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Microabrasion in tooth enamel discoloration defects: three cases with long-term follow-ups.

Sundfeld RH, Sundfeld-Neto D, Machado LS, Franco LM, Fagundes TC, Briso AL - J Appl Oral Sci (2014 Jul-Aug)

Bottom Line: Superficial irregularities and certain intrinsic stains on the dental enamel surfaces can be resolved by enamel microabrasion, however, treatment for such defects need to be confined to the outermost regions of the enamel surface.Dental bleaching and resin-based composite repair are also often useful for certain situations for tooth color corrections.Three case reports treated by enamel microabrasion were also presented after 11, 20 and 23 years of follow-ups.

View Article: PubMed Central - PubMed

Affiliation: Department of Restorative Dentistry, Araçatuba Dental School, Univ. Estadual Paulista, Araçatuba, São Paulo, Brazil.

ABSTRACT
Superficial irregularities and certain intrinsic stains on the dental enamel surfaces can be resolved by enamel microabrasion, however, treatment for such defects need to be confined to the outermost regions of the enamel surface. Dental bleaching and resin-based composite repair are also often useful for certain situations for tooth color corrections. This article presented and discussed the indications and limitations of enamel microabrasion treatment. Three case reports treated by enamel microabrasion were also presented after 11, 20 and 23 years of follow-ups.

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A: A teenage girl had idiopathic white enamel demineralization of her maxillarycentral incisors; B: After dental prophylaxis with pumice and water, afine-tapered diamond bur was used with water cooling to remove the superficiallayer of the stained enamel; C: Before treatment, the patient received eyeglassesfor protection and the teeth were isolated with a rubber dam; D and E: Opalustremicroabrasive product was applied and compressed upon the enamel surfaces, using arubber cup manufactured with enclosed brush bristles specifically developed forthis purpose. The microabrasion “slurry” was applied with high torque, but veryslow speed, to prevent splattering. The compound was applied three times on eachof the three teeth for intervals of 60 seconds. The teeth were rinsed withwater/air spray after each application; F: The teeth were then dried with an airsyringe and polished with fluoridated prophylaxis paste. A 2% neutral-Ph sodiumfluoride gel was applied to the treated enamel surfaces and left in place for 4minutes; G: The treated incisors are shown immediately after enamelmicroabrasion
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f01: A: A teenage girl had idiopathic white enamel demineralization of her maxillarycentral incisors; B: After dental prophylaxis with pumice and water, afine-tapered diamond bur was used with water cooling to remove the superficiallayer of the stained enamel; C: Before treatment, the patient received eyeglassesfor protection and the teeth were isolated with a rubber dam; D and E: Opalustremicroabrasive product was applied and compressed upon the enamel surfaces, using arubber cup manufactured with enclosed brush bristles specifically developed forthis purpose. The microabrasion “slurry” was applied with high torque, but veryslow speed, to prevent splattering. The compound was applied three times on eachof the three teeth for intervals of 60 seconds. The teeth were rinsed withwater/air spray after each application; F: The teeth were then dried with an airsyringe and polished with fluoridated prophylaxis paste. A 2% neutral-Ph sodiumfluoride gel was applied to the treated enamel surfaces and left in place for 4minutes; G: The treated incisors are shown immediately after enamelmicroabrasion

Mentions: In Figure 1 was described the usuall microabrasiontechnique. A teenage girl had idiopathic white enamel demineralization of her maxillarycentral incisors (Figure 1A). The enamelmicroabrasion procedures were performed after enamel macroabrasion of the affectedenamel surfaces, using a fine-tapered diamond bur (3195 FF, Kg Sorensen Indústria eComércio Ltda, Barueri, SP, Brazil) under water and air cooling (Figure 1B). Rubber dam isolation was applied and the dental enamelsurface was treated with an application of the microabrasive product (Opalustre,Ultradent Products Inc, South Jordan, UT, USA), three times on each of the three teethat 60-second intervals (Figure 1C, D and E). Teethwere polished with Herjos F fluoridated prophylaxis paste (Vigodent Coltene SA Indústriae Comércio; Rio de Janeiro, RJ, Brasil). A 2% neutral-Ph sodium fluoride gel was appliedfor 4 minutes. The immediate enamel aspects were satisfactory (Figure 1F and G).


