Treatment of moderate dental fluorosis with enamel microabrasion using a 6% hydrochloric acid and silicon carbide
a clinical case report
DOI:
https://doi.org/10.7308/aodontol/2014.50.3.06Keywords:
Fluorosis dental, Enamel microabrasion, Dental enamelAbstract
Aim: This study aimed to report on a clinical case treated with enamel microabrasion as an effective treatment for moderate dental fluorosis.
Case report: A male patient, 12 years of age, exhibited dental fluorosis, at degrees of TF = 5 in the upper incisors and TF = 4 in the other teeth. The treatment consisted of 3 sessions, at intervals of one week between sessions, of the application of a microabrasive paste containing 6% hydrochloric acid and silicon carbide as the abrasive medium, followed by the application of 1.23% sodium fluoride. The aesthetic results proved to be clinically satisfactory, with an evident whitening of the affected tooth surfaces and the removal of the fluorotic enamel with a loss in focal structure. In addition, as the patient’s complaint had been his dissatisfaction with the appearance of his teeth, and the consequences caused by this factor, at the end of the treatment the patient showed great satisfaction with the final outcome.
Conclusion: Microabrasion of the dental enamel enhances the aesthetics of one’s smile and contributes to boosting the self-esteem and social interaction of the patient.
Downloads
References
Thylstrup A, Fejerskov O. Clinical appearance dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol. 1978; 6: 315-28.
Akpata ES. Occurrence and management of dental fluorosis. Int Dent J. 2001; 51: 325-33.
Evans RW, Darvell BW. Refining the estimate of the critical period for susceptibility to enamel fluorosis in human maxillary central incisors. J Public Health Dent. 1995; 55:238-49.
Levy SM. An update on fluorides and fluorosis. J Can Dent Assoc. 2003; 69:289-91.
Sigurjóns H, Cochran JA, Ketley CE, Holbrook WP, Lennon MA, O’Mullane DM. Parental perception of fluorosis among 8-year-old children living in three communities in Iceland, Ireland and England. Community Dent Oral Epidemiol. 2004; 32: 34-8.
Martins CC, Bonanato KT, Valério DS, Leite FRM, Paiva SM, Vale MPP. Efetividade de uma técnica educativa na aquisição de conhecimentos por pais sobre uso racional do flúor. Rev Odonto Ciênc. 2006; 21: 105-11.
Gleber-Netto FO, Diniz IMA, Mudado FA, Fraga MG, Vargas AMD. Assessment of aesthetic perception of mild and moderate dental fluorosis levels among students from the Federal University of Minas Gerais-UFMG, Brazil. Oral Health Prev Dent. 2011; 9: 339-45.
Martins CC, Feitosa NB, Vale MP, Paiva SM. Parents’ perceptions of oral health conditions depicted in photographs of anterior permanent teeth. Euro J Paediatr Dent. 2010; 11: 203-9.
Prado-Júnior RR, Ribeiro RC, Brito AC, Lopes TSP. Microabrasão como tratamento de esmalte fluorótico. Rev Gaucha Odontol. 2008; 56: 21-6.
Chalub LLF, Martins CC, Paiva SM. Percepção estética das manchas de fluorose dentária: relato de caso de gêmeas dizigóticas. Rev Odonto Ciênc. 2008; 23: 302-6.
Chankanka O, Levy SM, Warren JJ, Chalmers JM. A literature review of aesthetic perceptions of dental fluorosis and relationships with psychosocial aspects⁄oral health-related quality of life. Community Dent Oral Epidemiol. 2010; 38:97-109.
Croll TP, Helpin ML. Enamel microabrasion: a new approach. J Esthet Dent. 2000; 12: 64-71.
Viegas CM, Scarpelli AC, Novaes-Junior JB, Paiva SM, Pordeus IA. Fluorose dentária: abordagens terapêuticas para recuperação estética. Rev Gaucha Odontol. 2011; 59: 479-501.
Pontes DG, Correa KML, Cohen-Carneiro F. Reestablishing esthetics of fluorosis-stained teeth using enamel microabrasion and dental bleaching techniques. Eur J Esthet Dent. 2012; 7: 130-7.
Wang Y, Sa Y, Liang S, Jiang T. Minimally invasive treatment for esthetic management of severe dental fluorosis: a case report. Oper Dent. 2013; 38:358-62.
Fejerskov O, Baelum V, Manji F, Moller IJ. Fluorose dentária: um manual para profissionais da saúde. São Paulo: Editora Santos; 1994.
Sundfeld RH, Rahal V, Croll TP, Alexandre RS, Briso AL. Enamel microabrasion followed by dental bleaching for patients after orthodontic treatment - case reports. J Esthet Restor Dent. 2007; 19:71-7.
Alvarez JA, Rezende KMPC, Marocho SMS, Alves FBT, Celiberti P, Ciamponi AL. Dental fluorosis: exposure, prevention and management. Med Oral Patol Oral Cir Bucal.2009; 14:103-7.
Martins CC, Ramos-Jorge ML, Cury JA, Pordeus IA, Paiva SM. Agreement between data obtained from repeated interviews with a six-years interval. Rev Saúde Pública. 2008; 42: 346-9.
Cury JA, Oliveira MJL, Martins CC, Tenuta LMA, Paiva SM. Available fluoride in toothpastes used by brazilian children. Braz Dent J. 2010; 21:396-400.
Levy SM, Hillis SL, Warren JJ, Broffitt BA, Islam AKMM, Wefel JS, et al. Primary tooth fluorosis and fluoride intake during the first year of life. Community Dent Oral Epidemiol.2002; 30:286-95.
van Loveren C, Ketley CE, Cochran JA, Duckworth RM, O’Mullane DM. Fluoride ingestionfrom toothpaste: fluoride recovered from the toothbrush, the expectorate and the after-brush rinses. Community Dent Oral Epidemiol. 2004; 32: 54-61.
Tan BS, Razak IA. Fluoride exposure from ingested toothpaste in 4–5-year-old Malaysian children. Community Dent Oral Epidemiol. 2005; 33: 317-25.
Bharath KP, Subba Reddy VV, Poornima P, Revathy V, Kambalimath HV, Karthik B. Comparison of relative efficacy of two techniques of enamel stain removal on fluorosed teeth. An in vivo study. J Clin Pediatr Dent. 2014; 38:207-13.
Nixon PJ, Gahan M, Robinson S, Chan MF. Conservative aesthetic techniques for discoloured teeth: 1. The use of bleaching. Dent Update. 2007; 34: 98-107.
Sundfeld RH, Croll TP, Briso ALF, Alexandre RS, Sundfeld-Neto D. Consideration about enamel microabrasion after 18 years. Am J Dent. 2007; 20:67-72.
Zuanon ACC, Santos-Pinto L, Azevedo ER, Lima LM. Primary tooth enamel loss after manual and mechanical microabrasion. Pediatr Dent. 2008; 30: 420-3.
Freire A, Archegas LR. Porcelain laminate veneer on a highly discoloured tooth: a case report. J Can Dent Assoc. 2010; 76: 307-10.
Sudhir N, Parkash H. Full mouth rehabilitation with group function occlusal sheme in a patient with severe dental fluorosis. Indian J D Adv. 2011; 3: 627-31.
Divyashree R, Abhilash PR. Smile designing with ceramic venners and crows. World J Dent. 2012; 3:194-8.
