Revista de Odontologia da UNESP
https://www.revodontolunesp.com.br/article/588018d27f8c9d0a098b4e33
Revista de Odontologia da UNESP
Original Article

Limitations of enamel microabrasion technique applied in a pediatric patient: case report

Limitações da técnica de microabrasão em esmalte aplicada em paciente pediátrico: relato de caso clínico

Paschoal, Marco Aurélio Benini; Zuanon, Ângela Cristina Cilense; Santos-Pinto, Lourdes

Downloads: 1
Views: 1006

Abstract

Enamel microabrasion is a non-invasive method that removes intrinsic and superficial defects from teeth aimed to improve dental esthetic with minimal loss of dental tissue. This case presentation describes the attempt for teeth color correction utilizing that conservative technique in a young girl whose upper central incisor presented an opaque white stain. Scanning electron microscopy (SEM) was conducted in order to illustrate the glasslike luster and a smooth texture of microabraded enamel surface. The correct diagnosis of defect is a difficult task, when consider this conservative approach.

Keywords

Microabrasion, dental enamel defects, stains

Resumo

A microabrasão do esmalte é um método não-invasivo que remove defeitos intrínsecos e superficiais dos dentes objetivando melhorar a estética dentária com mínimo de perda estrutural. Este relato de caso descreve uma tentativa para a correção da cor dentária utilizando esta técnica conservativa numa paciente jovem cujo incisivo central superior apresentou uma mancha branco-opaca. Microscopia eletrônica de varredura (MEV) foi realizada de modo a ilustrar o aspecto de vidro lustrado e uma textura lisa da superfície do esmalte microabrasionado. O correto diagnóstico do defeito é uma tarefa difícil ao se considerar esta abordagem conservativa.

Palavras-chave

Microabrasão, defeitos do esmalte dentário, manchas

References



1. Nohl FSA, Steel JG, Wassell RW. Crowns and other extra-coronal restorations: aesthetic control. Br Dent J. 2002; 192: 443-50.

2. Donly KJ, O’neill M, Croll TP. Enamel microabrasion: a microscopic evaluation of the “abrosion effect”. Quintessence Int. 1992; 23: 175-9.

3. Segura A, Donly KJ, Wefel JS. The effects of microabrasion on demineralization inhibition of enamel surfaces. Quintessence Int. 1997; 28: 463-6.

4. Croll TP, Cavanaugh RR. Enamel color modification by controled hydrochloric acid-pumice abrasion. I. Technique and examples. Quintessence Int.1986; 17: 81-7.

5. Croll TP, Cavanaugh RR. Enamel color modification by controlled hydrochloric acid-pumice abrasion. II. Further examples. Quintessence Int. 1986; 17: 157-64.

6. Croll TP. Enamel microabrasion for removal of superficial demineralization and decalcification defects. J Am Dent Assoc. 1990; 120: 411‑5.

7. Croll TP. Enamel microabrasion: observations after 10 years. J Am Dent Assoc. 1997; 128(Special Issue): 45S-50S.

8. Segura A, Donly KJ, Wefel JF, Drake D. Effect of enamel microabrasion on bacterial colonization. Am J Dent. 1997; 10: 272-4.

9. Dalzell DP, Howes RI, Hubler PM. Microabrasion: effect of time, number of applications and pressure on enamel loss. Pediatr Dent. 1995; 17: 207-21.

10. Pourghadiri M, Longhurst P, Watson TF. A new technique for the controlled removal of mottled enamel: measurements of enamel loss. Br Dent J. 1998; 184: 239-41.

11. Sundfeld RH, Croll TP, Briso ALF, De Alexandre RS, Sundfeld ND. Considerations about enamel microabrasion after 18 years. Am J Dent. 2007; 20: 67-72.

12. Mc Closkey RJ. A technique for removal of fluorosis stains. J Am Dent Assoc. 1984; 109: 63-4.

13. Ashkenazi M, Sarnat H. Microabrasion of teeth with discoloration resembling hypomaturation enamel defects: four year follow-up. J Clin Pediatr Dent. 2000; 25: 29-34.

14. Heymann HO. Nonrestorative treatment of discolored teeth: reports from an International Symposium. J Am Dent Assoc. 1997; 128: 710‑1.

15. Wray A, Welbury R. 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: 309-15.

16. Croll T. Enamel microabrasion. Chicago: Quintessence; 1991.

17. Welbury RR, Carter NE. The hydrochloric acid-pumice microabrasion technique in the treatment of post-orthodontic decalcification. Br J Orthod. 1993; 20: 181-5.

18. Croll TP, Helpin ML. Enamel microabrasion: a new approach. J Esthet Dent. 2000; 12: 64-71.

19. Zuanon AC, Santos-Pinto L, Azevedo ER, Lima LM. Primary tooth enamel loss after manual and mechanical microabrasion. Pediatr Dent. 2008; 30: 420-3.

20. Chan DCN, Howell ML, Carraway KB, Garcia-Godoy F. Polarized and transmitted light microscopy study of enamel after microabrasion. Quintessence Int.1995; 26: 57-61.

21. Silva SMB, Oliveira FS, Lanza CR, Machado MAAM. Esthetic improvement following enamel microabrasion on fluorotic teeth: a case report. Quintessence Int. 2002; 33: 366-9.

22. Macedo AF, Tomazela-Herndl S, Corrêa MSNP, Duarte D, Santos MTBR. Enamel microabrasion in an individual with Cohen syndrome. Spec Care Dent.2008; 28: 117-9.

23. NG F, Manton DJ. Aesthetic management of severely fluorosed incisors in an adolescent female. Aus Dent J. 2007; 52: 243-8.

24. Tashima AY, Aldrigui JM, Bussadori SK, Wanderley MT. Enamel microabrasion in pediatric dentistry: case report. ConScientiae Saude. 2009; 8: 133-7.

25. Waggoner WF, Johnston WM, Schumann S, Schikowski E. Microabrasion of human enamel in vitro using hydrochloric acid and pumice. Pediatr Dent. 1989; 11: 319-23.

26. Innes NP. Traumatic intrusion of primary teeth and developmental defects in successor teeth. Evid Based Dent. 2009; 10: 70-1.
588018d27f8c9d0a098b4e33 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections