Conservative esthetic management of severe dental fluorosis with in-office power bleaching

Raut, Ambar W; Mantri, Vijay; Gedam, Priyanka V; Phabyani, Pooja P

doi:10.4103/aam.aam_52_19

Cited by 4 publications

(3 citation statements)

References 18 publications

(7 reference statements)

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“…Existem vários métodos de tratamento foram elaborados para melhorar a aparência superficial de dentes que possuem machas de fluorose dentária que incluem trabalhos protéticos, realização de restaurações estéticas com compósitos, micro abrasão e clareamento dentário (BARAKAT et al, 2022).A seleção de uma propedêutica ou associação de técnicas dependerá da gravidade da anomalia de desenvolvimento.Outro ponto a ser levantado na hora da escolha do melhor manejo de fluorose dentária é a idade do paciente, uma vez que opções de tratamento protético resultam na remoção excessiva da estrutura dentária e desenvolvem no paciente sensibilidade e podem levar a exposição pulpar (RAUT et al, 2020).Dessa forma, uma técnica estética e minimamente invasiva é a melhor opção de tratamento de fluorose dentária para pacientes pediátricos (SAMMARCO, 2019;WANG, MENG, MENG, 2020).…”

Section: Tratamentounclassified

Impacto da fluorose dentária na qualidade de vida de crianças e adolescentes

De Araújo,

Mariano,

Mota

et al. 2023

Braz. J. Hea. Rev.

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Objetivo: investigar os impactos da fluorose dentaria na qualidade de vida de crianças e adolescentes, Metodologia: realizou-se uma revisão de literatura narrativa na PubMed Medline de 2018 a 2022, utilizando as palavras-chave indexadas na Medical SubjectHeadings: “Dental Fluorosis”, “Pediatrics”, “PediatricDentistry” e “Qualityoflife”, incluindo por fim 38 estudos Revisão: fluorose dentária é um distúrbio do desenvolvimento dos germes dentários de etiologia exógena causada pela alta ingestão a níveis supra ótimos do mineral flúor no decorrer da primeira infância que pode ser classificada em “leve”, “moderada” e “severa” de acordo com o nível de comprometimento do esmalte dentário onde a seleção de uma propedêutica reabilitadora da lesão vai depender do comprometimento estético das machas fluoróticas, podendo ser desde um desgaste dentário pela técnica de microabrasão a reabilitação protética. Conclusão: A anomalia de desenvolvimento fluorose dentária não é capaz de diminuir a qualidade de vida de crianças e adolescentes.

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Section: Tratamentounclassified

Impacto da fluorose dentária na qualidade de vida de crianças e adolescentes

De Araújo,

Mariano,

Mota

et al. 2023

Braz. J. Hea. Rev.

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“…Despite providing quick results without the need for long‐term use of bleaching trays, patients experience a higher intensity of tooth sensitivity (TS) than at‐home bleaching 9 . In order to accelerate the bleaching process, the bleaching compound can be photoactivated using light‐emitting diodes, quartz halogen, plasma arc, ultraviolet gadgets, and lasers; this process is referred to as “power bleaching.” 10 …”

Section: Introductionmentioning

confidence: 99%

“…9 In order to accelerate the bleaching process, the bleaching compound can be photoactivated using light-emitting diodes, quartz halogen, plasma arc, ultraviolet gadgets, and lasers; this process is referred to as "power bleaching." 10 The most frequent adverse effect of bleaching treatment is tooth sensitivity, affecting more than 85% of patients. 11 It depends on the bleaching agent (hydrogen peroxide and its reactive forms of oxygen), concentration and application duration.…”

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confidence: 99%

Effect of antioxidant on tooth sensitivity after bleaching

Nabil,

Hasan,

Shebl

2023

J Esthet Restor Dent

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ObjectivesThis study aimed to investigate the effect of antioxidant (sodium ascorbate) on tooth sensitivity after two in‐office bleaching techniques (light‐activated and chemical bleaching).Materials and MethodsTen patients aged 18–25 were bleached in four groups according to bleaching materials and/or antioxidant used. Group A: Maxillary right quadrant received light‐activated bleaching with antioxidant. Group B: Maxillary left quadrant received light‐activated bleaching without antioxidant. Group C: Mandibular right quadrant received chemical bleaching without antioxidant. Group D: Mandibular left quadrant received chemical bleaching with antioxidant. The tooth sensitivity was recorded using Numerical Rating Scale (NRS) and Schiff Scale (SS) immediately after treatment, 1 day, 1 week, 2 weeks, and 1 month follow‐up periods.ResultsGroup B exhibited higher sensitivity values than Group A. This difference was statistically significant on the first day after treatment (p = 0.027* in NRS and p = 0.046* in SS). Furthermore, antioxidant incorporation in Group D led to a reduction in teeth sensitivity values compared to Group C. This disparity was highly significant on the first day after treatment (p = 0.001* in NRS and p < 0.001** in SS).ConclusionsThe antioxidant (10% sodium ascorbate) reduces the intensity of tooth sensitivity at the different follow‐up periods, especially after 1 day from bleaching.Clinical SignificanceUsing 10% sodium ascorbate after bleaching is advisable to reduce post‐operative tooth sensitivity.

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Restoration of Discoloured Incisors with Ceramic Veneers: A Workflow Case Report

Albino,

Chaves,

Pereira de Lima

et al. 2024

Dent Update

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This case reports the treatment of two discoloured incisors with feldspar ceramic veneers using an integrated work approach, and the active participation of a dental technician. The patient presented an upper left central incisor with a composite restoration, and a lateral incisor with discolouration after trauma and endodontic treatment. Planning was developed in collaboration with the technician, the decision was to perform ceramic veneers on the discoloured teeth. Central incisor previous restoration was included in preparation, and lateral preparation was limited to create enough space for the veneer. This case highlights the importance of communication between patient, clinician, and technician to achieve excellent results in restorative dentistry. CPD/Clinical Relevance: Feldspar ceramic veneers might be a good option for masking light and mediumly discoloured substrates.

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Conservative esthetic management of severe dental fluorosis with in-office power bleaching

Cited by 4 publications

References 18 publications

Impacto da fluorose dentária na qualidade de vida de crianças e adolescentes

Impacto da fluorose dentária na qualidade de vida de crianças e adolescentes

Effect of antioxidant on tooth sensitivity after bleaching

Restoration of Discoloured Incisors with Ceramic Veneers: A Workflow Case Report

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