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1

Bertoldo, Carlos Eduardo Dos Santos, Nubia Inocencya Pavesi Pini, Diogo De Azevedo Miranda, Anderson Catelan, Gláucia Maria Bovi Ambrosano, Débora Alves Nunes Leite, Flávio Henrique Baggio Aguiar, and José Roberto Lovadino. "PHYSICOCHEMICAL PROPERTIES OF ENAMEL AFTER MICROABRASION TECHNIQUE." Journal of Research in Dentistry 2, no. 2 (May 3, 2014): 176. http://dx.doi.org/10.19177/jrd.v2e22014176-88.

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AIM: This study aimed to evaluate the enamel microhardness, surface roughness, and chemical composition after microabrasion technique, followed by polishing and different immersion times in artificial saliva. MATERIALS AND METHODS: Ninety enamel blocks (25 mm2) from bovine incisors were divided into two groups (G1 and G2), and then subdivided in five subgroups (n = 9) according to their microabrasion treatment and polishing with a diamond paste: 35% phosphoric acid and pumice (H3PO4+Pum) and polishing; just H3PO4+Pum; 6.6% hydrochloric acid and silica (HCl+Sil) and polishing; just HCl+Sil; and control (no treatment). For G1, roughness and microhardness analyses were performed before (L1) and after (L2) microabrasion. After 15 (L3) and 30 (L4) days of immersion in artificial saliva, microhardness analysis was also performed. After (L4) analysis, the specimens were subjected to SEM analysis. G2 was used for the chemical analysis using energy dispersion testing (EDS). The data was subjected to statistical analysis (α = 5%). For roughness, L2 presented higher values than L1, except for the polished groups. For microhardness, L2 presented higher values than L1, except for unpolished groups. The L3 and L4 did not differ and were higher than L1. RESULTS: No changes were observed in the phosphorus concentrations of the microabrasioned enamel. However, the specimens treated with HCl+Sil were observed as having decreased calcium and increased chlorine and silica on the EDS test. CONCLUSION: Microabrasion followed by polishing and immersion in artificial saliva for 15 days is enough to increase the microhardness of microabrasioned enamel surfaces, although the microabrasion procedure can alter the mineral content of the enamel.
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Ritter, André V. "Microabrasion." Journal of Esthetic and Restorative Dentistry 17, no. 6 (November 2005): 384. http://dx.doi.org/10.1111/j.1708-8240.2005.tb00477.x.

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Sundfeld, D., CC Pavani, NIP Pini, LS Machado, TC Schott, and RH Sundfeld. "Enamel Microabrasion and Dental Bleaching on Teeth Presenting Severe-pitted Enamel Fluorosis: A Case Report." Operative Dentistry 44, no. 6 (November 1, 2019): 566–73. http://dx.doi.org/10.2341/18-116-t.

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SUMMARY The present clinical case report describes the clinical steps of enamel microabrasion associated with dental bleaching to restore severely-pitted fluorosed teeth. The process of removing the fluorotic superficial stains started by using macroabrasion with a water-cooled fine tapered 3195 FF diamond bur. Rubber dam isolation of the operative field was used to remove the remaining enamel stains and superficial irregularities with the Opalustre microabrasive compound (6.6% hydrochloric acid associated with silicon carbide particles) followed by polishing using fluoridated paste and subsequent 2% neutral fluoride gel topical application. After one month, dental bleaching was performed using 10% carbamide peroxide in custom-formed acetate trays for two hours/day for 42 days. The association of enamel microabrasion with dental bleaching was effective for reestablishing the dental esthetics of a patient with severe dental fluorosis.
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SARI, Maulidia Indah, and Irmaleny SATIFIL. "A simple microabrasion technique as aesthetic approach on fluorosis of anterior teeth." Journal of Syiah Kuala Dentistry Society 6, no. 1 (July 26, 2021): 24–29. http://dx.doi.org/10.24815/jds.v6i1.21890.

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ABSTRACT Dentistry treatment is not only focused on restoring the function of mastication but also onthe aesthetic problem. Fluorosis is one of the aesthetic problems caused by excessive fluoride intakeduring email formation and produced color changes on the surface of the email. Fluorosis was notaffected by the aesthetics but also influenced the confidence of the patient. The Microabrasion techniqueis an option for fluorosis because it is conservative treatment with good results. A 20-year-old womanwho came to the Dental Conservation clinic complained that she wants to remove the brown color andwhite spots seen on the front teeth, which significantly interfere with her appearance. Based on clinicalexamination, many cavities were found in the back teeth of the upper and lower jaw. The results of thehistory and clinical study revealed that the patient had fluorosis in her teeth. Microabrasion was carriedout using Opalustre (ultradent). This material was applied to the tooth surface and rubbed using anapplicator (opal bristle) for 60 seconds. Then applied fluoride gel paste with finishing cup opal.Treatment results showed changes in tooth color, brown and white patches disappeared. Microabrasionis the first choice for aesthetic treatment in fluorosis and has shown satisfying results to restore thepatient's aesthetics problem. KEYWORDS: Fluorosis, microabrasion technique
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Elkhazindar, M. M., and R. R. Welbury. "Enamel Microabrasion." Dental Update 27, no. 4 (May 2, 2000): 194–96. http://dx.doi.org/10.12968/denu.2000.27.4.194.

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6

Robb, N. D. "Enamel Microabrasion." Journal of Dentistry 21, no. 3 (June 1993): 186. http://dx.doi.org/10.1016/0300-5712(93)90032-l.

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7

Safitri, Novira Mutia, Haru Setyo Anggani, Miesje Karmiati Purwanegara, and Sariesendy Sumardi. "ENAMEL SURFACE QUALITY IMPROVEMENT IN WHITE SPOT LESIONS AFTER ORTHODONTIC TREATMENT USING A MICROABRASION TECHNIQUE WITH FLUORIDE OR CALCIUM PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION." International Journal of Applied Pharmaceutics 9 (January 1, 2018): 114. http://dx.doi.org/10.22159/ijap.2017.v9s2.28.

