Minimally Invasive Treatment for Esthetic Management of Severe Dental Fluorosis: A Case Report

2013 ◽  
Vol 38 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Y Wang ◽  
Y Sa ◽  
S Liang ◽  
T Jiang

SUMMARY Dental fluorosis is a developmental disturbance of enamel caused by excessive fluoride on ameloblasts during enamel formation. Patients often present to the dentist with a main goal of improving their esthetic appearance. This case report describes a minimally invasive technique for treating a severe case of enamel fluorosis with brown surface aspect and small defects. A selective mega-abrasion and microabrasion were used to recreate macro- and micro- surface morphology, followed by power bleaching, home bleaching, and resin infiltration to improve the esthetic appearance.

Author(s):  
Soner Şişmanoğlu DDS, PhD

Defects that occur during the development of anterior teeth are often associated with aesthetic problems. Although enamel hypomineralization does not significantly increase the risk of caries, it causes patients to experience psychosocial problems. A 23-year-old female patient presented to our clinic complaining of white opacity and discolorations in her anterior teeth.  After the systemic and dental anamnesis of the patient, minimally invasive treatment of resin infiltration was planned. In addition, anterior composite resin restorations with impaired color matching was renewed. The patient was recalled 13 months after the treatment. A significant decrease was observed in the appearance of enamel hypomineralizations. The patient was satisfied with the outcome of the treatment. Furthermore, the durability of the treatment after 13 months is satisfactory.


Author(s):  
Chahita Mahesh Lalchandani ◽  
Sandeep Tandon ◽  
Tripti Sharma Rai ◽  
Rinku Mathur ◽  
Anupama Kajal

Brief Background Molar incisor hypomineralisation (MIH) is a common developmental condition resulting in enamel defects in first permanent molars and permanent incisors. Aesthetic treatment of patients suffering from MIH is essential to enhance their self-esteem and promote their psychological development. Current trends for treating the condition have been increasingly shifting towards minimally invasive approaches, especially considering the age of patients. The decision regarding which treatment modality to undertake for the same is complex and depends on several factors, such as the degree of severity of the enamel defect, the patient’s age, social level and expectations. Pertaining to that, the aim of this case report is to present three different aesthetic and conservative treatment approaches to anterior teeth affected by molar incisor hypomineralisation. Key Words Molar incisor hypomineralisation, aesthetic rehabilitation, minimally invasive, resin infiltration, cpp-acp.


2021 ◽  
Vol 8 ◽  
Author(s):  
Merieme Lferde ◽  
Sarah Tabbai ◽  
Houda El Khammal ◽  
Hakima Chhoul

L'action carioprotectrice du fluor par voie topique est reconnue depuis plus d’une cinquantaine d’année. Ce dernier est devenu aujourd’hui, l'un des piliers de la prévention de la maladie carieuse. Toutefois, l’ingestion excessive de cet oligo-élément durant les premières années de la formation des dents peut entrainer l’apparition d’une fluorose dentaire. Il s’agit d’une anomalie de structure acquise pré-éruptive caractérisée par un aspect polymorphe variant en fonction de la sévérité d’atteinte. Elle peut engendrer, dans certains cas, en fonction de son impact sur la couleur et l'aspect de surface de l'émail dentaire, un préjudice esthétique et fonctionnel majeur. Pour pallier cette problématique, la dentisterie moderne propose un vaste champ thérapeutique allant de l’éclaircissement aux restaurations prothétiques. L’objectif principal est d’adopter une thérapeutique adaptée selon chaque situation tout en étant le moins invasif possible. C’est dans cette optique que ce travail se propose de présenter la gestion thérapeutique d’une fluorose dentaire chez une patiente âgée de 14 ans. Le traitement a consisté en la combinaison de deux méthodes :  la micro-abrasion et l’éclaircissement externe ambulatoire ce qui a permis d’obtenir un résultat très satisfaisant pour la patiente, tout en respectant le principe d’économie tissulaire.


2020 ◽  
Vol 33 (1) ◽  
pp. 105-110
Author(s):  
Adriana Oliveira ◽  
Lázaro Felinto ◽  
Luciana Francisconi-dos-Rios ◽  
Gisele Moi ◽  
Flavia Nahsan

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096753
Author(s):  
Qingqing Wang ◽  
Qingfei Meng ◽  
Jian Meng

Dental fluorosis is a dental condition caused by excessive intake of fluoride during enamel formation, which can lead to color abnormalities or defects on the tooth surface. The resultant abnormal appearance ranges in severity from mildly white and opaque to dark brown, which substantially affects patients’ esthetic characteristics and self-confidence. Treatment methods include tooth whitening or restoration. This clinical report describes the use of a minimally invasive esthetic technique in a 22-year-old woman with moderate dental fluorosis. The treatment plan included enamel microabrasion, at-home bleaching for 2 weeks, and subsequent resin infiltration for each tooth under a rubber dam. After 2 years of follow-up, evaluation of the patient’s esthetic appearance revealed that teeth affected by dental fluorosis could be successfully treated with a minimally invasive technique involving microabrasion, at-home bleaching, and resin infiltration.


2019 ◽  
Author(s):  
Peng zhao ◽  
Dawei Sun ◽  
Yaru Xiong ◽  
Ribo Zhuo

AbstractIntroductionThe incidence of Achilles tendon rupture shows a gradually increasing trend, which is mainly managed by minimally invasive treatment due to its advantages, such as low wound infection rate. At present, the firmness of the commonly applied minimally invasive suture method for Achilles tendon remains controversial. Our research group has developed a novel suture method for Achilles tendon, which has achieved favorable clinical outcomes. Therefore, this experiment aimed to explore the optimal approach to repair Achilles tendon rupture through comparing the biomechanical strength of the commonly used Achilles tendon suture methods currently.Materials and methods6 fresh frozen human cadaveric Achilles tendon specimens were sutured by three kinds of technique, and were tested through the cyclical loading after repair.ResultsResults of cyclical loading showed that, the repair using the new technique was stronger after 10 cycles, 1000 cycles, and rupture. Moreover, the new technique had displayed superior anti-deformation strength to that of the Ma-Griffith technique.ConclusionsOur experimental results demonstrate that, the new technique proposed by our research group can attain comparable biomechanical properties to those of the Krachow technique. However, the sample size in this study is small, and further clinical trials are warranted.


Medwave ◽  
2017 ◽  
Vol 17 (01) ◽  
pp. e6859-e6859
Author(s):  
Andrea Barrueto Barrera ◽  
Sofia Santelices Baeza ◽  
Francisco Miranda Labra ◽  
David Schnettler Rodríguez

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