scholarly journals Treatment of Enamel Surfaces After Bracket Debonding: Case Reports and Long-term Follow-ups

2016 ◽  
Vol 41 (1) ◽  
pp. 8-14 ◽  
Author(s):  
RH Sundfeld ◽  
LM Franco ◽  
LS Machado ◽  
NIP Pini ◽  
FM Salomao ◽  
...  
Keyword(s):  
Clinical Case ◽  
Case Reports ◽  
Enamel Surface ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Clinical Procedures ◽  
Diamond Bur ◽  
Dental Esthetics ◽  
Residual Material

SUMMARY After bracket debonding, residual bonded material may be observed on the enamel surface. When not properly removed, this residual material can interfere with the surface smoothness of the enamel, potentially resulting in staining at the resin/enamel interface and contributing to biofilm accumulation. Clinical case reports demonstrate clinical procedures to remove residual bonded material after bracket debonding. A water-cooled fine tapered 3195 FF diamond bur was used to remove the residual bonded material. Subsequently, the enamel surface was treated with Opalustre microabrasive compound. After one week, overnight dental bleaching was initiated using 10% carbamide peroxide in custom-formed trays for four weeks. The enamel microabrasion technique was found to be effective for polishing the enamel surface and for reestablishing the dental esthetics associated with dental bleaching. Longitudinal clinical controls of other clinical cases are presented.

Case Reports of Enamel Microabrasion Associated with At-home Dental Bleaching After Orthodontic Bracket Removal

2021 ◽  
Author(s):  
CC Pavani ◽  
LR Vieira ◽  
TC Schott ◽  
D Sundfeld ◽  
NIP Pini ◽  
...  
Keyword(s):  
Surface Morphology ◽  
Clinical Case ◽  
Case Reports ◽  
Enamel Surface ◽  
Carbamide Peroxide ◽  
Orthodontic Bracket ◽  
Dental Bleaching ◽  
Bonded Materials ◽  
Diamond Bur ◽  
At Home

SUMMARY Adequate removal of residual bonded materials from the enamel surface after orthodontic bracket debonding is critical, since any remaining composite may compromise enamel surface morphology and esthetics. The following clinical case reports present the association of at-home dental bleaching using 10% carbamide peroxide and the removal of residual bonded material using a super fine, tapered diamond bur followed by the use of an enamel microabrasion product after orthodontic bracket debonding. The proposed treatment considerably improved the esthetics and successfully removed the grooves created during the removal of the bonding composite, resulting in a smooth enamel surface.

Enamel Microabrasion and Dental Bleaching on Teeth Presenting Severe-pitted Enamel Fluorosis: A Case Report

2019 ◽  
Vol 44 (6) ◽  
pp. 566-573
Author(s):  
D Sundfeld ◽  
CC Pavani ◽  
NIP Pini ◽  
LS Machado ◽  
TC Schott ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Dental Fluorosis ◽  
Carbamide Peroxide ◽  
Operative Field ◽  
Dental Bleaching ◽  
Diamond Bur ◽  
Dental Esthetics ◽  
Silicon Carbide Particles ◽  
Carbide Particles

SUMMARY The present clinical case report describes the clinical steps of enamel microabrasion associated with dental bleaching to restore severely-pitted fluorosed teeth. The process of removing the fluorotic superficial stains started by using macroabrasion with a water-cooled fine tapered 3195 FF diamond bur. Rubber dam isolation of the operative field was used to remove the remaining enamel stains and superficial irregularities with the Opalustre microabrasive compound (6.6% hydrochloric acid associated with silicon carbide particles) followed by polishing using fluoridated paste and subsequent 2% neutral fluoride gel topical application. After one month, dental bleaching was performed using 10% carbamide peroxide in custom-formed acetate trays for two hours/day for 42 days. The association of enamel microabrasion with dental bleaching was effective for reestablishing the dental esthetics of a patient with severe dental fluorosis.