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Objectives: White spot lesions after fixed orthodontic treatment will increase bacterial plaque formation due to increased enamel surface roughness. The aim of this study was to analyze the surface roughness of white spot lesions on enamel after a microabrasion technique, a microabrasion technique combined with calcium phosphopeptide-amorphous calcium phosphate (CPP-ACP) application, and a microabrasion technique combined with fluoride application.Methods: Artificially induced white spot lesions on the enamel surfaces of 42 maxillary first premolars were randomly assigned into one of three treatment groups (n=14): (a) A microabrasion technique, (b) a microabrasion technique combined with CPP-ACP application, and (c) a microabrasion technique combined with fluoride application. A Mitutoyo SJ-301 surface roughness tester was used to measure differences in surface roughness before and after treatment, and the after treatment measurements were compared among the three groups.Results: A significant difference in surface roughness was noted for the white spot lesions on enamel before and after treatment in all groups (p<0.05). A significant difference was also found when comparing the after treatment surface roughness in all groups.Conclusion: The combination of the microabrasion technique with CPP-ACP application significantly reduced enamel surface roughness when compared to microabrasion alone or the combination of microabrasion and fluoride application.
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Angriawan, Irene Pratami, Haru Setyo Anggani, Haru Setyo Anggani, Nada Ismah, and Nada Ismah. "COLOR CHANGES OF POST-DEBONDING WHITE SPOT LESION AFTER MICROABRASION TECHNIQUE WITH FLUORIDE AND CASEIN PHOSPHOPEPTIDE-AMORPHOUS CALCIUM PHOSPHATE APPLICATION." Asian Journal of Pharmaceutical and Clinical Research 11, no. 13 (April 26, 2018): 196. http://dx.doi.org/10.22159/ajpcr.2018.v11s1.26605.

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Objective: The prevalence of enamel demineralization among patients after orthodontic treatment is about 50%, which begins with the formation of white spot lesions. The presence of these lesions causes esthetic problems. The aim of this study was to quantify the color changes in post-debonding white spot lesions after microabrasion technique with fluoride and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) application.Materials and Methods: This study used 42 first premolar teeth that had been extracted, then were soaked for 96 h in a demineralization solution (pH 4, 37°C) to form an artificial white spot lesions. Samples were randomly divided into three treatment groups (n=14): (A) Microabrasion technique only; (B) microabrasion technique with 10% CPP-ACP paste application; and (C) microabrasion technique with 1.23% APF gel application. All groups were assigned to pH cycling for 10 days. The color change was determined using spectrophotometer at 3 different time points, which were measured before and after production of the artificial white spot lesions, and after the artificial white spot lesions were treated.Results: This study showed that there was a significant difference in the color of the artificial white spot lesions after microabrasion technique with CPP-ACP application.Conclusion: Microabrasion technique with CPP-ACP application was giving better result in changing the color of white spot lesions than only microabrasion technique and microabrasion technique with fluoride application.
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Balan, Biji, Chengappa Madanda Uthaiah, Sreejesh Narayanan, and Priyadarshini Mookalamada Monnappa. "Microabrasion: An Effective Method for Improvement of Esthetics in Dentistry." Case Reports in Dentistry 2013 (2013): 1–4. http://dx.doi.org/10.1155/2013/951589.

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Enamel microabrasion can eliminate enamel irregularities and discoloration defects, thus improving the appearance of teeth. This paper presents the latest treatment protocol of enamel microabrasion to remove stains on the enamel surface. It has been verified that teeth submitted to microabrasion acquire a yellowish colour because of the thinness of the remaining enamel, revealing the colour of dentinal tissue to a greater degree. Enamel microabrasion is a technique that can be used to correct discoloured enamel. Enamel microabrasion was developed in the mid-1980s as a method of eliminating enamel discolouration defects and improving the appearance of teeth. Several years after the method was developed, much has been learned about this technique, long-term results of treatment, and microscopic changes to the enamel surface that have distinguishable clinical implications. In addition, certain patients can benefit from enamel microabrasion to yield attractive cosmetic results. The aim of this study was to report the clinical case of a male patient of 25 years with moderate fluorosis, whose smile was re-established by the use of an enamel microabrasion technique, with 18% hydrochloric acid and pumice slurry shown to be a safe and efficient method for removing fluorosis stains.
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Perete-de-Freitas, Camila Evelyn, Paula Damasceno Silva, and André Luis Faria-e-Silva. "Impact of Microabrasion on the Effectiveness of Tooth Bleaching." Brazilian Dental Journal 28, no. 5 (September 2017): 612–17. http://dx.doi.org/10.1590/0103-6440201601494.

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Abstract 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 mesio-distally 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 2nd 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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Celik, EU, G. Yıldız, and B. Yazkan. "Comparison of Enamel Microabrasion with a Combined Approach to the Esthetic Management of Fluorosed Teeth." Operative Dentistry 38, no. 5 (September 1, 2013): E134—E143. http://dx.doi.org/10.2341/12-317-c.

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SUMMARY Objective To compare in vivo the efficacy of enamel microabrasion alone or in combination with vital tooth bleaching for the management of tooth discoloration caused by fluorosis. Methods A total of 118 maxillary and mandibular fluorosed incisors and canines in 10 patients, scored from 1 to 7 according to the Tooth Surface Index of Fluorosis, were included in this study. All of the teeth were initially treated with enamel microabrasion (Opalustre, Ultradent Products Inc, South Jordan, UT, USA), and after 24 hours, an in-office bleaching technique (Opalescence Boost, Ultradent) was utilized (n=118). Standardized images of the teeth were taken using a digital camera prior to treatment and 24 hours after the enamel microabrasion and after the in-office bleaching therapy. The study groups were assigned according to evaluation time: a) after enamel microabrasion (Group 1) and b) after the combined approach (enamel microabrasion and in-office bleaching) (Group 2). Two calibrated and blinded examiners scored Group 1 and Group 2 images by comparing each with baseline images for “improvement in appearance,” “changes in brown stains,” and “changes in white opaque areas” using the visual analogue scales (VAS) that range from 1 to 7. “Patient satisfaction,” “tooth sensitivity,” and “gingival problems” were also recorded. The data were analyzed using two sample paired Wilcoxon signed-rank, Kruskal-Wallis, and Mann-Whitney U-tests (α=0.05). Results The combined therapy revealed significantly higher scores than the enamel microabrasion procedure in terms of all of the evaluated criteria (p&lt;0.001). Enamel microabrasion provoked less tooth sensitivity but led to lower patient satisfaction scores than the combined therapy (p&lt;0.001); however, in terms of gingival problems, no differences were found between both groups. Conclusion The combined therapy, including enamel microabrasion and in-office bleaching, was more effective than enamel microabrasion alone in the esthetic management of fluorosed teeth.
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Chawla, Rachna, Ayesha Patel, and Suzanne Dunkley. "Technique tips: microabrasion." Dental Update 45, no. 2 (February 2, 2018): 172–73. http://dx.doi.org/10.12968/denu.2018.45.2.172.

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13

Srilatha, S., Zeeshan Hasanali Ladhani, Sayli Dargad, and Vighnesh Dixit. "Effect of Application of Remineralizing Agents on the Microhardness of Microabraded Teeth." World Journal of Dentistry 6, no. 3 (2015): 174–77. http://dx.doi.org/10.5005/jp-journals-10015-1337.

