scholarly journals Minimally invasive esthetic management of dental fluorosis: a case report

2020 ◽  
Vol 48 (10) ◽  
pp. 030006052096753
Author(s):  
Qingqing Wang ◽  
Qingfei Meng ◽  
Jian Meng
Keyword(s):  
Minimally Invasive ◽  
Dental Fluorosis ◽  
Treatment Plan ◽  
Tooth Surface ◽  
Invasive Technique ◽  
Clinical Report ◽  
Resin Infiltration ◽  
Self Confidence ◽  
Excessive Intake ◽  
At Home

Dental fluorosis is a dental condition caused by excessive intake of fluoride during enamel formation, which can lead to color abnormalities or defects on the tooth surface. The resultant abnormal appearance ranges in severity from mildly white and opaque to dark brown, which substantially affects patients’ esthetic characteristics and self-confidence. Treatment methods include tooth whitening or restoration. This clinical report describes the use of a minimally invasive esthetic technique in a 22-year-old woman with moderate dental fluorosis. The treatment plan included enamel microabrasion, at-home bleaching for 2 weeks, and subsequent resin infiltration for each tooth under a rubber dam. After 2 years of follow-up, evaluation of the patient’s esthetic appearance revealed that teeth affected by dental fluorosis could be successfully treated with a minimally invasive technique involving microabrasion, at-home bleaching, and resin infiltration.

Minimally Invasive Treatment for Esthetic Management of Severe Dental Fluorosis: A Case Report

2013 ◽  
Vol 38 (4) ◽  
pp. 358-362 ◽  
Author(s):  
Y Wang ◽  
Y Sa ◽  
S Liang ◽  
T Jiang
Keyword(s):  
Case Report ◽  
Surface Morphology ◽  
Minimally Invasive ◽  
Dental Fluorosis ◽  
Severe Case ◽  
Invasive Technique ◽  
Invasive Treatment ◽  
Enamel Formation ◽  
Resin Infiltration ◽  
Developmental Disturbance

SUMMARY Dental fluorosis is a developmental disturbance of enamel caused by excessive fluoride on ameloblasts during enamel formation. Patients often present to the dentist with a main goal of improving their esthetic appearance. This case report describes a minimally invasive technique for treating a severe case of enamel fluorosis with brown surface aspect and small defects. A selective mega-abrasion and microabrasion were used to recreate macro- and micro- surface morphology, followed by power bleaching, home bleaching, and resin infiltration to improve the esthetic appearance.

scholarly journals Neurospinal Surgery Innovations

2017 ◽  
Vol 3 (3) ◽  
pp. 121-122
Author(s):  
James Wang
Keyword(s):  
Spinal Cord ◽  
Minimally Invasive ◽  
Treatment Plan ◽  
Invasive Technique ◽  
Surgical Trauma ◽  
The Past ◽  
The World ◽  
Spine Diseases ◽  
Invasive Techniques ◽  
Important Branch

Over the past few decades, majority of neurosurgeons only specialize in spinal cord diseases. However, with the advances in spine surgery, more and more neurosurgeons focus on spine diseases. Precision minimally invasive technique in surgery of spine and spinal cord is an important branch of neurosurgery. As traditional surgery has been gradually replaced by precision surgery, open surgery has been gradually replaced by minimally invasive surgery (MIS), the diagnosis and treatment of spine diseases has been benefiting from minimally invasive techniques. With minimal surgical trauma, precise localization, MIS has become the inevitable trend of new neurosurgery. The model of multidisciplinary team is gradually becoming universal in the world in order to make the best treatment plan for the patient with spine diseases on the basis of the comprehensive disciplinary opinion.

Masking of Enamel Fluorosis Discolorations and Tooth Misalignment With a Combination of At-Home Whitening, Resin Infiltration, and Direct Composite Restorations

2017 ◽  
Vol 42 (4) ◽  
pp. 347-356 ◽  
Author(s):  
J Perdigão ◽  
VQ Lam ◽  
BG Burseth ◽  
C Real
Keyword(s):  
Resin Composite ◽  
Potassium Nitrate ◽  
Clinical Report ◽  
Carbamide Peroxide ◽  
Resin Infiltration ◽  
Orthodontic Therapy ◽  
Composite Restorations ◽  
Anterior Teeth ◽  
Composite Restoration ◽  
At Home

SUMMARY This clinical report illustrates a conservative technique to mask enamel discolorations in maxillary anterior teeth caused by hypomineralization associated with enamel fluorosis and subsequent direct resin composite to improve the anterior esthetics. The treatment consisted of at-home whitening with 10% carbamide peroxide gel with potassium nitrate and sodium fluoride in a custom-fitted tray to mask the brown-stained areas, followed by resin infiltration to mask the white spot areas. An existing resin composite restoration in the maxillary right central incisor was subsequently replaced after completion of the whitening and resin infiltration procedures, whereas the two misaligned and rotated maxillary lateral incisors were built up with direct resin composite restorations to provide the illusion of adequate arch alignment, as the patient was unable to use orthodontic therapy.

