Clinical effectiveness of two microabrasion materials for the removal of enamel fluorosis stains. The European journal of esthetic dentistry : official journal of the European Academy of Esthetic Dentistry. Wong FS, Winter GB. Both methods are conservative, painless, fast and easy to perform. Ardu S, Benbachir N, Stavridakis M, Dietschi D, Krejci I, Feilzer A. However, keep in mind this can even happen by brushing your teeth too aggressively. 2013;2013:951589. 8, Referring to literature, teeth discolored by fluorosis may be managed by porcelain laminate veneers, crowns or resin composite restorations. 11. 12. It only works on the outer layer of your enamel, thus making the impact less invasive and more cosmetic. Any extraneous work of your teeth can also weaken your enamel. Indications and limits of the microabrasion technique. 2015, enamel microabrasion should be the first option to manage teeth with intrinsic stains because it eliminates opaque, brown colorations and surface irregularities by offering a more regular and lustrous surface. 2009;206(4):205-8. 2007;32(6):531-8. 2016;35(1):13-20. Referring to Pini et al. teeth whitening/bleaching). However, all these techniques are considered invasive. 8, Better esthetic results with microabrasion technique are achieved for surface stains than deeper ones. Celik EU, Yildiz G, Yazkan B. clinical evaluation of enamel microabrasion for the aesthetic management of mild-to-severe dental fluorosis. 2017;28(5):612-7. 2016;8(2). Whether your discoloration comes from poor dental routine or drinking too much coffee, this service will help to alleviate this problem. 10. First, this index was proposed in 1934 and in 1942, it was modified. 2014;26(5):345-52. We can also use a gel containing 2% of neutral sodium fluoride to apply on the enamel surface for 4 minutes. 22 A study of Perete-de-Freitas et al. Celiac disease, molar incisor hypoplasia. Sundfeld RH, Sundfeld-Neto D, Machado LS, Franco LM, Fagundes TC, Briso AL. 3, 4, 15, Referring to Sundfeld et al. Referring to Celik et al. Dental bleaching on teeth submitted to enamel microabrasion 30 years ago-a case report of patients’ compliance during bleaching treatment. 2014;42(8):938-44. Like tooth whitening it is used to remove discolorations of the tooth surface but microabrasion is a mechanical, rather than chemical, procedure.”. The last step is to rinse, dry and polish the surface. In case of deficient lip sealing, following orthodontic treatment and/or speech therapy is the first recommended option before enamel microabrasion. 5, 3 Recently, other secure highly safe and efficient microabrasion products were developed and were commercially available such as Prema compound (Premier Dental Products), Opalustre (Ultradent), Whiteness RM (FGM). 2002;193(3):155-8. Journal of applied oral science : revista FOB. This treatment can be done in multiple areas in your mouth, all in a single visit. Perete-de-Freitas CE, Silva PD, Faria ESAL. After two years, Croll called this technique “microabrasion”. Could Black Mold Be Behind America’s Childhood Tooth Decay Epidemic? 1 The microabrasion procedure requires the use of hydrochloric acid mixed with an abrasive powder (combination of erosion and abrasion). Evaluation of physical properties of enamel after microabrasion, polishing, and storage in artificial saliva. 2014, the 37% phosphoric acid was combined with extra fine grain pumice in equal volume proportions in microabrasion method. Diagnosis: Mild fluorosis staining referring to Dean’s Fluorosis Index (Table 1). A 22- year old girl looked for dental therapy to remove and/or minimize the noticeable brown/yellow staining on the buccal surfaces (incisal third) of her teeth (11 and 21). Pini NIP, Lima D, Sundfeld RH, Ambrosano GMB, Aguiar FHB, Lovadino JR. Tooth enamel properties and morphology after microabrasion: an in situ study. 2011 evaluated the effect of microabrasion (37% phosphoric acid and pumice, Opalustre, Whiteness RM) and polishing on the microhardness and roughness of bovine enamel, and the effect of artificial saliva on the hardness of enamel. Whitening, glass ionomers placed onto the defective molar teeth, resin infiltration of the anterior lesions. 2007;20(2):67-72. Evaluation of the effect of different methods of microabrasion and polishing on surface roughness of dental enamel. 7, 16, At- home bleaching contributes to the assimilation of the color of the fluorotic stains with the color of the remaining enamel surface. What that means is that this is simply a cosmetic procedure that helps brighten your teeth. 4, A study of Pini et al. Loguercio AD, Correia LD, Zago C, Tagliari D, Neumann E, Gomes OM, et al. 13. Abstract The excessive systemic absorption of fluoride during the tooth development will cause dental fluorosis which is the most common type of enamel demineralization. 17. 1 This kind of pathology leads to the whitish, opaque and unpleasant appearance of enamel that is often visible. American journal of dentistry. The concentrations of carbamide peroxide can be 10%, 15% or 16%. Case reports in dentistry. Regular rinse by means of water spray is necessary between the different applications of the microabrasion product. Diagnosis: Mild fluorosis staining referring to Dean’s Fluorosis Index (Table 1). 2. If your teeth are slightly discolored or have white spots, you may be a great candidate for this cosmetic dental routine. Some limitations of this technique are mentioned such as the difficult use of rubber dam when teeth are not completely erupted, deficient lip sealing (risk of development of a moisturizing pellicle on enamel in absence of upper and lower lips protection) and also dentin located stains. 8. It varies by patient but typically, the more severe your discoloration, the less we recommend microabrasion. Prema Compound, Opalustre and Whiteness RM contain a mild concentration of hydrochloric acid (10%, 6% and 6% respectively) and a fine-grit silicon carbide abrasive in a water-soluble gel. Not only is microabrasion good for your teeth, it is actually a less invasive or harsh practice than other teeth whitening methods. Downtown Dentist SF offers a multitude of services to our patients. 2012;7(2):130-7. – To report three clinical cases suffering from moderate dental fluorosis treated in our service of Dental Medicine with enamel microabrasion procedure. RELATED: Invisalign Treatment And Everything You Need To Know About It. You can call us at 415.982.2250 or leave us a message here if you have more questions about enamel microabrasion! 2007;38(10):811-5. Enamel microabrasion: An overview of clinical and scientific considerations. Referring to Benbachir et al. ABOUT PRACTICE | MEET OUR TEAM | SERVICES | BLOG | TESTIMONIALS | CONTACT, Invisalign Treatment And Everything You Need To Know About It, Professional Teeth Whitening: The How, Why, And Everything In Between. 3. The cons of microabrasion are that it may not be 100% effective for deeper enamel defects. British dental journal. 2009, although enamel microabrasion is cheaper than prosthetic treatment it is considered costly because of the important chair time when dental fluorosis is medium or severe and the procedure must be repeated frequently to acquire the acceptable result. Because of the minimal impact and time of this service, it’s usually priced similar to whitening procedures. The treatment depends on the severity of the fluorosis ranging from ceramic veneers to composite restorations and chemo-mechanical procedure. During tooth development, the excessive systemic absorption of fluoride can result in dental fluorosis. Bertoldo C, Lima D, Fragoso L, Ambrosano G, Aguiar F, Lovadino J. 16. 2020 is a very special year for Dentaurum Implants: The German specialist celebrating its 25th anniversary in Implantology. 5. 13, When the severity of dental fluorosis increases, it is hard to eliminate deep intrinsic stains and porosities by only microabrasion method. 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