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ABSTRACT Background To evaluate microhardness of enamel surface after microabrasion of enamel using casein phosphopeptideamorphous calcium phosphate (CPP-ACP) and casein phosphopeptide-amorphous calcium phosphate with fluoride (CPP-ACPF). Materials and methods Ten freshly extracted anterior teeth were selected. Teeth were treated with abrasive slurry. This prepared slurry was applied to the labial aspects of teeth, using a rotating rubber cup, for 50 seconds. Each tooth was divided into four parts and treated accordingly with the topical application of the demineralizing agent stored in artificial saliva. The teeth were divided into four groups, as follows: – Group A: Control group – Group B: Microabrasion done but not treated – Group C: Microabrasion done and CPP-ACP paste applied – Group D: Microabrasion done and CPP-ACPF (i.e. with fluoride) applied. The microhardness was evaluated using the Vicker's microhardness test. Results Microhardness values were highest for the control group followed by group D, group C and finally group B. Microabraded group of teeth with no topical application showed least microhardness values of all. Conclusion The CPP-ACPF increased the microabrasion significantly as compared to CPP-ACP and microabrasion group. How to cite this article Ladhani ZH, Dargad S, Dixit V, Srilatha S, Hegde V. Effect of Application of Remineralizing Agents on the Microhardness of Microabraded Teeth. World J Dent 2015;6(3):174-177.
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Demarco, Flávio Fernando, Sonia Saeger Meireles, Dárvi de Almeida André, Ferdinan Luís Leida, and Jorge Saldivar Bocangel. "Surface Roughness and Enamel Loss with Two Microabrasion Techniques." Journal of Contemporary Dental Practice 10, no. 1 (January 2009): 58–65. http://dx.doi.org/10.5005/jcdp-10-1-58.

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Abstract Aim The aim of this study was to evaluate and compare the surface roughness and enamel loss produced by two microabrasion techniques. Methods and Materials Bovine teeth were selected and an area was delimited for microabrasion techniques. Surface roughness was determined before and after treatment using a digital profilometer. Specimens were randomized to one of two acid treatments (n=10): 18% hydrochloric acid (HCl) and pumice or 37% phosphoric acid (H3PO4) and pumice. Acid treatments were applied using a wooden spatula for 5 seconds for a total of ten applications. Then, specimens were sectioned through the center of the demineralization area to obtain 80μm thick slices. The wear produced by the microabrasion techniques was evaluated using stereomicroscopy (40x). The greatest depth (μm) and the total surface area (μm2) of demineralization were measured using the Image Tool software (University of Texas Health Science, San Antonio, TX, USA). In addition, three specimens of each group were subjected to SEM analysis at different magnifications. Results The mean surface roughness was statistically lower for HCl than for H3PO4 (p<0.001). Deeper demineralization (p<0.003) and a larger total demineralization area was observed for HCl (p<0.005). Under SEM analysis H3PO4 showed a selective conditioning etching, while HCl exhibited a non-selective pattern. Conclusions Microabrasion using H3PO4 produced greater surface roughness but less demineralization than the microabrasion technique using HCl. Clinical Significance Both microabrasion techniques effectively remove the superficial enamel layer. However, the technique using H3PO4 was less aggressive, safer, and easier to perform. Citation Meireles SS, André DA, Leida FL, Bocangel JS, Demarco FF. Surface Roughness and Enamel Loss with Two Microabrasion Techniques. J Contemp Dent Pract 2009 January; (10)1:058-065.
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Rubin, M. "Microabrasion: An epidermal abrasion." Aesthetic Surgery Journal 23, no. 2 (March 2003): 137–39. http://dx.doi.org/10.1067/maj.2003.25.

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Gu, Xi, Lin Yang, Deqin Yang, Yuan Gao, Xiaolei Duan, Xin Zhu, He Yuan, and Jiyao Li. "Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and microabrasion: A split-mouth, randomized clinical trial." Angle Orthodontist 89, no. 3 (February 5, 2019): 372–77. http://dx.doi.org/10.2319/041218-274.1.

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ABSTRACT Objective: To compare the esthetic improvement between postorthodontic white-spot lesions (WSLs) treated by resin infiltration and microabrasion for 12 months. Materials and Methods: A total of 20 patients with 128 teeth with postorthodontic WSLs were recruited. A simple randomized, split-mouth, positive controlled design was used to allocate patients to resin infiltration or microabrasion groups. The lesion area ratio (R value) was calculated between the area of a WSL and the labial surface of the corresponding tooth based on standardized clinical photographs. The color change (ΔE) of each tooth was measured with a Crystaleye spectrophotometer (Olympus, Tokyo, Japan). Every measurement was taken before treatment (T0) and at different time points after treatment: 1 week (T1), 6 months (T6), and 12 months (T12). Results: A total of 16 patients with 108 trial teeth were available at T12. Each group had 54 trial teeth. In both groups, there was a significant decrease in R value and ΔE between T1 and T0 (P &lt; .0001). In the infiltration group, the R value and ΔE had no significant changes over time from T1 to T12. In the microabrasion group, the R value and ΔE decreased significantly from T1 to T6. The R value of resin infiltration was lower when compared with microabrasion at every recall point (P &lt; .001). The ΔE had no significant differences between the two groups at any timepoint. Conclusions: Resin infiltration and microabrasion improved the esthetic appearance of WSLs and showed sufficient durability for 12 months. Resin infiltration showed a better esthetic improvement effect when compared with microabrasion at 12 months.
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Lygidakis, Nikolaos N., and Kathryn Harley. "Marked extrinsic staining following microabrasion: a case report of a boy with dental fluorosis." Dental Update 46, no. 5 (May 2, 2019): 462–65. http://dx.doi.org/10.12968/denu.2019.46.5.462.

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A 12-year-old boy, born and raised in Iran, presented with dental fluorosis affecting all his teeth. The defects were predominantly opaque white in appearance with brown opacities on the maxillary central incisors. The treatment plan entailed microabrasion of the maxillary central incisors followed by vital bleaching, if required. Despite providing post-operative instructions, the patient had a drink containing turmeric later that day. He subsequently presented with yellow staining of his maxillary central incisors. A further course of microabrasion as well as vital bleaching provided a satisfactory final result. The teeth remained unchanged in a two-month review appointment. CPD/Clinical Relevance: This case presents a rare complication following microabrasion for dental fluorosis which occurred because post-operative instructions were not followed.
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Tashima, Adriana Yuri, Janaina Merli Aldrigui, Sandra Kalil Bussadori, and Marcia Turolla Wanderley. "Enamel Microabrasion in Pediatric Dentistry: Case Report." ConScientiae Saúde 8, no. 1 (May 12, 2009): 133–38. http://dx.doi.org/10.5585/conssaude.v8i1.1497.

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Enamel microabrasion technique is a conservative method that improves the appearance of the tooth by restoring bright and superficial smoothness, without causing significant structural loss. It is a safe method that may be used even in the treatment of young children. This paper describes the microabrasion technique using Opalustre® (Ultradent Products, Inc) applied over incipient carious lesions which were remineralized but pigmented, aesthetically compromising deciduous teeth.
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CROLL, THEODORE P., and MARK L. HELPIN. "Enamel Microabrasion: A New Approach." Journal of Esthetic and Restorative Dentistry 12, no. 2 (March 2000): 64–71. http://dx.doi.org/10.1111/j.1708-8240.2000.tb00202.x.

