Effectiveness of a microabrasion technique using 16% HCL with manual application on fluorotic teeth: A series of studies

Nevárez-Rascón, Martina; Molina-Frechero, Nelly; Adame, Edith; Almeida, Ethel; Soto‐Barreras, Uriel; Gaona, Enrique; Nevárez-Rascón, Alfredo

doi:10.12998/wjcc.v8.i4.743

Cited by 11 publications

(19 citation statements)

References 34 publications

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“…During the technique, the abrasive action of the particles of the acidic material corroborate to morphological changes on the surface of the dental enamel. Such alteration gives rise to the socalled "corrosion effect", attributing to the enamel particular histological and optical characteristics 23 . Besides that, the erosive and abrasive potential of microabrasion agents depends on several parameters: type, concentration and pH of acid, abrasive particles, time of application, type of instrument used (manual or mechanical) and pressure during application 7,8,14,24 .…”

Section: Discussionmentioning

confidence: 99%

Weight-loss and surface roughness of enamel after microabrasion procedure with different agents

Silva

Maciel

Martins

et al. 2021

Rev. odontol. UNESP

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Introduction Enamel microabrasion is achieved by abrasion of the enamel surface and it is a quick, practical and efficient procedure. Objective It was assessed the weight loss and surface aspect of enamel after microabrasion procedures with commercial and mixtures made in-office. Material and method Eighty bovine incisors were divided into four groups (n=10): OpalustreTM (6.6% HCl + silicon carbide); Whiteness RMTM (6% HCl + silicon carbide); 37% H3PO4 + pumice and 10% HCl + pumice. Treatment was performed by 15 applications of 10s duration. The enamel weight loss was determined by the difference in weight before and after the microabrasion. The surfaces were analyzed by a surface roughness equipment and scanning electron microscopy. Data were submitted to paired-T test, one-way ANOVA and Tukey tests (α=0.05). Result It was observed significantly weight loss for all groups. The difference in weight loss ranged from 0.037±0.012 for group 37% H3PO4 and from 0.054±0.009 for group 6,6% HCl. There was a significant increase in surface roughness for all groups and 10% HCl group showed the lower results (0.65±0.09). It was observed different patterns of enamel morphology by SEM images. Conclusion The in-office mixtures resulted in the lowest enamel structure loss (37% H3PO4) and the lowest surface roughness (10% HCl).

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Section: Discussionmentioning

confidence: 99%

Weight-loss and surface roughness of enamel after microabrasion procedure with different agents

Silva

Maciel

Martins

et al. 2021

Rev. odontol. UNESP

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“…En el estudio realizado por Nevárez-Rascón et.al. en el año 2020 10 , se selecciona a la microabrasión con ácido clorhídrico al 16% como opción de tratamiento para casos de fluorosis dental leve y moderada en adolescentes. Al finalizar el tratamiento, se pudo concluir que dicha terapéutica realizada en un tiempo inferior a 6 minutos fue altamente efectiva en el 90,6% de los pacientes con una pérdida de esmalte aceptable y clínicamente imperceptible.…”

Section: Resultados De Los Estudios Individuales Y Síntesis De Datosunclassified

Tratamientos mínimamente invasivos para casos de fluorosis dental en Odontopediatría. Una revisión sistemática

