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Current Dentistry

Editor-in-Chief

ISSN (Print): 2542-579X
ISSN (Online): 2542-5803

Case Report

Association of Tooth Bleaching and Microabrasion as a Resolution of Intrinsic Staining by Fluorosis: A Case Report

Author(s): Iana M.C. Gonçalves, Raíssa M. Garcia, Amanda G.C. de Souza, Daniel M. Secchieri, Laís Cardelli, Luis R.M. Martins and Débora A.N.L. Lima*

Volume 2, Issue 1, 2020

Page: [78 - 82] Pages: 5

DOI: 10.2174/2542579X02999200428093906

Price: $65

Abstract

Background: Different treatment protocols for teeth affected by fluorosis have been applied. Among them, microabrasion associated with tooth bleaching has presented satisfactory results in the treatment of intrinsic and/or extrinsic staining.

Case Presentation: A 22-year-old female patient attended the Dental Clinic of FOP/UNICAMP, reporting dissatisfaction with her smile due to the presence of white striations contrasting with the yellowish hue of the other teeth. Initially, the adequacy of the oral environment was performed by supragingival scraping and prophylaxis. Due to the characteristics of the staining, fluorosis TF3, the treatment plan consisted of teeth whitening with 35% hydrogen peroxide (Whiteness HP, AutoMixx 35% FGM) and microabrasion (Whiteness RM, FGM).

Conclusion: The association of tooth bleaching and microabrasion techniques provided the harmonization of the smile and resolution of the clinical case of the main complaint.

Keywords: Tooth bleaching, enamel microabrasion, hydrogen peroxide, dental fluorosis, dentin sensitivity, fluorine.