LONG-TERM FOLLOW-UP ASSESSMENT OF POTENTIAL ADVERSE EFFECTS AFTER RADIOFREQUENCY ABLATION IN AN INFANT (A CLINICAL CASE)

2019 ◽  
Vol 8 (3) ◽  
pp. 136-141
Author(s):  
O. Yu. Dzhaffarova ◽  
L. I. Svintsova ◽  
I. V. Plotnikova ◽  
S. N. Krivolapov
Keyword(s):  
Radiofrequency Ablation ◽  
Electrical Activity ◽  
Clinical Case ◽  
Case Reports ◽  
Electrophysiological Study ◽  
Mapping System ◽  
Long Term Follow Up ◽  
Myocardial Electrical Activity

The article presents a long-term follow-up of the patient who underwent an intracardiac electrophysiological study (EPS) and radiofrequency ablation (RFA) of focal tachycardia at the age of 2 months. 12 years after the indexed procedure, Wolff-Parkinson-White (WPW) syndrome was diagnosed and required repeat RFA procedure. The atrial map of the first ablated zone was reconstructed using non-fluroscopic mapping system. EPS reported the absence of myocardial electrical activity reduction zones. There were no damages after the indexed ablation. Our findings suggested the normal electrical activity of the atrial tissue in the long-term period following the indexed RFA. This clinical case reports the absence of post-ablation necrosis and successful restoration of the electrical activity of the myocardium with the child’s growth.

scholarly journals Microabrasion: An Effective Method for Improvement of Esthetics in Dentistry

2013 ◽  
Vol 2013 ◽  
pp. 1-4 ◽  
Author(s):  
Biji Balan ◽  
Chengappa Madanda Uthaiah ◽  
Sreejesh Narayanan ◽  
Priyadarshini Mookalamada Monnappa
Keyword(s):  
Hydrochloric Acid ◽  
Male Patient ◽  
Efficient Method ◽  
Clinical Case ◽  
Treatment Protocol ◽  
Enamel Surface ◽  
Long Term Results ◽  
Clinical Implications ◽  
Results Of Treatment

Enamel microabrasion can eliminate enamel irregularities and discoloration defects, thus improving the appearance of teeth. This paper presents the latest treatment protocol of enamel microabrasion to remove stains on the enamel surface. It has been verified that teeth submitted to microabrasion acquire a yellowish colour because of the thinness of the remaining enamel, revealing the colour of dentinal tissue to a greater degree. Enamel microabrasion is a technique that can be used to correct discoloured enamel. Enamel microabrasion was developed in the mid-1980s as a method of eliminating enamel discolouration defects and improving the appearance of teeth. Several years after the method was developed, much has been learned about this technique, long-term results of treatment, and microscopic changes to the enamel surface that have distinguishable clinical implications. In addition, certain patients can benefit from enamel microabrasion to yield attractive cosmetic results. The aim of this study was to report the clinical case of a male patient of 25 years with moderate fluorosis, whose smile was re-established by the use of an enamel microabrasion technique, with 18% hydrochloric acid and pumice slurry shown to be a safe and efficient method for removing fluorosis stains.

scholarly journals The Use of Pre-Fabricated Composite Veneers to Enhance Esthetics

2017 ◽  
Vol 21 (3) ◽  
pp. 171-175
Author(s):  
Stela Panteqi ◽  
Adem Alushi ◽  
Orges Simeon
Keyword(s):  
Hybrid Composite ◽  
Clinical Case ◽  
Composite Resin ◽  
Case Reports ◽  
New Technique ◽  
New Techniques ◽  
Tooth Shape ◽  
Esthetic Dentistry ◽  
Shape And Size

Summary Background: This article is focused on the use of polymerized, prefabricated nano-hybrid-composite veneers to close diastema and to regain a vitality appearance of non vital discolored teeth. Case Reports: A 24-year old patient presented herself with a major complaint about the discoloration of her maxillary central incisors. The prefabricated composite veneers were recommended as the perfect solution in this case. Tooth shape and size was evaluated with the contour guide. Two pre-fabricated composite veneers size “M” were trimmed and cemented with the same hybrid composite resin that they were made from. A 28 year-old patient presented herself with a major complaint about her diastema. Her maxillary frontal teeth were intact. It was decided to use two veneers; size “L” and shade A2/B2 and Enamel Universal were chosen. Identical steps were followed as in clinical case 2. Conclusion: This new technique of treatment resulted to be an affordable way to regain esthetics. It is a one session treatment and requires no lab sessions, which makes it very comfortable for both dentist and patients. As with all new techniques, there is still a lot to be done, to confirm its effectiveness as a long term solution in esthetic dentistry.

scholarly journals Implant- and tooth-supported removable partial dentures: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Jéssyca Maria França de Oliveira MELO ◽  
Eduardo de Farias BARBOSA
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Case Reports ◽  
Motor Impairment ◽  
Oral Rehabilitation ◽  
Anterior Teeth ◽  
Long Term Follow Up ◽  
Senile Patient

ABSTRACT This study aimed to report treatment of a patient with Kennedy’s class l maxillary and class II mandibular arch with removable partial dentures supported on an external hexagon (HE) anterior type implant of regular diameter fitted with an O’ring type of attachment. This clinical case reports the oral rehabilitation of a senile patient whose clinical examination revealed missing dentition in the upper and lower arches, attrition of the lower anterior teeth, caries, and motor impairment affecting hygiene, mastication, and esthetic functions. Due to few severely impaired teeth, the pre-prosthetic preparation included extractions and restorations, followed by the fabrication of upper and lower removable partial dentures supported by an HE-type implant. This study is important because it addresses the current challenges faced in the implementation of treatment involving removable partial dentures combined with implants, which is a topic that still needs long-term follow-up and research.

