Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: A randomized clinical trial

Castro, Kaline Silva; Ferreira, Ana Cláudia de Araújo; Duarte, Rosângela Marques; Sampaio, Fábio Correia; Meireles, Sônia Saeger

doi:10.1016/j.jdent.2014.01.011

Cited by 43 publications

(50 citation statements)

References 17 publications

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“…[9][10][11][12][13] Corroborating with the clinical observations, the enamel removal by microabrasion affected the tooth color, rejecting the first null hypothesis of study. The lightness (L*) of teeth was reduced and redness (a*) increased by the abrasive procedure.…”

Section: Discussionmentioning

confidence: 97%

“…In the presence of the enamel alterations, the superficial enamel removal by abrasive product associated to acid etching using the so-called enamel microabrasion is frequently carried out by clinicians to solve tooth discolorations limited to enamel (10)(11)(12)(13). The enamel microabrasion procedure is performed by active application of a paste containing an acid (usually phosphoric or hydrochloric), which demineralizes the superficial layers of enamel, and an abrasive such as silicon carbide or pumice to remove the demineralized enamel (11,12).…”

Section: Introductionmentioning

confidence: 99%

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Impact of Microabrasion on the Effectiveness of Tooth Bleaching

2017

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The aim of the present study was to evaluate the effect of prior microabrasion on the teeth color change and tooth bleaching effectiveness. Eight sound molars were mesiodistally sectioned and the halves were randomly allocated to receive enamel microabrasion or non-abrasion (control) in one of surfaces (buccal or lingual), while the remaining surface received the other treatment. The tooth color on baseline was evaluated by spectrophotometer (CieL*a*b system). After the microabrasion procedure, the tooth color was measured again. Following, the specimens were bleached with 35% hydrogen peroxide for two sessions with one-week interval. The color was re-evaluated 7 days after each section and 30 days after the second session. The effect of enamel microabrasion on color changes was evaluated by paired T-test. Deltas L*, a*, b*, and E were calculated and data submitted to 2-way repeated measure ANOVA followed by Tukey`s test. Paired T-test was also used to assess possible differences on the ultimate color achieved after tooth bleaching. Enamel microabrasion reduced the lightness and increased the redness of specimens. Specimens that received microabrasion presented higher values of ∆L* than control after each bleaching procedure; and higher ∆a* after the 2 nd bleaching session. However, the prior enamel microabrasion did not affect the ultimate values of color parameters. Despite enamel microabrasion have modified the tooth color, this procedure did not affect the ultimate results achieved with tooth bleaching using a high-concentrated hydrogen peroxide.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Impact of Microabrasion on the Effectiveness of Tooth Bleaching

2017

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“…Additionally, there are reports that microabrasion might be effective in removing mild fluorotic stains, but might be less effective against fluorotic stains of even moderate severity . Furthermore, an identified trial that was not included in the GRADE analysis compared microabrasion alone and microabrasion followed by home bleaching, but found no added value from subsequent bleaching.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, considerable efforts have been put in identifying an effective means to treat fluorotic stains that might be chosen according to lesion severity . A wide range of interventions of varying invasiveness have been proposed to treat fluorotic enamel, including external bleaching, microabrasion, dental veneers, or crowns or a combination of methods . As patients with enamel mottling are quite young, with a life expectancy of many decades, minimal‐invasive, hard‐tissue sparing restorative approaches such as microabrasion, external bleaching, or resin infiltration have gained momentum .…”

Section: Introductionmentioning

confidence: 99%

Interventions for dental fluorosis: A systematic review

Giovanni

Eliades

Papageorgiou

2018

J Esthet Restor Dent

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For this systematic review, which was registered beforehand in PROSPERO (CRD42016053492), we synthesized evidence from existing randomized clinical trals on humans to see which treatment is most effective for the esthetic rehabilitation of dental fluorosis, the prevalence of which is seeing a worldwide steady increase. We found that resin infiltration seems to be the most effective treatment approach for lesions of mild to moderate severity, followed by bleaching, and finally microabrasion. Our study's strengths are its a priori registration, wide search, quality check according to Cochrane guidelines, and the use of a new robust analytic method to provide valid clinical recommendations according to the principles of evidence-based medicine.

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“…The treatment options available to improve the esthetics affected by fluorosis are also based on the severity of fluorosis . In reference to TF index, various treatment options include noninvasive and minimal‐invasive methods for TF scores 1–4 while invasive methods for pitted fluorosis with TF scores ≥5 …”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in‐office bleaching, and combination therapies

Gugnani

Pandit

Gugnani

et al. 2017

J Esthet Restor Dent

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White and brown opacities due to fluorosis have always been a concern for esthetics. In our study, resin infiltration technique with tailored etching times and increased infiltration time exhibited best immediate esthetic improvement for nonpitted fluorotic opacities and stains. These esthetic outcomes reaffirm the applicability of RI technique for nonpitted fluorosis, which was originally advocated only for white spot lesions due to early caries. This will in turn help the dentists to plan the esthetic management of nonpitted fluorosis in a micro-invasive manner.

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Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: A randomized clinical trial

Cited by 43 publications

References 17 publications

Impact of Microabrasion on the Effectiveness of Tooth Bleaching

Impact of Microabrasion on the Effectiveness of Tooth Bleaching

Interventions for dental fluorosis: A systematic review

Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in‐office bleaching, and combination therapies

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