formation and include fluorosis, traumatic hypomineralization, and molar incisor hypomineralization. Minimally invasive treatment approaches, such as microabrasion, should be considered for these cases. This article presents a case series of three patients with pre-eruptive enamel defects in esthetically compromised tooth regions which were treated with the microabrasion technique: two fluorosis cases, moderate and advanced, and one hypomineralization case of traumatic etiology. In Cases 1 and 3, there was a significant improvement in esthetics with a total resolution of the enamel defects. However, a slight yellowish coloration may be detected at close observation. In Case 2 (advanced fluorosis), although there was no full resolution of the white spots, there was a clear improvement in esthetics. Microabrasion is a safe and effective, minimally invasive treatment for pre-eruptive enamel lesions. It does not require local anesthesia, it is less destructive than restorative interventions, and allows good esthetic outcomes with no significant postoperative sensitivity. Its efficacy is directly related to the lesions’ severity and depth. Although there are some limitations, further improvement can be achieved with dental bleaching. More invasive treatments might be considered if results are still unsatisfactory.

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Microabrasion: A Treatment Option For White Spots

Cited by 6 publications

References 8 publications

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial

Efeito da apresentação comercial de ácido clorídrico para técnica de microabrasão na perda de estrutura e superfície do esmalte

Minimally Invasive Dentistry for Pre-Eruptive Enamel Lesions—A Case Series

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