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Briso, ALF, APB Lima, RS Gonçalves, MO Gallinari, and PH dos Santos. "Transenamel and Transdentinal Penetration of Hydrogen Peroxide Applied to Cracked or Microabrasioned Enamel." Operative Dentistry 39, no. 2 (March 1, 2014): 166–73. http://dx.doi.org/10.2341/13-014-l.

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SUMMARY The present study evaluated transenamel and transdentinal penetration of hydrogen peroxide during tooth whitening recognized in altered enamel by the presence of cracks or microabrasion. We used 72 experimental units (n=20) obtained from bovine incisors: GI-sound enamel; GII-teeth showing visible enamel cracks (4 mm to 5.7 mm in length); and GIII-microabrasioned enamel. The 12 remaining specimens were used to analyze the enamel surface morphology using scanning electron microscopy. The specimens were cylindrical and 5.7 mm in diameter and 3.5 mm thick. A product based on 35% hydrogen peroxide was used for bleaching, following the manufacturer's recommendations for use. To quantify the H2O2 penetration, the specimens were placed in artificial pulp chambers containing an acetate buffer solution. After bleaching, the solution was collected and adequately proportioned with leucocrystal violet, peroxidase enzyme, and deionized water. The resulting solution was evaluated using ultraviolet visible reflectance spectrophotometer equipment. The data were analyzed by analysis of variance (ANOVA) and Fisher's PLSD at a significance level of 0.05, and significant differences in the penetration of peroxide in different substrate conditions were observed (p&lt;0.0001). The penetration of hydrogen peroxide was more intense in cracked teeth. The group in which the enamel was microabraded showed intermediate values when compared to the control group. Microabrasion and the presence of cracks in the enamel make this substrate more susceptible to penetration of hydrogen peroxide during in-office whitening.
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Baysal, Asli, and Tancan Uysal. "Do enamel microabrasion and casein phosphopeptide-amorphous calcium phosphate affect shear bond strength of orthodontic brackets bonded to a demineralized enamel surface?" Angle Orthodontist 82, no. 1 (July 25, 2011): 36–41. http://dx.doi.org/10.2319/041211-265.1.

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Abstract Objective: To evaluate and compare the effects of enamel microabrasion, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and their combination on the shear bond strength (SBS) of orthodontic brackets bonded to demineralized enamel surface. Materials and Methods: One hundred human first premolar teeth were randomly allocated to one of five groups. Group I was considered as the control of other groups. For the remaining groups, demineralization was performed via solutions. In group II, brackets were directly bonded to the demineralized enamel surface. CPP-ACP was applied in group III, microabrasion was performed in group IV, and both microabrasion and CPP-ACP application were performed in group V. The specimens were tested for SBS. Bond failures were scored according to the Adhesive Remnant Index (ARI). Analysis of variance and Tukey tests were used to compare the SBS of the groups. ARI scores of the groups were evaluated with a G-test. The statistical significance was set at P &lt;. 05 level. Results: Statistically significant difference was found among the five investigated groups (F = 111.870; P &lt; .001). The SBS of groups II and IV were significantly lower than the other groups. No statistically significant difference was found among groups I (control; mean 24.1 ± 4.1 MPa), III (mean 22.0 ± 3.6 MPa), and V (mean 24.3 ± 1.9 MPa). Microabrasion and combination with CPP-ACP showed higher SBS compared to the control group. The differences between ARI scores of the groups were statistically significant (P &lt; .001). Conclusion: CPP-ACP pretreatment, microabrasion of the enamel, and the combination of these two methods improve the bonding to demineralized enamel.
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Gonçalves, Iana M. C., Raíssa M. Garcia, Amanda G. C. de Souza, Daniel M. Secchieri, Laís Cardelli, Luis R. M. Martins, and Débora A. N. L. Lima. "Association of Tooth Bleaching and Microabrasion as a Resolution of Intrinsic Staining by Fluorosis: A Case Report." Current Dentistry 2, no. 1 (September 10, 2020): 78–82. http://dx.doi.org/10.2174/2542579x02999200428093906.

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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.
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Goel, Aditi, Ashtha Arya, Anshul Arora, Mandeep S. Grewal, and Simran Verma. "Microabrasion - A Conservative Approach for Mild to Moderate Fluorosis – A Case Report." Journal of Evolution of Medical and Dental Sciences 10, no. 30 (July 26, 2021): 2334–37. http://dx.doi.org/10.14260/jemds/2021/477.

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The undesirable discoloration or pitting of teeth due to fluorosis or developmental defects like amelogenesis imperfecta or enamel hypoplasia pose a challenge to the clinician to cater to the aesthetic requirements of patients. Fluorosis had been reported way back in 1901. There are treatment options depending upon individual cases as follows: microabrasion / macroabrasion, bleaching, composite restoration, veneers or full crowns. For the aesthetic enhancement of stains associated with mild to moderate fluorosis enamel microabrasion is the preferred treatment. This technique involves removal of entrapped stains by rubbing of slurry containing HCl acid and an abrasive agent on the stained enamel surface. But if the depth of the defect is more then microabrasion can be done in conjunction with bleaching or bonded restorations can be done to achieve optimal aesthetics. Casein phospopeptide - Amorphous calcium phosphate (CPP – ACP) can be topically applied after microabrasion which enhances remineralisation and prevents post-operative sensitivity. The present paper illustrates the management of mild to moderate dental fluorosis by microabrasion to remove stains on the enamel surface followed by remineralisation using CPP - ACP paste. An unaesthetic smile has psychological impact especially on young patients and lowers their confidence.1 Discoloration of the young permanent anterior teeth is mostly seen due to varying developmental defects. This could be due to extrinsic aetiology such as those caused by coffee, tea, red wine and tobacco or due to intrinsic aetiology. The intrinsic stains may be due to pre-eruptive or post-eruptive causes.2 Pre-eruptive causes of intrinsic stains include dentinogenesis imperfecta and fluorosis, whereas post-eruptive causes of intrinsic stains include tetracycline dentine staining or due to injuries.3 The excessive and chronic ingestion of fluoride during amelogenesis leads to fluorosis which can be skeletal or dental depending upon the intake.4,5 Dental fluorosis is characterized by white opaque flecks on teeth or yellow to brown discolorations with pitting on the enamel surface.6,7 The enamel microabrasion is an effective and non-invasive procedure for removing the stains limited to outer enamel layer.7,8 It uses a rubber cup along with abrasive materials and chemical solutions.9,10 Currently, many products are commercially available for enamel microabrasion such as Prema Compound (Premier Dental Products, Norristown, PA, USA) containing 15 % HCl and Opalustre (Ultradent, South Jordan, UT, USA) containing 6.6 % HCl and silicon carbide.7 (Table 1) Since these products are expensive, the prototype paste containing 18 % HCl and pumice, as described by Croll in 1986 is most commonly used in clinical practice.8
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Meireles, Sônia Saeger, Marilia Leão Goettems, Kaline Silva Castro, Fábio Correia Sampaio, and Flávio Fernando Demarco. "Dental Fluorosis Treatment Can Improve the Individuals’ OHRQoL? Results from a Randomized Clinical Trial." Brazilian Dental Journal 29, no. 2 (March 2018): 109–16. http://dx.doi.org/10.1590/0103-6440201801733.

