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.

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.

scholarly journals Violet LED with low concentration carbamide peroxide for dental bleaching: A case report

2018 ◽  
Vol 23 ◽  
pp. 270-272 ◽  
Author(s):  
Alessandra Nara de Souza Rastelli ◽  
Hércules Bezerra Dias ◽  
Emanuelle Teixeira Carrera ◽  
Ana Cláudia Pedroso de Barros ◽  
Diego Dantas Lopes dos Santos ◽  
...  
Keyword(s):  
Case Report ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Low Concentration

scholarly journals Dental Bleaching Using Violet Light Alone: Clinical Case Report

Dentistry ◽  
2017 ◽  
Vol 7 (11) ◽  
Author(s):  
Bruno Pereira de Oliveira ◽  
Alessandra Nara Souza Rastelli ◽  
Vanderlei Salvador Bagnato ◽  
Vitor Hugo Panhoca
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Dental Bleaching ◽  
Violet Light

scholarly journals Anterior rehabilitation involving dental bleaching, frenectomy and composite resin: a case report

2020 ◽  
Vol 68 ◽  
Author(s):  
Frederico dos Reis GOYATÁ ◽  
Luis Henrique Garcia MARQUES ◽  
Amália MORENO ◽  
Ivan Doche BARREIROS ◽  
João Batista NOVAES JÚNIOR ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Case Report ◽  
Clinical Examination ◽  
Composite Resin ◽  
Treatment Plan ◽  
Clinical Report ◽  
Functional Evaluation ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Restorative Treatment

ABSTRACT This clinical report describes the treatment of a patient dissatisfied with the esthetics of the smile due to the presence of narrow teeth, yellow and the presence of diastema between teeth 11 and 21. Clinical examination revealed absence of the disocclusion guides. The treatment plan consisted in obtaining study casts, assembly in a semi-adjustable articulator and diagnostic waxing, to evaluate the possibilities of a restorative treatment. After the approved the viability of the procedure, dental bleaching was started in-office with 38% hydrogen peroxide associated with at-home bleaching with 15% carbamide peroxide, in order to reduce the yellowing of the teeth. Afterwards, the functional evaluation of the restorative procedure was carried out through the prior preparation of the mock-up. After functional approval of the mock-up, lip frenectomy was performed, since the frenulum is the cause of the diastema between the teeth 11 and 21. After 4 weeks was carried out the restorative procedure of teeth 13 to 23, with direct composite resin, improving the aesthetics of the smile and restoring the disocclusion guides.

scholarly journals Accomplishing Esthetics Using Enamel Microabrasion and Bleaching—A Case Report

2014 ◽  
Vol 39 (3) ◽  
pp. 223-227 ◽  
Author(s):  
RH Sundfeld ◽  
LM Franco ◽  
RS Gonçalves ◽  
RS de Alexandre ◽  
LS Machado ◽  
...  
Keyword(s):  
Case Report ◽  
Unknown Etiology ◽  
Carbamide Peroxide ◽  
Diamond Bur ◽  
Fine Diamond

SUMMARY This case report describes the sequential steps that were used to treat unesthetic, white, hard-texture enamel stains of unknown etiology. A tapered fine diamond bur was used to remove superficial enamel followed by the use of an enamel microabrasion compound Opalustre (Ultradent Products Inc). This technique removed the stains and was followed by polishing with a fluoride paste to restore the enamel to a smooth finish. The teeth were subsequently bleached with carbamide peroxide (Opalescence 10%, Ultradent Products), which achieved the patient's desired esthetic results.

scholarly journals New Parameter for In-Office Dental Bleaching

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Cristina Dupim Presoto ◽  
Janaina Freitas Bortolatto ◽  
Priscila Petrucelli Freire de Carvalho ◽  
Tamara Carolina Trevisan ◽  
Michael Christopher Floros ◽  
...  
Keyword(s):  
Hydrogen Peroxide ◽  
Case Report ◽  
Titanium Oxide ◽  
Female Patient ◽  
Clinical Case ◽  
New Products ◽  
Dental School ◽  
Oxide Nanoparticles ◽  
Titanium Oxide Nanoparticles ◽  
Dental Bleaching

Dental bleaching is considered a conservative and biologically safe treatment for discolored teeth. Despite this, one of the major undesirable effects of bleaching is dentin sensitivity which may occur during and after treatment. To address these sensitivity issues, new dental bleaching preparations with lower concentrations of hydrogen peroxide (H2O2) have recently been introduced to the market. This paper presents a clinical case report of a 20-year-old female patient admitted to the Araraquara Dental School, UNESP, Brazil. The patient underwent dental bleaching using one of the new products with reduced hydrogen peroxide concentration, Lase Peroxide Lite 6%, a 6% H2O2gel containing titanium oxide nanoparticles doped with nitrogen (6% H2O2/N-doped TiO2).

scholarly journals Aesthetic Treatment of Dental Fluorosis in a 9-Year-Old Girl: Case Report

2019 ◽  
Vol 23 (3) ◽  
pp. 157-162
Author(s):  
Zoi Daskalaki ◽  
Evgenia Alifakioti ◽  
Aristidis Arhakis
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Dental Fluorosis ◽  
Significant Loss ◽  
Dental Tissue ◽  
Tooth Formation ◽  
Self Confidence ◽  
Invasive Method ◽  
Excessive Intake ◽  
The Aesthetic

Summary Background/Aim: Dental fluorosis is a specific disturbance of tooth formation caused by excessive intake of fluoride. The discoloration of teeth is the most common reason for parents to seek treatment. The purpose of this paper is to describe the therapeutic management performed in a 9-year-old girl with fluorosis. Case report: A clinical case of a 9-year-old girl diagnosed with fluorosis is reported. The treatment of this clinical case was achieved using microabrasion, which is a minimally invasive method. This technique improves the aesthetics of the teeth without causing significant loss of dental tissue; a characteristic making microabrasion applicable to children as well. Its implementation involved the combined use of 18% hydrochloric acid and pumice on the enamel surface of upper incisors. The improved appearance of the teeth was aesthetically pleasing and, consequently, the patient gained in self-confidence. Conclusions: In the literature, several treatment choices are proposed, depending on the severity of the fluorosis. In our case, microabrasion was applied and the aesthetic outcome satisfied both the patient and the dentist.

scholarly journals Conservative treatment of enamel hypomineralization: microabrasion and bleaching for re-estabilishing esthetics

2016 ◽  
Vol 31 (1) ◽  
pp. 36
Author(s):  
Leonardo Fernandes Da Cunha ◽  
Juliana Feltrin De Souza ◽  
Marina Samara Baechtold ◽  
Gisele Maria Correr ◽  
Bruna Luiza Nescimento ◽  
...  
Keyword(s):  
Silicon Carbide ◽  
Dental Fluorosis ◽  
Conservative Approach ◽  
Carbamide Peroxide ◽  
Dental Bleaching ◽  
Aesthetic Appearance ◽  
Feasible Alternative ◽  
Structural Loss ◽  
The Aesthetic ◽  
Interesting Alternative

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.

Clinical Case Report: Manifestation of Hereditary Neuralgic Amyotrophy in Childhood

2014 ◽  
Vol 45 (S 01) ◽  
Author(s):  
L. Voges ◽  
G. Stettner ◽  
D. Weise ◽  
K. Brockmann ◽  
J. Gärtner ◽  
...  
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Neuralgic Amyotrophy
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