Graphical Abstract

[1]
Welbury RR, Shaw L. A simple technique for removal of mottling, opacities and pigmentation from enamel. Dent Update 1990; 17(4): 161-3.
[PMID: 2103539]
[2]
Gerlach RW, Barker ML. Clinical response of three directtoconsumer whitening products: strips, paint-on gel, and dentifrice. Compend Contin Educ Dent 2003; 24(6): 458, 461-4..
[3]
Gupta A, Dhingra R, Chaudhuri P, Gupta A. A comparison of various minimally invasive techniques for the removal of dental fluorosis stains in children. J Indian Soc Pedod Prev Dent 2017; 35(3): 260-8.
[http://dx.doi.org//10.4103/JISPPD.JISPPD_138_16] [PMID: 28762354]
[4]
Sundfeld D, Pavani CC, Pini N, Machado LS, Schott TC, Sundfeld RH. Enamel Microabrasion and Dental Bleaching on Teeth Presenting Severe-pitted Enamel Fluorosis: A Case Report. Oper Dent 2019; 44(6): 566-73.
[http://dx.doi.org/10.2341/18-116-T PMID: 30702410]
[5]
Matheson JR, Cox TF, Baylor N, et al. Effect of toothpaste with natural calcium carbonate/perlite on extrinsic tooth stain. Int Dent J 2004; 54(5)(Suppl. 1): 321-5.
[http://dx.doi.org/10.1111/j.1875-595X.2004.tb00006.x] [PMID: 15509084]
[6]
Watts A, Addy M. Tooth discolouration and staining: a review of the literature. Br Dent J 2001; 190(6): 309-16.
[http://dx.doi.org/10.1038/sj.bdj.4800959 ] [PMID: 11325156]
[7]
Vieira-Junior WF, Sugii MM, Theobaldo JD, et al. Esthetic resolution of a fluorosis case by dental bleaching: Case report. Resolución estética de un caso de fluorosis a través de blanqueamiento dental: relato de caso clínico. Arch Health Invest 2015; 4(5): 41-5.
[8]
Abanto JA, Rezende KMPC, Marocho SMS, Alves FB, Celiberti P, Ciamponi AL. Dental fluorosis; exposure, prevention, and management. J Clin Exp Dent 2009; 1: e14-8.
[9]
Ritter AV. Dental fluorosis. J Esthet Restor Dent 2005; 17(5): 326- 7..
[http://dx.doi.org/10.1111/j.1708-8240.2005.tb00139.x] [PMID: 16225799]
[10]
Abanto Alvarez J, Rezende KMPC, Marocho SMS, Alves FBT, Celiberti P, Ciamponi AL. Dental fluorosis: exposure, prevention and management. Med Oral Patol Oral Cir Bucal 2009; 14(2): E103-7.http://www.medicinaoral.com/pubmed/medoralv14_i2_p103.pdf
[PMID: 19179949]
[11]
Thylstrup A, Fejerskov O. Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol 1978; 6(6): 315-28.
[http://dx.doi.org/10.1111/j.1600-0528.1978.tb01173.x] [PMID: 282114]
[12]
Goldstein RE, Garber DA. Complete dental bleaching. Chi- cago: Quintessence Books 1995; p. 165..
[13]
Sherwood IA. Fluorosis varied treatment options. J Conserv Dent 2010; 13(1): 47-53.
[http://dx.doi.org/10.4103/0972-0707.62631 ] [PMID: 20582220]
[14]
Yildiz G, Celik EU. A minimally invasive technique for the management of severely fluorosed teeth: A two-year follow-up. Eur J Dent 2013; 7(4): 504-8.
[http://dx.doi.org/10.4103/1305-7456.120661 ] [PMID: 24932129]
[15]
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 2014; 39(3): 223-7.
[http://dx.doi.org/10.2341/13-002-S PMID: 23919624]
[16]
Romero MF, Babb CS, Delash J, Brackett WW. Minimally invasive esthetic improvement in a patient with dental fluorosis by using microabrasion and bleaching: A clinical report. J Prosthet Dent 2018; 120(3): 323-6.
[http://dx.doi.org/10.1016/j.prosdent.2017.12.024 ] [PMID: 29724552]
[17]
Ashkenazi M, Sarnat H. Microabrasion of teeth with discoloration resembling hypomaturation enamel defects: four-year follow up. J Clin Pediatr Dent 2000; 25(1): 29-34.
[http://dx.doi.org/10.17796/jcpd.25.1.w0x5077735g64411] [PMID: 11314349]
[18]
Wray A, Welbury R. Faculty of Dental Surgery, Royal College of Surgeons. UK National Clinical Guidelines in Paediatric Dentistry: Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. Int J Paediatr Dent 2001; 11(4): 309-15..
[http://dx.doi.org/10.1046/j.1365-263X.2001.00300.x] [PMID: 11570449]
[19]
Buzalaf MA, Granjeiro JM, Damante CA, de Ornelas F. Fluoride content of infant formulas prepared with deionized, bottled mineral and fluoridated drinking water. ASDC J Dent Child 2001; 68(1): 37-41.
[PMID: 11324405]
[20]
Sundfeld RH, Croll TP, Briso AL, de Alexandre RS, Sundfeld Neto D. Considerations about enamel microabrasion after 18 years. Am J Dent 2007; 20(2): 67-72.
[PMID: 17542197]
[21]
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.
[http://dx.doi.org/10.12998/wjcc.v3.i1.34 ] [PMID: 25610848]
[22]
Sundfeld RH, Rahal V, de Alexandre RS, Briso AL, Sundfeld Neto D. Smile restoration through use of enamel microabrasion associated with tooth bleaching. Compend Contin Educ Dent 2011; 32(3): e53-7.
[PMID: 23738859]
[23]
Fejerskov O, Larsen MJ, Richards A, Baelum V. Dental tissue effects of fluoride. Adv Dent Res 1994; 8(1): 15-31.
[http://dx.doi.org/10.1177/08959374940080010601 ] [PMID: 7993557]
[24]
Sobral- Souza DF. Lima JFM, Martins MRS, Dos Santos TQ, Aguiar FHB, Lima DANL. Association of in-office and supervisioned in-office bleaching protocols in Molar Incisor Hypomineralization: A Case Report. Dental Oral Biology and Craniofacial Research 2018; 1(2): 2-5.
[25]
DenBesten P, Li W. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci 2011; 22: 81-96.
[http://dx.doi.org/10.1159/000327028 ] [PMID: 21701193]
[26]
Sobral- Souza DF, Pierote JJA, Aguiar FHB, Paulillo LAMS, Lima DANL. Pierote JJA, Aguiar FHB, Paulillo LAMS, Lima DANL; Resolution of a fluorosis case through the association of minimally invasive techniques: microabrasion and tooth bleaching. Braz J Oral Sci 2019; 18e191663.
[http://dx.doi.org/10.20396/bjos.v18i0.8657330]
[27]
Benbachir N, Ardu S, Krejci I. Indications and limits of the microabrasion technique. Quintessence Int 2007; 38(10): 811-5.
[PMID: 18197319]
[28]
Baldani MH, Araújo PFF, Wambier DS, Strosky ML, Lopes CML. Aesthetic perceptions of dental fluorosis among young university students. Rev Bras Epidemiol 2008; 11(4): 597-607.
[http://dx.doi.org/10.1590/S1415-790X2008000400008]
[29]
Sundfeld RH, Rahal V, Croll TP, De Aalexandre RS, Briso ALF. Enamel microabrasion followed by dental bleaching for patients after orthodontic treatment--case reports. J Esthet Restor Dent 2007; 19(2): 71-7..
[http://dx.doi.org/10.1111/j.1708-8240.2007.00069.x] [PMID: 17374110]
[30]
Celik EU, Yıldız G, Yazkan B. Comparison of enamel microabrasion with a combined approach to the esthetic management of fluorosed teeth. Oper Dent 2013; 38(5): E134-43.
[http://dx.doi.org/10.2341/12-317-C ] [PMID: 23391032]

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