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Abstract This study aimed to evaluate the effect on oral health-related quality of life (OHRQoL) of two treatment protocols for dental fluorosis in individuals enrolled in a randomized clinical trial. Seventy volunteers, who lived in a fluorosis endemic area in Brazil, and had at least four maxillary anterior teeth showing fluorosis with a Thylstrup and Fejerskov index from 1 to 7, were randomized into two treatment groups (n= 35): GI- enamel microabrasion; or GII- microabrasion associated with at-home bleaching. Microabrasion was performed using 37% phosphoric acid and pumice, and at-home tooth bleaching with 10% carbamide peroxide in a tray. Volunteers completed a questionnaire at baseline and 1-month post treatment to assess changes in OHRQoL, using the Oral Impact on Daily Performance (OIDP). Differences in overall impact scores between and within treatment groups were analyzed with Wilcoxon (within) and Mann-Whitney (between) tests. Changes in performance scores were analyzed using Wilcoxon tests (a< 0.05). One month after treatment, subjects reported improvement in OHRQoL. Both groups showed lower OIDP scores (p< 0.001), but there was no difference between them. Eating, cleaning teeth, smiling and emotional state performance scores were lower after treatment for the whole sample. In conclusion, the treatment with microabrasion improved the OHRQoL in this sample of individuals living in a fluorosis endemic area regardless of the addition of at-home bleaching.
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Silva-Benítez, Erika L., Veronica Zavala-Alonso, Gabriel A. Martinez-Castanon, Juan P. Loyola-Rodriguez, Nuria Patiño-Marin, Irene Ortega-Pedrajo, and Franklin García-Godoy. "Shear bond strength evaluation of bonded molar tubes on fluorotic molars." Angle Orthodontist 83, no. 1 (June 22, 2012): 152–57. http://dx.doi.org/10.2319/030812-203.1.

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Abstract Objective: To study the shear bond strength (SBS), sites of failure, and micromorphology of bonded molar tubes used on teeth affected by dental fluorosis. Materials and Methods: This in vitro study included 140 first molars classified according to Dean's index for dental fluorosis. Samples were divided into seven groups: (1) healthy teeth etched for 15 seconds, (2) teeth with moderate fluorosis (MOF) etched for 15 seconds, (3) teeth with MOF etched for 150 seconds, (4) teeth with MOF microabrasion etched for 15 seconds, (5) teeth with severe fluorosis (SEF) etched for 15 seconds, (6) teeth with SEF etched for 150 seconds, and (7) teeth with SEF microabrasion etched for 15 seconds. All samples were incubated and were then submitted to the SBS test and evaluated with the modified adhesive remnant index (ARI) and analyzed by using a scanning electronic microscope. Results: The SBS mean value for healthy enamel was 20 ± 10.2 MPa. For the group with MOF, the etched 150-second mean value was the highest (19 ± 7.6 MPa); for the group with SEF treated with microabrasion and etched for 15 seconds, the mean value was (13 ± 4.1 MPa). Significant differences (P ≤ .05) were found in the ARI between healthy and fluorosed groups. Conclusions: Fluorotic enamel affects the adhesion of bonded molar tubes. The use of overetching in cases of MOF and the combination of microabrasion and etching in SEF provides a suitable adhesion for fixed appliance therapy.
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Ashkenazi, M., and H. Sarnat. "Microabrasion of teeth with discoloration resembling hypomaturation enamel defects: four- year follow up." Journal of Clinical Pediatric Dentistry 25, no. 1 (September 1, 2001): 29–34. http://dx.doi.org/10.17796/jcpd.25.1.w0x5077735g64411.

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Microabrasion with 18% HCl and pumice to remove enamel dysmineralization and improve esthetics is an accepted and effective treatment. This technique can probably be extended even to generalized defects resembling hypomaturation amelogenesis imperfecta that appear on all erupted teeth. Five children aged 9 to 11 with two types of enamel-hypomaturation probably due to developmental defects were treated successfully by microabrasion, with marked improvement of the discoloration. The patients were followed for up to four years. During this period, no tooth-sensitivity or staining was noted. The teeth looked healthier and shinier.
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CROLL, THEODORE P. "ENAMEL MICROABRASION: OBSERVATIONS AFTER 10 YEARS." Journal of the American Dental Association 128 (April 1997): 45S—50S. http://dx.doi.org/10.14219/jada.archive.1997.0424.

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Ashfaq, Naeem M., Matthew Grindrod, and Siobhan Barry. "A discoloured anterior tooth: enamel microabrasion." British Dental Journal 226, no. 7 (April 2019): 486–89. http://dx.doi.org/10.1038/s41415-019-0152-7.

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Akin, Mehmet, Erhan Dilber, Faruk Ayhan Basciftci, and Bora Ozturk. "Effect of Microabrasion on Teeth Color." Turkish Journal of Orthodontics 26, no. 2 (November 2013): 80–84. http://dx.doi.org/10.13076/j.tjo.2013.26.02_80.

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Sundfeld, RH, LM Franco, LS Machado, NIP Pini, FM Salomao, RB Anchieta, and D. Sundfeld. "Treatment of Enamel Surfaces After Bracket Debonding: Case Reports and Long-term Follow-ups." Operative Dentistry 41, no. 1 (January 1, 2016): 8–14. http://dx.doi.org/10.2341/15-003-t.

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SUMMARY After bracket debonding, residual bonded material may be observed on the enamel surface. When not properly removed, this residual material can interfere with the surface smoothness of the enamel, potentially resulting in staining at the resin/enamel interface and contributing to biofilm accumulation. Clinical case reports demonstrate clinical procedures to remove residual bonded material after bracket debonding. A water-cooled fine tapered 3195 FF diamond bur was used to remove the residual bonded material. Subsequently, the enamel surface was treated with Opalustre microabrasive compound. After one week, overnight dental bleaching was initiated using 10% carbamide peroxide in custom-formed trays for four weeks. The enamel microabrasion technique was found to be effective for polishing the enamel surface and for reestablishing the dental esthetics associated with dental bleaching. Longitudinal clinical controls of other clinical cases are presented.
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Cotellessa, Claudia, Ketty Peris, Maria Concetta Fargnoli, Cristina Mordenti, Rita Sparacio Giacomello, and Sergio Chimenti. "Microabrasion Versus Microabrasion Followed by 15% Trichloroacetic Acid for Treatment of Cutaneous Hyperpigmentations in Adult Females." Dermatologic Surgery 29, no. 4 (April 2003): 352–56. http://dx.doi.org/10.1046/j.1524-4725.2003.29084.x.

