Management of opacities in children and adolescents

Wallace, Ann; Deery, Chris

doi:10.12968/denu.2015.42.10.951

Cited by 24 publications

(34 citation statements)

References 7 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: 94%

“…The bleaching effect is achieved due to oxidative action of peroxides and its sub-products on the organic matrix of the tooth tissues modifying its optical properties (6,7). Despite the high success rates observed for both in-office and athome bleaching procedures (4,5), using oxidative agents are unable to solve aesthetic alterations of teeth when the discoloration is intrinsic in the enamel due to fluorosis staining and other enamel hypoplasia, or white lesion spot caused by dental caries (8,9).…”

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: 94%

Section: Introductionmentioning

confidence: 99%

Impact of Microabrasion on the Effectiveness of Tooth Bleaching

2017

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“…In general, microabrasion is suggested when the depth of discoloration is a maximum of 0,2-0,3 mm 47 . The amount of enamel lost by microabrasion ranges from 12 μm to 200 μm and it is affected by the duration of the process 35,48,49 . Furthermore, it has been found that the concentration of Ca and P in the outer layer of enamel is significant lower in young patients (18-24 years old) than in the older ones (>55 years old).…”

Section: Discussionmentioning

confidence: 99%

Aesthetic treatment of dental fluorosis in a 9-year-old girl: Case report

Daskalaki¹,

Alifakioti²,

Arhakis³

2019

Balkan J Dent Med

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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.

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“…Não houve relato de queixa estética das opacidades nos dentes anteriores pela criança deste relato de caso, sendo, por esse motivo, realizada apenas proservação das manchas. Para o mascaramento dessas lesões, a literatura não é conclusiva 12 , entretanto, terapias remineralizadoras, microabrasão e facetas diretas e indiretas são condutas propostas 27 .…”

Section: Discussionunclassified

Reabilitação de dentes afetados pela Hipomineralização Molar-Incisivo (HMI): um relato de caso com 16 meses de acompanhamento

Silva-Júnior

Oliveira²,

Berwig³

et al. 2018

Rev. da Fac. de Odontologia, UPF

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Objetivo: relatar um caso clínico de uma criança diagnosticada com Hipomineralização Molar-Incisivo (HMI) severa, apresentando a proposta terapêutica e o acompanhamento. Relato de caso: uma paciente do sexo feminino, com 6 anos de idade, foi levada a um serviço odontológico com queixa principal de “dor no dente de baixo (lado direito)”. No exame clínico, foram constatadas opacidades demarcadas no esmalte dentário, de coloração variando de branco a tons de marrom, características de hipomineralização, nas superfícies vestibulares dos dentes 12, 11, 21, 32, 31 e 41 e nas oclusais do 16 e 26, sem perda de estrutura dentária. Nos dentes 36 e 46, observaram-se, além das opacidades demarcadas, fraturas de esmalte pós-eruptivas associadas com lesões ativas de cárie em dentina. Clinicamente e radiograficamente, não havia sinais de comprometimento da saúde pulpar. A criança foi então diagnosticada com HMI. O tratamento consistiu em restauração direta em resina composta dos elementos 36 e 46. Após 16 meses, observou-se que não houve perda de material restaurador em ambas as restaurações. A criança não relatou sensibilidade dentinária e nem sintomatologia dolorosa. Considerações finais: o tratamento proposto para o caso mostrou-se satisfatório durante o período avaliado, pois recuperou a funcionalidade dos dentes afetados pela HMI e não houve mais eventos de sensibilidade e dor.

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Management of opacities in children and adolescents

Cited by 24 publications

References 7 publications

Impact of Microabrasion on the Effectiveness of Tooth Bleaching

Impact of Microabrasion on the Effectiveness of Tooth Bleaching

Aesthetic treatment of dental fluorosis in a 9-year-old girl: Case report

Reabilitação de dentes afetados pela Hipomineralização Molar-Incisivo (HMI): um relato de caso com 16 meses de acompanhamento

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