Effectiveness of treatment with carbamide peroxide and hydrogen peroxide in subjects affected by dental fluorosis: a clinical trial

2004 ◽  
Vol 28 (1) ◽  
pp. 63-67 ◽  
Author(s):  
Juan Pablo Loyola-Rodriguez ◽  
Amaury de Jesus Pozos-Guillen ◽  
Felipe Hernandez-Hernandez ◽  
Rocio Berumen-Maldonado ◽  
Nuria Patiño-Marin
Keyword(s):  
Hydrogen Peroxide ◽  
Dental Fluorosis ◽  
Clinical Success ◽  
Dental Health ◽  
Cost Benefit ◽  
Clinical Effectiveness ◽  
Tooth Surface ◽  
Invasive Technique ◽  
Carbamide Peroxide ◽  
Non Invasive

Dental fluorosis is an endemic dental health problem around the world; so, it is important to develop clinical alternatives that are non-invasive and inexpensive. In this study, nightguard vital bleaching technique (NVBT), using carbamide and hydrogen peroxide as active agents, has shown itself to be effective in whitening teeth affected by dental fluorosis. Carbamide peroxide at 10 and 20% and hydrogen peroxide at 7.5% showed good clinical effectiveness in improving clinical appearence, but it is important to point out that clinical success is only in cases of class 1 to 3 of the Tooth Surface Index of Fluorosis. When comparing 10 and 20% concentrations of carbamide peroxide, there was no difference in the clinical effectiveness (p>0.05); but when comparing both concentrations of carbamide peroxide against hydrogen peroxide, results showed that carbamide peroxide was more effective in whitening in cases of dental fluorosis, the difference being statistically significant (p<0.05). NVBT has two advantages: it is a non-invasive technique and the relationship cost/benefit is excellent; only a few patients reported tenderness or mild tooth sensitivity.

scholarly journals A minimally invasive technique for the management of severely fluorosed teeth: A two-year follow-up

2013 ◽  
Vol 07 (04) ◽  
pp. 504-508 ◽  
Author(s):  
Gul Yildiz ◽  
Esra Uzer Celik
Keyword(s):  
Minimally Invasive ◽  
Good Alternative ◽  
Minimally Invasive Technique ◽  
Invasive Technique ◽  
Clinical Report ◽  
Enamel Defects ◽  
Micro Particles ◽  
Tooth Preparation ◽  
Laminate Veneers

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.

scholarly journals Aesthetic Treatment of Dental Fluorosis in a 9-Year-Old Girl: Case Report

2019 ◽  
Vol 23 (3) ◽  
pp. 157-162
Author(s):  
Zoi Daskalaki ◽  
Evgenia Alifakioti ◽  
Aristidis Arhakis
Keyword(s):  
Case Report ◽  
Clinical Case ◽  
Dental Fluorosis ◽  
Significant Loss ◽  
Dental Tissue ◽  
Tooth Formation ◽  
Self Confidence ◽  
Invasive Method ◽  
Excessive Intake ◽  
The Aesthetic

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.

scholarly journals A Novel, Minimally Invasive Method to Retrieve Failed Dental Implants in Elderly Patients

2021 ◽  
Vol 11 (6) ◽  
pp. 2766
Author(s):  
Yerko Leighton ◽  
Javier Miranda ◽  
Raphael Freitas de Souza ◽  
Benjamin Weber ◽  
Eduardo Borie
Keyword(s):  
Minimally Invasive ◽  
Elderly Patients ◽  
Dental Implants ◽  
Oral Surgery ◽  
Treatment Plan ◽  
The Elderly ◽  
Invasive Technique ◽  
Removal Torque ◽  
Invasive Method ◽  
Anterior Posterior

This practice-based study presents the clinical outcomes of a minimally invasive method for retrieving failed dental implants from elderly patients. Traditional removal methods for failed dental implants include trephination and other invasive procedures. That can be a special concern for the elderly, since aging exacerbates oral surgery-related morbidity and anxiety. This retrospective cohort study gathers data from 150 patients seen in a private clinic. Their implants (n = 199) failed due to biological, mechanical, or iatrogenic causes, and were removed as part of their treatment plan. Collected data included: (1) implant location (maxilla/mandible, anterior/posterior region), (2) reasons for implant retrieval, (3) connection type, (4) removal torque, and (5) operatory procedure—flapless and using a counter-torque removal kit, whenever possible. Flapless/minimally invasive retrieval was successful for 193 implants (97%). The remaining six implants demanded trephination (open-flap). The most common reasons for implant retrieval (81%) involved biological aspects, whereas iatrogenic (12%) and biomechanical (7%) reasons were less common. The surgical technique used was not associated to connection types or removal torque. Authors conclude that a counter-torque ratchet system is a minimally invasive technique with a high success rate in retrieving implants from elderly patients. Present findings support its use as a first-line approach for implant retrieval in that population.

Minimally invasive esthetic improvement in a patient with dental fluorosis by using microabrasion and bleaching: A clinical report

2018 ◽  
Vol 120 (3) ◽  
pp. 323-326 ◽  
Author(s):  
Mario F. Romero ◽  
Courtney S. Babb ◽  
Jacqueline Delash ◽  
William W. Brackett
Keyword(s):  
Minimally Invasive ◽  
Dental Fluorosis ◽  
Clinical Report
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