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COTELLESSA, CLAUDIA, KETTY PERIS, MARIA CONCETTA FARGNOLI, CRISTINA MORDENTI, RITA SPARACIO GIACOMELLO, and SERGIO CHIMENTI. "Microabrasion Versus Microabrasion Followed by 15% Trichloroacetic Acid for Treatment of Cutaneous Hyperpigmentations in Adult Females." Dermatologic Surgery 29, no. 4 (April 2003): 352–56. http://dx.doi.org/10.1097/00042728-200304000-00006.

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Noble, James, Nicholas E. Karaiskos, and William A. Wiltshire. "In Vivo Bonding of Orthodontic Brackets to Fluorosed Enamel using an Adhesion Promotor." Angle Orthodontist 78, no. 2 (March 1, 2008): 357–60. http://dx.doi.org/10.2319/020207-53.1.

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Abstract Objectives: To determine the success of bracket retention using an adhesion promoter with and without the additional microabrasion of enamel. Materials and Methods: Fifty-two teeth with severe dental fluorosis were bonded in vivo using a split-mouth design where the enamel surfaces of 26 teeth were microabraded with 50 μm of aluminum silicate for 5 seconds under rubber dam and high volume suction. Thirty-seven percent phosphoric acid was then applied to the enamel, washed and dried, and followed by placement of Scotchbond Multipurpose Plus Bonding Adhesive. Finally, precoated 3M Unitek Victory brackets were placed and light cured. The remaining teeth were bonded using the same protocol but without microabrasion. Results: After 9 months of intraoral service, only one bond failure occurred in the control group where microabrasion was used. Chi-square analysis revealed P = .31, indicating no statistical significance between the two groups. Conclusions: Bonding orthodontic attachments to fluorosed enamel using an adhesion promoter is a viable clinical procedure that does not require the additional micro-mechanical abrasion step.
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Daskalaki, Zoi, Evgenia Alifakioti, and Aristidis Arhakis. "Aesthetic Treatment of Dental Fluorosis in a 9-Year-Old Girl: Case Report." Balkan Journal of Dental Medicine 23, no. 3 (November 1, 2019): 157–62. http://dx.doi.org/10.2478/bjdm-2019-0028.

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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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Yildiz, Gul, and Esra Uzer Celik. "A minimally invasive technique for the management of severely fluorosed teeth: A two-year follow-up." European Journal of Dentistry 07, no. 04 (October 2013): 504–8. http://dx.doi.org/10.4103/1305-7456.120661.

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ABSTRACT Objective: Severely fluorosed and heavily discolored teeth that have large enamel defects give rise to esthetic concerns and require permanent treatment. In such cases, restorative techniques such as porcelain or composite laminate veneers or crowns are generally preferred, in which tooth preparation is inevitably required. Materials and Methods: This clinical report describes a patient with severely fluorosed teeth who was successfully treated with a minimally invasive technique including enamel microabrasion (6.6% hydrochloric acid slurry with silicon carbide micro-particles, Opalustre, Ultradent Products, Inc., South Jordan, UT, USA) followed by in-office bleaching (38% hydrogen peroxide, Opalescence Boost, Ultradent). Enamel microabrasion was conducted in two visits while three visits were required for in-office bleaching. Patient was followed-up after 2 years. Result: A slight staining had occurred during this period, but it was acceptable for patient. No adverse effects were observed. Conclusions: The minimally invasive technique including enamel microabrasion and in-office bleaching was efficient and may represent a good alternative to traditional restorative techniques for the management of severely fluorosed teeth.
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Da Cunha, Leonardo Fernandes, Juliana Feltrin De Souza, Marina Samara Baechtold, Gisele Maria Correr, Bruna Luiza Nescimento, and Carla Castiglia Gonzaga. "Conservative treatment of enamel hypomineralization: microabrasion and bleaching for re-estabilishing esthetics." Revista Odonto Ciência 31, no. 1 (November 17, 2016): 36. http://dx.doi.org/10.15448/http://dx.doi.org/10.15448/1980-6523.2016.1.17269.

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Objective: Dental hypomineralization such as dental fluorosis has increased in recent times, which leads to unaesthetic appearance of teeth visible at close quarters. There are different treatment possibilities to improve the aesthetic appearance of hypomineralized enamel described in dental literature. The enamel microabrasion has been a feasible alternative, since it is a fast, safe, conservative, and easy to perform, which promotes good esthetic results. oreover, this technique is a conservative method that improves the appearance of the teeth without causing significant structural loss. The association of different techniques, such as dental bleaching, can provide good esthetic outcomes, but the etiology, intensity and depth of stain should be considered. Thus, the aim of this article is to describe an easy technique for managing mild to moderate dental fluorosis using microabrasion in association with dental bleaching.Case Report: First, application of the microabrasion material on the enamel surface was performed with 6% hydrochloric acid and silicon carbide and then with 37% phosphoric acid and pumice paste. Subsequently, dental bleaching employing 10% carbamide peroxide gel was indicated.Conclusion: This conservative approach may be considered an interesting alternative treatment to remove fluorosis staining and to improve aesthetic appearance.
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Manaia, Mariana, Larissa Rocha, José Saraiva, Ana Coelho, Inês Amaro, Carlos Miguel Marto, Francisco Vale, Manuel Marques Ferreira, Anabela Paula, and Eunice Carrilho. "Minimally Invasive Dentistry for Pre-Eruptive Enamel Lesions—A Case Series." Applied Sciences 11, no. 11 (May 21, 2021): 4732. http://dx.doi.org/10.3390/app11114732.

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Pre-eruptive enamel lesions occur during tooth formation and include fluorosis, traumatic hypomineralization, and molar incisor hypomineralization. Minimally invasive treatment approaches, such as microabrasion, should be considered for these cases. This article presents a case series of three patients with pre-eruptive enamel defects in esthetically compromised tooth regions which were treated with the microabrasion technique: two fluorosis cases, moderate and advanced, and one hypomineralization case of traumatic etiology. In Cases 1 and 3, there was a significant improvement in esthetics with a total resolution of the enamel defects. However, a slight yellowish coloration may be detected at close observation. In Case 2 (advanced fluorosis), although there was no full resolution of the white spots, there was a clear improvement in esthetics. Microabrasion is a safe and effective, minimally invasive treatment for pre-eruptive enamel lesions. It does not require local anesthesia, it is less destructive than restorative interventions, and allows good esthetic outcomes with no significant postoperative sensitivity. Its efficacy is directly related to the lesions’ severity and depth. Although there are some limitations, further improvement can be achieved with dental bleaching. More invasive treatments might be considered if results are still unsatisfactory.
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Zavala-Alonso DDS, MSc,PhD, V., G. Roque-Márquez DDS, MSc, N. Patiño-Marín DDS, MSc, PhD, and D. Silva-Herzog DDS, MSc, PhD. "Characterization of Fluorotic Enamel After Microabrasion and Desensitizing Agent." Odovtos - International Journal of Dental Sciences 19, no. 1 (March 2, 2017): 59. http://dx.doi.org/10.15517/ijds.v0i0.27998.