Current Evidence on the Socket-Shield Technique: A Systematic Review

2017 ◽  
Vol 43 (5) ◽  
pp. 395-403 ◽  
Author(s):  
Amit S. Gharpure ◽  
Neel B. Bhatavadekar
Keyword(s):  
Systematic Review ◽  
Bone Loss ◽  
Clinical Case ◽  
Case Reports ◽  
Case Control ◽  
Current Evidence ◽  
Clinical Prognosis ◽  
Crestal Bone Loss

The recently popularized socket-shield technique involves intentional retention of a section of the remnant root at the time of immediate implant placement, thereby preserving the buccal/proximal bone from resorption. The objective of this systematic review was to assess the literature available on the socket-shield technique and weigh its biological plausibility and long-term clinical prognosis. A systematic search was performed on PubMed-Medline, Embase, Web of Knowledge, Google Scholar, and Cochrane Central for clinical/animal studies from January 1970 to April 2017. Twenty-three studies were assessed: 1 clinical case-control study, 4 animal histological reports, 1 clinical abstract, and 17+2* case reports. Eighteen out of the 23 studies had a duration of ≤12 months. A quality assessment of 5 studies (4 animal histologic and 1 clinical case-control) performed using the modified Animal Research: Reporting of In Vivo Experiments guidelines revealed that 4/5 studies had low scores. Fifty-eight out of 70 (82.86%) implants from 4 animal histological studies had complications; buccal/crestal bone loss (54.55%) and failure of osseointegration (27.27%) were the most common. Thirty-three out of 136 (24.26%) implants from 19+2 (2 studies had both histologic and clinical components, which are assessed separately) clinical studies had complications; buccal/crestal bone loss (78.78%) and shield exposure/failure (12.12%) were the most common. Other complications recorded were periodontal ligament and cementum formation on implant surfaces, pocket formation, inflammation, mucositis, and peri-implantitis. However, some clinical reports indicated stable results at 12 months. It would be difficult to predict the long-term success of this technique until high-quality evidence becomes available. A video abstract is available for viewing at https://youtu.be/lNMeUxj2XPA?list=PLvRxNhB9EJqbqjcYMbwKbwi8Xpbb0YuHI.

Multidisciplinary Evidence to Treat Bilingual Individuals with Aphasia

2008 ◽  
Vol 15 (3) ◽  
pp. 66-72 ◽  
Author(s):  
José G. Centeno
Keyword(s):  
Stroke Rehabilitation ◽  
Culturally Diverse ◽  
Treatment Strategies ◽  
The United States ◽  
Intervention Strategies ◽  
Steady Increase ◽  
Clinical Procedures ◽  
Bilingual Speakers ◽  
Aphasic Clients

Abstract The steady increase in linguistic and cultural diversity in the country, including the number of bilingual speakers, has been predicted to continue. Minorities are expected to be the majority by 2042. Strokes, the third leading cause of death and the leading cause of long-term disability in the U.S., are quite prevalent in racial and ethnic minorities, so population estimates underscore the imperative need to develop valid clinical procedures to serve the predicted increase in linguistically and culturally diverse bilingual adults with aphasia in post-stroke rehabilitation. Bilingualism is a complex phenomenon that interconnects culture, cognition, and language; thus, as aphasia is a social phenomenon, treatment of bilingual aphasic persons would benefit from conceptual frameworks that exploit the culture-cognition-language interaction in ways that maximize both linguistic and communicative improvement leading to social re-adaptation. This paper discusses a multidisciplinary evidence-based approach to develop ecologically-valid treatment strategies for bilingual aphasic individuals. Content aims to spark practitioners' interest to explore conceptually broad intervention strategies beyond strictly linguistic domains that would facilitate linguistic gains, communicative interactions, and social functioning. This paper largely emphasizes Spanish-English individuals in the United States. Practitioners, however, are advised to adapt the proposed principles to the unique backgrounds of other bilingual aphasic clients.

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