Enamel microabrasion: achieving aesthetic success to dental fluorosis in a single session – one-year follow-up
DOI:
https://doi.org/10.15448/1980-6523.2018.1.29637Keywords:
conservative procedure, dental fluorosis, enamel, white spots.Abstract
OBJECTIVE: To describe the enamel microabrasion technique used to treat the patient with white stains due dental fluorosis, highlighting the importance of complete anamnesis and clinical examination to achieve the clinical success.
CASE DESCRIPTION: patient’s complains, aesthetic self-perception, age, general health, history of excessive intake of fluoride and time of teeth development were considered to the diagnosis and treatment plan. Also, dental trans illumination was used to evaluate the white spots diffusion and estimate the lesion’s length. An abrasive paste mixture of equal parts 37% phosphoric acid and pumice was applied with a wooden spatula in order to perform enamel microabrasion. After the last application, the teeth were polished with finishing discs and a neutral sodium fluoride gel was applied to enamel remineralization. Satisfactory results in the aesthetic improvement were possible with a minimally invasive and cost-effective technique. The dental trans illumination after treatment showed the disappearance of the enamel opacities, preserved on the one-year follow-up.
CONCLUSION: Cosmetic dentistry has been increasingly practiced today. However, a correct aesthetic planning should be based on current restorative dentistry concept. For any type of procedure, the dentist should opt for sound tooth structure preservation. This technique might be an efficient alternative to restorative treatments and can be considered a successful procedure. In cases of esthetic alterations due fluorosis, non-invasive methods such enamel microabrasion should be considered before invasive restorative treatments.
References
Benbachir N, Ardu S, Krejci I. Indications and limits of the microabrasion technique. Quintessence Int 2007;38(10):881-5.
Denbesten P, Li W. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci 2011;22:81-96.
https://doi.org/10.1159/000327028
Guedes-Pinto AC, Bönecker M, Rodrigues CRMD. Pediatric Dentistry Fundamentals. São Paulo: Editora Santos; 2009.
Croll TP. Enamel microabrasion: observations after 10 years. J Am Dent Assoc 1997;12(8):45-50.
https://doi.org/10.14219/jada.archive.1997.0424
Nahsan FPS, Da Silva LM, Baseggio W, et al. Conservative approach for a clinical resolution of enamel white spot lesions. Quintessence Int 2011;42(5):423-6.
Croll TP. Enamel Microabrasion: the technique. Quintessence Int 1989; 20(6):395-400.
Sundfeld HS, Croll TP, Briso ALF, De Alexandre RS, Neto DS. Considerations about enamel microabrasion after 18 years. Am J Dent 2007;20(2):67-72.
Croll TP, Helpin, ML. Enamel Microabrasion: A New Approach. J Esthet Dent 2000;12(2):64-71.
https://doi.org/10.1111/j.1708-8240.2000.tb00202.x
Loguercio AD, Correia LD, Zago C, Tagliari D, Neumann E, Gomes OMM, Barbieri DB, Reis A. Clinical effectiveness of two microabrasion materials for the removal of enamel fluorosis stains. Oper Dent 2007;32(6):531-8.
Mondelli J, Mondelli RFL, Bastos MTAA, Franco EB. Microabrasion with phosphoric acid [in Portuguese]. Rev Bras Odontol 1995;52:20-2.
Sundfeld RH, Sundfeld-Neto D, Machado LS, Franco LM, Fagundes TC, Briso AL. Microabrasion in tooth enamel discoloration defects: three cases with long-term follow-ups. J Appl Oral Sci 2014a;22(4):347-54.
https://doi.org/10.1590/1678-775720130672
Wilder-Smith P, Holtzman J, Epstein J, Le A. Optical diagnostics in the oral cavity: an overview. Oral Dis 2010;16(8):717-28.
https://doi.org/10.1111/j.1601-0825.2010.01684.x
Mohamed AR, Thomson WM, Mackay TD. An epidemiological comparison of Dean´s index and the developmental defects of enamel (DDE) index. J Public Health Dent 2010;70(4):344-7.
https://doi.org/10.1111/j.1752-7325.2010.00186.x
Sundfeld RH, Franco LM, Gonçalves RS, de Alexandre RS, Machado LS, Neto DS. Accomplishing esthetics using enamel microabrasion and bleaching- a case report. Oper Dent 2014b;39(3):223-7.
https://doi.org/10.2341/13-002-S
Pini NI, Sundfeld-Neto D, Aguiar FH, et al. Enamel microabrasion: An overview of clinical and scientific considerations. World J Clin Cases 2015;3(1):34-41.
https://doi.org/10.12998/wjcc.v3.i1.34
Rodrigues MC, Mondelli RF, Oliveira GU, Franco EB, Baseggio W, Wang L. Minimal alterations on the enamel surface by micro-abrasion: in vitro roughness and wear assessments. J Appl Oral Sci 2013;21(2):112-7.
https://doi.org/10.1590/1678-7757201302117
Bertoldo C, Lima D, Fragoso L, Ambrosano G, Aguiar F, Lovadino J. Evaluation of the effect of different methods of microabrasion and polishing on surface roughness of dental enamel. Indian J Dent Res 2014;25:290-3.
https://doi.org/10.4103/0970-9290.138308
Sheoran N, Garg S, Damle SG, Dhindsa A, Opal S, Gupta S. Esthetic management of developmental enamel opacities in young permanent maxillary incisors with two microabrasion techniques-a split mouth study. J Esthet Restor Dent 2014;26(5):345-52.
https://doi.org/10.1111/jerd.12096
Bassir MM, Bagheri G. Comparison between phosphoric acid and hydrochloric acid in microabrasion technique for the treatment of dental fluorosis. J Conserv Dent 2013;16(1):41-4.
https://doi.org/10.4103/0972-0707.105297
Castro KS, Ferreira AC, Duarte RM, Sampaio FC, Meireles SS. Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: a randomized clinical trial. J Dent. 2014;42(8):938-44.
https://doi.org/10.1016/j.jdent.2014.01.011
Auschill TM, Schmidt KE, Arweiler NB. Resin infiltration for aesthetic improvement of mild to moderatr fluorosis: a six-month follow-up Case report. Oral Health Prev Dent. 2015;13(4):317-22.
Celik EU, Yildiz G, Yazkan B. Comparison of enamel microabrasion with a combined approach to the esthetic management of fluorosed teeth. Oper Dent 2013;38(5):134-43.
Downloads
Published
Issue
Section
License
COPYRIGHT
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.