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Introduction. Enamel microabrasion is a procedure used for removing a superficial layer of enamel that has some alteration of color and/or texture caused by dental fluorosis. The purpose of this study was to compare the microhardness and micromorphology of the fluorotic enamel surface after microabrasion with 6.6% hydrochloric acid and silica or 18% hydrochloric acid and evaluate the effect of desensitizing agent exposure on the treated enamel. Materials and Methods. Twenty anterior teeth with moderate fluorosis were divided into two groups: 1) Perla-Dent® group and 2) Opalustre® group. Each buccal surface of incisors was sectioned to obtain samples 3x3 mm. The samples were then mounted in acrylic blocks. The enamel surface of the blocks was polished, after the microabrasion materials and desensitizing agent were applied according to the manufacturer's instructions. All samples were analyzed by Vickers microhardness tester and scanning electron microscopy (SEM). Results. Both experimental groups presented a decrease in the microhardness values, with statistically significant differences (p<0.0001) when comparing the baseline and after treatments values. To compare the microhardness values after both microabrasion and desensitizing treatment in the study groups, it was observed that the Perla-Dent® group obtained lower values than the Opalescence® group with a statistically significant difference (p<0.0001). The representative images of study groups in SEM showed the enamel surface morphology after Perla-Dent® treatment more irregular and a very marked relief than that observed in enamel surface morphology after Opalustre® treatment. Conclusion. The surface of the enamel was more affected with Perla-Dent® treatment than with Opalustre® treatment and the placement of UltraEz® agent does not recover its baseline microhardness.
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Bharath, KP, VV Subba Reddy, P. Poornima, V. Revathy, HV Kambalimath, and B. Karthik. "Comparison of Relative Efficacy of Two Techniques of Enamel Stain Removal on Fluorosed Teeth. An in Vivo Study." Journal of Clinical Pediatric Dentistry 38, no. 3 (April 1, 2014): 207–14. http://dx.doi.org/10.17796/jcpd.38.3.0h120nkl8852p568.

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The present study was conducted to compare and evaluate the relative efficacy of enamel microabrasion (using 18% HCl) and bleaching with McInnes solution in the esthetic improvement of fluorosed teeth and to check postoperative sensitivity. Study design: 30 children aged between 9-14yrs with a mild or moderate grade of fluorosis as classified according to Dean's fluorosis index and who complained of objectionable esthetics were selected. Split mouth study design was selected in our study. Each subject had one of their maxillary central incisor randomly selected for Enamel microabrasion and the contra lateral maxillary central incisor for McInnes bleaching. Esthetic improvement was assessed by comparing the pre and postoperative digital photographs. During the evaluation session, the pre and postoperative photographs of 30 subjects were incorporated into a power point presentation and were projected side by side in a darkened room. Four calibrated and blinded examiners, including a layman rated the photographs under standardized viewing conditions. Esthetic improvement was assessed for both short and long term improvement. The postoperative sensitivity was recorded for both the procedures immediately after treatment and at one, three and six months intervals. Results: The results proved that both immediate and long term (6month) esthetic improvement achieved by McInnes bleaching were superior to enamel microabrasion. There is a reduction in aesthetics of teeth in both the procedures after six months, which was very minimal in McInnes procedure and significant in enamel micro abrasion. Postoperative sensitivity in both techniques were negligible. The sensitivity observed were transient and subsided within an one-month post operatively. None of the subjects reported sensitivity at one, three and six months intervals. Conclusion: McInnes bleaching is a better procedure compared to enamel microabrasion in improving the appearance of fluorosed teeth. Both techniques are conservative and safe.
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Zavala-Alonso DDS, MSc,PhD, V., G. Roque-Márquez DDS, MSc, N. Patiño-Marín DDS, MSc, PhD, and D. Silva-Herzog DDS, MSc, PhD. "Characterization of Fluorotic Enamel After Microabrasion and Desensitizing Agent." Odovtos - International Journal of Dental Sciences 19, no. 1 (March 2, 2017): 59. http://dx.doi.org/10.15517/ijds.v19i1.27998.

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Introduction. Enamel microabrasion is a procedure used for removing a superficial layer of enamel that has some alteration of color and/or texture caused by dental fluorosis. The purpose of this study was to compare the microhardness and micromorphology of the fluorotic enamel surface after microabrasion with 6.6% hydrochloric acid and silica or 18% hydrochloric acid and evaluate the effect of desensitizing agent exposure on the treated enamel. Materials and Methods. Twenty anterior teeth with moderate fluorosis were divided into two groups: 1) Perla-Dent® group and 2) Opalustre® group. Each buccal surface of incisors was sectioned to obtain samples 3x3 mm. The samples were then mounted in acrylic blocks. The enamel surface of the blocks was polished, after the microabrasion materials and desensitizing agent were applied according to the manufacturer's instructions. All samples were analyzed by Vickers microhardness tester and scanning electron microscopy (SEM). Results. Both experimental groups presented a decrease in the microhardness values, with statistically significant differences (p<0.0001) when comparing the baseline and after treatments values. To compare the microhardness values after both microabrasion and desensitizing treatment in the study groups, it was observed that the Perla-Dent® group obtained lower values than the Opalescence® group with a statistically significant difference (p<0.0001). The representative images of study groups in SEM showed the enamel surface morphology after Perla-Dent® treatment more irregular and a very marked relief than that observed in enamel surface morphology after Opalustre® treatment. Conclusion. The surface of the enamel was more affected with Perla-Dent® treatment than with Opalustre® treatment and the placement of UltraEz® agent does not recover its baseline microhardness.
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Hammad, Shaza M., Noha A. El-Wassefy, and Mohamed A. Alsayed. "Evaluation of color changes of white spot lesions treated with three different treatment approaches: an in-vitro study." Dental Press Journal of Orthodontics 25, no. 1 (January 2020): 26–27. http://dx.doi.org/10.1590/2177-6709.25.1.27.e1-7.onl.

