Microabrasion as treatment of enamel fluorosis
There is currently a trend in favor of using fluoride as a coadjuvant in reducing caries indexes, as much in underdeveloped as in developedcountries. However, simultaneously the indexes of dental fluorosis seem to grow in an inverse proportion. This is brought about by chronic ingestion of fluoride...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Faculdade São Leopoldo Mandic
2008-01-01
|
Series: | RGO: Revista Gaúcha de Odontologia |
Subjects: | |
Online Access: | http://www.revistargo.com.br/include/getdoc.php?id=2185&article=802&mode=pdf |
id |
doaj-610e30837b564d618606c9c293802c96 |
---|---|
record_format |
Article |
spelling |
doaj-610e30837b564d618606c9c293802c962020-11-25T02:35:55ZengFaculdade São Leopoldo MandicRGO: Revista Gaúcha de Odontologia0103-69711981-86372008-01-01562E21E26Microabrasion as treatment of enamel fluorosisAna Caroline BritoRenato da Costa RibeiroRaimundo Rosendo Prado JúniorTeresinha Soares Pereira LopesThere is currently a trend in favor of using fluoride as a coadjuvant in reducing caries indexes, as much in underdeveloped as in developedcountries. However, simultaneously the indexes of dental fluorosis seem to grow in an inverse proportion. This is brought about by chronic ingestion of fluoride for a prolonged length of time or in high concentration. Enamel microabrasion is an effective method to remove superficial stains caused by this condition, which affects esthetics of that tissue. The use of 18% hydrochloric acid in association with pumice, despite being a simple and low cost method, has been gradually replaced due to its potential of causing damage to periodontal tissues. Thus, this article reports the treatment of a fluorosis clinical case solved with microabrasion using phosphoric acid 37%, because its costbenefit is supposedly better than with chloridric acid. The deliberate ingestion of toothpaste was the probable cause of the tooth stains. Due to the location of the teeth and to the patient’s smile, only the six upper anterior teeth were selected to receive the proposed treatment. Four clinical sessions, with a seven days interval between each other, were carried out using 37% phosphoric acid and pumice. Under rubber dam isolation, the two first sessions consisted of rubbing the acid-pumice mix on enamel surface using a rubber cup on slow speed, and abrasive paper strips on the interproximal tooth surfaces. On the two final sessions, only finishing touches were performed using a wooden spatula to manually rub the acid-pumice paste.http://www.revistargo.com.br/include/getdoc.php?id=2185&article=802&mode=pdffluorose dentáriaintoxicação por flúormicroabrasão do esmaltedental fluorosisfluoride poisoningenamel microabrasion |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ana Caroline Brito Renato da Costa Ribeiro Raimundo Rosendo Prado Júnior Teresinha Soares Pereira Lopes |
spellingShingle |
Ana Caroline Brito Renato da Costa Ribeiro Raimundo Rosendo Prado Júnior Teresinha Soares Pereira Lopes Microabrasion as treatment of enamel fluorosis RGO: Revista Gaúcha de Odontologia fluorose dentária intoxicação por flúor microabrasão do esmalte dental fluorosis fluoride poisoning enamel microabrasion |
author_facet |
Ana Caroline Brito Renato da Costa Ribeiro Raimundo Rosendo Prado Júnior Teresinha Soares Pereira Lopes |
author_sort |
Ana Caroline Brito |
title |
Microabrasion as treatment of enamel fluorosis |
title_short |
Microabrasion as treatment of enamel fluorosis |
title_full |
Microabrasion as treatment of enamel fluorosis |
title_fullStr |
Microabrasion as treatment of enamel fluorosis |
title_full_unstemmed |
Microabrasion as treatment of enamel fluorosis |
title_sort |
microabrasion as treatment of enamel fluorosis |
publisher |
Faculdade São Leopoldo Mandic |
series |
RGO: Revista Gaúcha de Odontologia |
issn |
0103-6971 1981-8637 |
publishDate |
2008-01-01 |
description |
There is currently a trend in favor of using fluoride as a coadjuvant in reducing caries indexes, as much in underdeveloped as in developedcountries. However, simultaneously the indexes of dental fluorosis seem to grow in an inverse proportion. This is brought about by chronic ingestion of fluoride for a prolonged length of time or in high concentration. Enamel microabrasion is an effective method to remove superficial stains caused by this condition, which affects esthetics of that tissue. The use of 18% hydrochloric acid in association with pumice, despite being a simple and low cost method, has been gradually replaced due to its potential of causing damage to periodontal tissues. Thus, this article reports the treatment of a fluorosis clinical case solved with microabrasion using phosphoric acid 37%, because its costbenefit is supposedly better than with chloridric acid. The deliberate ingestion of toothpaste was the probable cause of the tooth stains. Due to the location of the teeth and to the patient’s smile, only the six upper anterior teeth were selected to receive the proposed treatment. Four clinical sessions, with a seven days interval between each other, were carried out using 37% phosphoric acid and pumice. Under rubber dam isolation, the two first sessions consisted of rubbing the acid-pumice mix on enamel surface using a rubber cup on slow speed, and abrasive paper strips on the interproximal tooth surfaces. On the two final sessions, only finishing touches were performed using a wooden spatula to manually rub the acid-pumice paste. |
topic |
fluorose dentária intoxicação por flúor microabrasão do esmalte dental fluorosis fluoride poisoning enamel microabrasion |
url |
http://www.revistargo.com.br/include/getdoc.php?id=2185&article=802&mode=pdf |
work_keys_str_mv |
AT anacarolinebrito microabrasionastreatmentofenamelfluorosis AT renatodacostaribeiro microabrasionastreatmentofenamelfluorosis AT raimundorosendopradojunior microabrasionastreatmentofenamelfluorosis AT teresinhasoarespereiralopes microabrasionastreatmentofenamelfluorosis |
_version_ |
1724802479602794496 |