Abstract
Objective: Dental hypomineralization such as dental fluorosis has increased in recent times, which leads to unaesthetic appearance of teeth visible at close quarters. There are different treatment possibilities to improve the aesthetic appearance of hypomineralized enamel described in dental literature. The enamel microabrasion has been a feasible alternative, since it is a fast, safe, conservative, and easy to perform, which promotes good esthetic results. oreover, this technique is a conservative method that improves the appearance of the teeth without causing significant structural loss. The association of different techniques, such as dental bleaching, can provide good esthetic outcomes, but the etiology, intensity and depth of stain should be considered. Thus, the aim of this article is to describe an easy technique for managing mild to moderate dental fluorosis using microabrasion in association with dental bleaching.Case Report: First, application of the microabrasion material on the enamel surface was performed with 6% hydrochloric acid and silicon carbide and then with 37% phosphoric acid and pumice paste. Subsequently, dental bleaching employing 10% carbamide peroxide gel was indicated.Conclusion: This conservative approach may be considered an interesting alternative treatment to remove fluorosis staining and to improve aesthetic appearance.
Highlights
Dental fluorosis is a developmental defect of dental enamel that has increased in recent times
Fluoride have long been recognized for its potential to prevent dental caries, the chronic exposure to excessive amounts of fluoride during the amelogenesis can lead to dental fluorosis or mottled enamel
Microabrasion can be considered a secure treatment and, a conservative alternative [4]. It can be verified in the literature that the enamel loss in teeth after microabrasion ranges from 25 μm after each application of the paste [8,9], the dental preparation presented is restricted to the enamel
Summary
This conservative approach may be considered an interesting alternative treatment to remove fluorosis staining and to improve aesthetic appearance. Tratamento conservador de hipoplasia do esmalte: microabrasão e clareamento para o restabelecimento da estética. Existem diferentes possibilidades de tratamento para melhorar a aparência estética do esmalte hypomineralized. A microabrasão do esmalte tem sido uma alternativa viável, uma vez que é um tratamento rápido, seguro, conservador e de fácil realização, que promove bons resultados estéticos. A associação de diferentes técnicas, tais como o branqueamento dentário podem proporcionar bons resultados estéticos. O objetivo deste artigo é descrever uma técnica para o tratamento de fluorose leve a moderada usando microabrasão em associação com clareamento dental. Conclusão: Esta abordagem conservadora pode ser considerada um tratamento alternativo interessante para remover manchas de fluorose e para melhorar a aparência estética. Palavras-chave: Clareamento dental; Hipoplasia do esmalte dentário; Estética dental; Microabrasão. Conservative treatment of enamel hypomineralization | da Cunha et al
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