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ABSTRACT Objective: To qualitatively and quantitatively assess the color changes effect and the color stability of the resin infiltrant on white spot lesions (WSLs), in comparison with nano-hydroxyapatite (nano-HA) toothpaste and microabrasion. Methods: WSLs were artificially created on sixty human premolars enamel surfaces and randomly assigned to equal four groups (n = 15 each): nano-HA toothpaste, microabrasion (Opalusture), resin infiltrant (Icon) treatment, or artificial saliva (control group). The color change (ΔE) of each specimen was measured by dental spectrophotometer (Vita Easyshade) at different time points: baseline, after WSLs’ creation, after application of treatments, one month, three and six months after treatments application. Results: The ΔE value did not differ significantly for the four groups at baseline measurement before treatment (p> 0.05). Icon resin infiltrant improved the color of WSLs significantly immediately after its application, giving the lowest ΔE value (3.00 ± 0.59), when compared to other treatments (p< 0.001). There were no significant changes in ΔE (p> 0.05) for all groups during the follow up intervals (one month, three and six months after treatments application). Conclusion: Resin infiltrant can improve the color of WSLs and restore the natural appearance of enamel better than nano-HA toothpaste and microabrasion.
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da Cunha, Leonardo Fernandes, Isabela Maria Caetano, Fernando Dalitz, Carla Castiglia Gonzaga, and José Mondelli. "Cleidocranial Dysplasia Case Report: Remodeling of Teeth as Aesthetic Restorative Treatment." Case Reports in Dentistry 2014 (2014): 1–5. http://dx.doi.org/10.1155/2014/901071.

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Cleidocranial dysplasia (CCD), is an autosomal dominant disorder with a prevalence of 1 in 1,000,000 individuals. It is generally characterized by orofacial manifestations, including enamel hypoplasia, retained primary teeth, and impacted permanent and supernumerary teeth. The successful treatment involving a timing intervention (orthodontic-maxillofacial surgeons-restorative) is already described. However, the restorative treatment might improve the aesthetic final result in dentistry management for patients with cleidocranial dysplasia.Objective. Therefore, this clinical report presents a conservative restorative management (enamel microabrasion, dental bleaching, and direct composite resin) for aesthetic solution for a patient with CCD.Clinical Considerations. The cosmetic remodeling is a conservative, secure, and low cost therapy that can be associated with other procedures such as enamel microabrasion and dental bleaching to achieve optimal outcome. Additionally, the Golden Proportion can be used to guide dental remodeling to improve the harmony of the smile and the facial composition.Conclusions. Thus, dentists must know and be able to treat dental aesthetic problems in cleidocranial dysplasia patients. The intention of this paper is to describe a restorative approach with the cosmetic remodeling teeth (by grinding or addicting material) associated with enamel microabrasion and dental bleaching to reestablish the form, shape, and color of smile for patients with cleidocranial dysplasia.
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Da Silva, Pâmela Lopes Pedro, Patricia Pereira Maciel, Lídia Batista Conrado Martins, Eliseu Aldrigui Münchow, Rogério Lacerda-Santos, Fabíola Galbiatti De Carvalho, and Hugo Lemes Carlo. "Efeito da apresentação comercial de ácido clorídrico para técnica de microabrasão na perda de estrutura e superfície do esmalte." Revista da Faculdade de Odontologia de Porto Alegre 61, no. 2 (December 30, 2020): 30–38. http://dx.doi.org/10.22456/2177-0018.103044.

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Introduction: The microabrasion technique can be performed using a commercially available paste, or the dentist can prepare it in his office. Objective: To verify the effect of hydrochloric acid commercial presentation in the handling of microabrasion paste on the enamel surface. Methodology: Bovine incisors were divided into two groups, according to the commercial presentation of 10% hydrochloric acid (liquid or gel). The treatment was carried out through ten applications of 10 s duration each, intercalated with a 10s wash. Twenty teeth (n=10) were used to determine the loss of enamel structure. Each sample was weighed on an analytical balance before and after submission to microabrasion. Another 20 teeth (n=10) were used to determine the average surface roughness (Ra) using a rugosimeter. Three samples from each group of the previous experiment were selected, randomly, and another three additional samples were repared as a control (baseline) for SEM analysis. Results: There was a statistically significant difference between the final and initial mass and the surface roughness of the samples, regardless of the acid commercial presentation. In the SEM images, a regular surface was observed for the control group (baseline). In the other images, there was a surface with considerable irregularity and a slight dissolution of the enamel. Conclusions: The treatment carried out.
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Pini, NúbiaI P., Rafaela Costa, CarlosE S. Bertoldo, FlavioH B. Aguiar, JoséR Lovadino, and Débora AlvesNunes Leite Lima. "Enamel morphology after microabrasion with experimental compounds." Contemporary Clinical Dentistry 6, no. 2 (2015): 170. http://dx.doi.org/10.4103/0976-237x.156038.

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45

Souza de Barros Vasconcelos, MQ, K. Almeida Vieira, M. da Consolação Canuto Salgueiro, T. Almeida Alfaya, C. Santos Ferreira, and SK Bussadori. "Microabrasion: A Treatment Option For White Spots." Journal of Clinical Pediatric Dentistry 39, no. 1 (September 1, 2014): 27–29. http://dx.doi.org/10.17796/jcpd.39.1.t44j06u21764j888.

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The aim of the present study was to describe a clinical protocol for the treatment of white spots with the use of an abrasive material. A four-year-old patient presented with a white spot on tooth 51 and a white spot associated with a carious lesion in the cervical region of tooth 52. Treatment was planned with microabrasion and restoration of the upper right lateral incisor. Prophylaxis was first performed, followed by protection with a dental dam and the application of the abrasive material (silicon carbide and hydrochloric acid 6%). Five applications were needed to remove the spots. The restoration of the upper right lateral incisor was then performed with a resin composite. A good esthetic outcome was achieved and both the patient and her guardians were satisfied with the results. Microabrasion is a conservative treatment option that achieves satisfactory results with regard to tooth color.
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Peña, A., E. A. Gallardo, A. Morán, J. A. Bravo, M. Moreno, and M. Vite. "Microabrasion on dental restorative porcelains and amalgam." Tribology - Materials, Surfaces & Interfaces 7, no. 2 (June 2013): 74–82. http://dx.doi.org/10.1179/1751584x13y.0000000029.

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Brandt, Ron. "Use of microabrasion to improve dental aesthetics." British Dental Journal 193, no. 3 (August 2002): 151. http://dx.doi.org/10.1038/sj.bdj.4801509.

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Brandt, Ron. "Use of microabrasion to improve dental aesthetics." British Dental Journal 193, no. 3 (August 10, 2002): 151. http://dx.doi.org/10.1038/sj.bdj.4801509a.

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Mansueto, Michael A., Ronald G. Verrett, and Rodney D. Phoenix. "Microabrasion of Cast Metal Margins?A Warning." Journal of Prosthodontics 16, no. 2 (March 2007): 136–40. http://dx.doi.org/10.1111/j.1532-849x.2007.00179.x.

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Monteleone, Giuseppe. "Microabrasion of Skin with Aluminum Oxide Crystals." International Journal of Cosmetic Surgery and Aesthetic Dermatology 2, no. 3 (September 2000): 181–82. http://dx.doi.org/10.1089/153082000750062858.

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