Microabrasion in tooth enamel discoloration defects: three cases with long-term follow-ups.

Sundfeld RH, Sundfeld-Neto D, Machado LS, Franco LM, Fagundes TC, Briso AL - J Appl Oral Sci (2014 Jul-Aug)

A: A teenage girl had idiopathic white enamel demineralization of her maxillarycentral incisors; B: After dental prophylaxis with pumice and water, afine-tapered diamond bur was used with water cooling to remove the superficiallayer of the stained enamel; C: Before treatment, the patient received eyeglassesfor protection and the teeth were isolated with a rubber dam; D and E: Opalustremicroabrasive product was applied and compressed upon the enamel surfaces, using arubber cup manufactured with enclosed brush bristles specifically developed forthis purpose. The microabrasion “slurry” was applied with high torque, but veryslow speed, to prevent splattering. The compound was applied three times on eachof the three teeth for intervals of 60 seconds. The teeth were rinsed withwater/air spray after each application; F: The teeth were then dried with an airsyringe and polished with fluoridated prophylaxis paste. A 2% neutral-Ph sodiumfluoride gel was applied to the treated enamel surfaces and left in place for 4minutes; G: The treated incisors are shown immediately after enamelmicroabrasion
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126832&req=5

f01: A: A teenage girl had idiopathic white enamel demineralization of her maxillarycentral incisors; B: After dental prophylaxis with pumice and water, afine-tapered diamond bur was used with water cooling to remove the superficiallayer of the stained enamel; C: Before treatment, the patient received eyeglassesfor protection and the teeth were isolated with a rubber dam; D and E: Opalustremicroabrasive product was applied and compressed upon the enamel surfaces, using arubber cup manufactured with enclosed brush bristles specifically developed forthis purpose. The microabrasion “slurry” was applied with high torque, but veryslow speed, to prevent splattering. The compound was applied three times on eachof the three teeth for intervals of 60 seconds. The teeth were rinsed withwater/air spray after each application; F: The teeth were then dried with an airsyringe and polished with fluoridated prophylaxis paste. A 2% neutral-Ph sodiumfluoride gel was applied to the treated enamel surfaces and left in place for 4minutes; G: The treated incisors are shown immediately after enamelmicroabrasion
Mentions: In Figure 1 was described the usuall microabrasiontechnique. A teenage girl had idiopathic white enamel demineralization of her maxillarycentral incisors (Figure 1A). The enamelmicroabrasion procedures were performed after enamel macroabrasion of the affectedenamel surfaces, using a fine-tapered diamond bur (3195 FF, Kg Sorensen Indústria eComércio Ltda, Barueri, SP, Brazil) under water and air cooling (Figure 1B). Rubber dam isolation was applied and the dental enamelsurface was treated with an application of the microabrasive product (Opalustre,Ultradent Products Inc, South Jordan, UT, USA), three times on each of the three teethat 60-second intervals (Figure 1C, D and E). Teethwere polished with Herjos F fluoridated prophylaxis paste (Vigodent Coltene SA Indústriae Comércio; Rio de Janeiro, RJ, Brasil). A 2% neutral-Ph sodium fluoride gel was appliedfor 4 minutes. The immediate enamel aspects were satisfactory (Figure 1F and G).

Bottom Line: Superficial irregularities and certain intrinsic stains on the dental enamel surfaces can be resolved by enamel microabrasion, however, treatment for such defects need to be confined to the outermost regions of the enamel surface.Dental bleaching and resin-based composite repair are also often useful for certain situations for tooth color corrections.Three case reports treated by enamel microabrasion were also presented after 11, 20 and 23 years of follow-ups.

View Article: PubMed Central - PubMed

Affiliation: Department of Restorative Dentistry, Araçatuba Dental School, Univ. Estadual Paulista, Araçatuba, São Paulo, Brazil.

ABSTRACT
Superficial irregularities and certain intrinsic stains on the dental enamel surfaces can be resolved by enamel microabrasion, however, treatment for such defects need to be confined to the outermost regions of the enamel surface. Dental bleaching and resin-based composite repair are also often useful for certain situations for tooth color corrections. This article presented and discussed the indications and limitations of enamel microabrasion treatment. Three case reports treated by enamel microabrasion were also presented after 11, 20 and 23 years of follow-ups.

Show MeSH
Related in: MedlinePlus