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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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Related in: MedlinePlus

A: A teenage boy had deep white enamel stains on the maxillary central incisors;B: Removal of the remainder of the abnormal white enamel with a fine-tapereddiamond bur; C: Tooth preparation for composite resin; D: Etching for 30 secondswith 35% phosphoric acid; E: After water rinsing and air drying, a two-stepbonding agent was applied. Resin-based composite restoration was performed; F:Complete photo-polymerization was accomplished using a light beam of 1000 mW/cm²;G: Finishing and polishing were completed using high speed diamond burs and lowspeed points
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f05: A: A teenage boy had deep white enamel stains on the maxillary central incisors;B: Removal of the remainder of the abnormal white enamel with a fine-tapereddiamond bur; C: Tooth preparation for composite resin; D: Etching for 30 secondswith 35% phosphoric acid; E: After water rinsing and air drying, a two-stepbonding agent was applied. Resin-based composite restoration was performed; F:Complete photo-polymerization was accomplished using a light beam of 1000 mW/cm²;G: Finishing and polishing were completed using high speed diamond burs and lowspeed points

Mentions: However, in some cases the enamel defect cannot be resolved with microabrasion becauseit penetrates deeper into the enamel (or perhaps even includes the dentin), and aresin-based composite restoration can be accomplished. A teenage boy had deep whiteenamel stains on the maxillary central incisors (Figure5A). Tooth preparation for resin-based composite was performed (Figure 5B and C). The teeth were etched for 30 seconds with 35% phosphoric acid(Scotchbond(tm) Etchant, 3M Dental Products Division, St. Paul, MN , USA), Figure 5D. After water rinsing and air drying, atwo-step bonding agent was applied (Peak LC Bond, Ultradent Products, Inc., SouthJordan, UT, USA). Resin composite restorations were then performed (Vitalescence,Ultradent Products, Inc., South Jordan, UT, USA), as seen in Figure 5E. Complete photo-polymerization was accomplished using alight beam of 1000 mW/cm2 (Ultralux, Dabi Atlante, Ribeirão Preto, SP,Brazil), as seen in Figure 5F. Finishing andpolishing were completed using high speed diamond burs (1190F, Kg Sorensen Indústria eComércio Ltda, Barueri, SP, Brazil) and low speed points (#850 - Jiffy Regular Brushes10pk) (Jiffy Brushes, Ultradent Products, Inc., South Jordan, USA), as seen in Figure 5G.


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 boy had deep white enamel stains on the maxillary central incisors;B: Removal of the remainder of the abnormal white enamel with a fine-tapereddiamond bur; C: Tooth preparation for composite resin; D: Etching for 30 secondswith 35% phosphoric acid; E: After water rinsing and air drying, a two-stepbonding agent was applied. Resin-based composite restoration was performed; F:Complete photo-polymerization was accomplished using a light beam of 1000 mW/cm²;G: Finishing and polishing were completed using high speed diamond burs and lowspeed points
© Copyright Policy - open-access
Related In: Results  -  Collection

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

f05: A: A teenage boy had deep white enamel stains on the maxillary central incisors;B: Removal of the remainder of the abnormal white enamel with a fine-tapereddiamond bur; C: Tooth preparation for composite resin; D: Etching for 30 secondswith 35% phosphoric acid; E: After water rinsing and air drying, a two-stepbonding agent was applied. Resin-based composite restoration was performed; F:Complete photo-polymerization was accomplished using a light beam of 1000 mW/cm²;G: Finishing and polishing were completed using high speed diamond burs and lowspeed points
Mentions: However, in some cases the enamel defect cannot be resolved with microabrasion becauseit penetrates deeper into the enamel (or perhaps even includes the dentin), and aresin-based composite restoration can be accomplished. A teenage boy had deep whiteenamel stains on the maxillary central incisors (Figure5A). Tooth preparation for resin-based composite was performed (Figure 5B and C). The teeth were etched for 30 seconds with 35% phosphoric acid(Scotchbond(tm) Etchant, 3M Dental Products Division, St. Paul, MN , USA), Figure 5D. After water rinsing and air drying, atwo-step bonding agent was applied (Peak LC Bond, Ultradent Products, Inc., SouthJordan, UT, USA). Resin composite restorations were then performed (Vitalescence,Ultradent Products, Inc., South Jordan, UT, USA), as seen in Figure 5E. Complete photo-polymerization was accomplished using alight beam of 1000 mW/cm2 (Ultralux, Dabi Atlante, Ribeirão Preto, SP,Brazil), as seen in Figure 5F. Finishing andpolishing were completed using high speed diamond burs (1190F, Kg Sorensen Indústria eComércio Ltda, Barueri, SP, Brazil) and low speed points (#850 - Jiffy Regular Brushes10pk) (Jiffy Brushes, Ultradent Products, Inc., South Jordan, USA), as seen in Figure 5G.

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