Jarrín¹,

Jaramillo²,

Ojeda³

2022

OdontoInvestigación

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Objetivo. El objetivo de este estudio fue determinar el tratamiento mínimamente invasivo más eficaz para casos de fluorosis en niños y adolescentes, tomando en cuenta el grado de severidad mediante una revisión bibliográfica. Materiales y métodos. Se realizaron búsquedas en la literatura desde enero de 2017 a octubre de 2021 sobre tratamientos mínimanente invasivos para casos de fluorosis dental en niños y adolescentes en cinco bases de datos científicamente reconocidas en el campo de la salud (Pubmed Central, Medline, Scopus, Science Direct y Cochrane Library). Siguiendo la Metodología PRISMA, de 900 artículos resultantes de la búsqueda inicial, mediante el análisis de criterios de inclusión/ exclusión y calidad de evidencia científica; se incluyen, para su evaluación cualitativa, 5 artículos científicos. Resultados. Para efectos de esta revisión, los cinco estudios seleccionados con una calidad de evidencia alta fueron ensayos clínicos. El número total de niñas/niños y adolescentes participantes fue de 287 con un rango de edad de los 6 a 17 años. Estos casos de fluorosis dental fueron tratados con microabrasión, blanqueamiento, aplicación de resina infiltrante (ICON, DMG) y terapias combinadas. Dichas técnicas presentan una eficacia inversamente proporcional al grado de severidad de fluorosis dental., siendo altamente efectivos en temas de enmascaramiento de lesiones leves. Conclusión. La técnica de infiltración de resina con doble infiltración durante 3 minutos y combinada con blanqueamiento exhibe mejores resultados a nivel estético y menos limitaciones/efectos adversos para casos de fluorosis dental leve y moderada (en estadíos 1 al 4 dentro del índice de Thylstrup y Fejerskov) en pacientes pediátricos y adolescentes.

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“…Assim, verifica-se que a apresentação comercial do ácido tem a capacidade de retardar sua penetração nas camadas mais profundas, a não ser que sua ação seja potencializada pela técnica de aplicação 17 . Esta, provavelmente, trata-se da justificativa para que a perda de massa e a rugosidade não tenham sido influenciadas pela diferença de apresentações comerciais, pois a aplicação das pastas foi realizada em ambos os grupos, de forma semelhante a outros estudos, com o uso de instrumento rotatório (taça de borracha) 18,27,29 . Entretanto, deve-se salientar que tal técnica pode ter potencializado a perda de tecido, pois já foi demonstrado que a microabrasão, quando realizada através de técnica manual de aplicação, apresenta menor desgaste da estrutura dental 18,29 .…”

Section: Resultsunclassified

“…Estudos foram realizados com o intuito de se mensurar a perda de estrutura, as possíveis alterações na morfologia do esmalte e o risco para a estrutura remanescente, relacionando-se com a rugosidade superficial após a realização do tratamento 1,8,9,[15][16][17][18][19][20] . Contudo, não se verificou na literatura estudos que tenham quantificando, em massa, a perda de tecido após a realização da técnica.…”

Section: Introductionunclassified

Efeito da apresentação comercial de ácido clorídrico para técnica de microabrasão na perda de estrutura e superfície do esmalte

Silva

Maciel

Martins

et al. 2020

R. Fac. Odontol. Porto Alegre

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Introduction: The microabrasion technique can be performed using a commercially available paste, or the dentist can prepare it in his office. Objective: To verify the effect of hydrochloric acid commercial presentation in the handling of microabrasion paste on the enamel surface. Methodology: Bovine incisors were divided into two groups, according to the commercial presentation of 10% hydrochloric acid (liquid or gel). The treatment was carried out through ten applications of 10 s duration each, intercalated with a 10s wash. Twenty teeth (n=10) were used to determine the loss of enamel structure. Each sample was weighed on an analytical balance before and after submission to microabrasion. Another 20 teeth (n=10) were used to determine the average surface roughness (Ra) using a rugosimeter. Three samples from each group of the previous experiment were selected, randomly, and another three additional samples were repared as a control (baseline) for SEM analysis. Results: There was a statistically significant difference between the final and initial mass and the surface roughness of the samples, regardless of the acid commercial presentation. In the SEM images, a regular surface was observed for the control group (baseline). In the other images, there was a surface with considerable irregularity and a slight dissolution of the enamel. Conclusions: The treatment carried out.

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Effectiveness of a microabrasion technique using 16% HCL with manual application on fluorotic teeth: A series of studies

Cited by 11 publications

References 34 publications

Weight-loss and surface roughness of enamel after microabrasion procedure with different agents

Weight-loss and surface roughness of enamel after microabrasion procedure with different agents

Tratamientos mínimamente invasivos para casos de fluorosis dental en Odontopediatría. Una revisión sistemática

Efeito da apresentação comercial de ácido clorídrico para técnica de microabrasão na perda de estrutura e superfície do esmalte

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