scholarly journals A simple microabrasion technique as aesthetic approach on fluorosis of anterior teeth

2021 ◽  
Vol 6 (1) ◽  
pp. 24-29
Author(s):  
Maulidia Indah SARI ◽  
Irmaleny SATIFIL

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

RSBO ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 66
Author(s):  
Raisa Carolina Hintz ◽  
Rafaela Caramori Saab ◽  
Eugenio Garcia ◽  
Sergio Paulo Hilgenberg ◽  
Leonardo Fernandes da Cunha ◽  
...  

Introdução: A aparência estética é uma das preocupações do ser humano, o que leva a uma busca constante por uma estética que expresse harmonia, naturalidade e expressividade. Sendo assim, os procedimentos restauradores têm contribuído positivamente para a resolução dos desafios odontológicos estéticos. Objetivo e relato de caso: Relatar um caso clínico com associação de clareamento dental, confecção de pino intrarradicular e coroa indireta em dissilicato de lítio em que foi devolvida ao paciente a estética desejada. Pacientede 23 anos de idade fraturou o incisivo central superior direito na infância; insatisfeito com a instabilidade de cor do dente, buscou novas alternativas de tratamento. Conclusão: A associação de diferentes tratamentos na Odontologia estética pode apresentar resultados satisfatórios para o restabelecimento estético e funcional de dentes anteriores.Introduction: The aesthetic appearance is one of the human being concerns, leading to constant search for an aesthetic that expresses harmony, naturalness and expressiveness. So, the restorative procedures have contributed positively to overcome the aesthetic dentistry challenges. Objective and case report: Report a clinical case in association to dental whitening, making of intraradicular pin and indirect crown of lithium disilicate when it was returned to the patient the desired aesthetic. A 23 years old patient fractured the right central incisor in the childhood, dissatisfied with the tooth color instability, he looked for new treatment alternatives. Conclusion: The association of different treatments in the aesthetic dentistry might present satisfactory results to the aesthetic and functional reestablishment of anterior teeth.


2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Bruno G. S. Casado ◽  
Sandra L. D. Moraes ◽  
Gleicy F. M. Souza ◽  
Catia M. F. Guerra ◽  
Juliana R. Souto-Maior ◽  
...  

A systematic review was performed to evaluate whether whitening toothpastes promote tooth whitening when compared to the use of conventional (nonbleaching) dentifrices. This review was registered at PROSPERO (CRD42017065132) and is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Electronic systematic searches of PubMed/MEDLINE, Scopus, and the Cochrane Library were conducted for published articles. Only randomized clinical trials in adults that compared the use of so-called whitening dentifrices to the use of nonwhitening dentifrices were selected. The outcome was tooth color change. Twenty-two articles from 703 data sources met the eligibility criteria. After title and abstract screening, 16 studies remained, after which a further five studies were excluded. In total, nine studies were qualitatively analyzed. Significant differences in tooth color change were found between the groups using whitening dentifrices and those using nonwhitening dentifrices. Within the limitations of this study, the evidence from this systematic review suggests that bleaching dentifrices have potential in tooth whitening. However, although many whitening dentifrices have been introduced into the dental market for bleaching treatments, it is important to analyze tooth surface and color changes when performing home bleaching.


2019 ◽  
Vol 1 (2) ◽  
pp. 69
Author(s):  
Selviana Wulansari ◽  
Gabriela Lintang Cristandy ◽  
Tien Suwartini

Introduction: Tooth discoloration is one of the problems and the reason why people begin to notice the appearance of their teeth. Phenolic compounds are often found in foods and beverages, one of them is red beetroot juice that cause discoloration on the tooth surface. The acidity of red beetroot juice is a factor of color changes on the tooth surface extrinsicly. Objectives: This study aims to determine the effect of red beetroot juice on color changes of tooth surface. Methods: This experimental laboratory research conducted pretest and posttest. Twenty maxillary premolar samples within inclusion criteria were stored in the artificial saliva at 37oC and treated for 30 minutes using 50 mL red beetroot juice, followed by immersion in artificial saliva overnight. Treatment was repeated 7 times for 7 days consecutively. The teeth was tested by using Vita Easyshade V before and after treatment and then the acquired data was statistical tested using paired T-test. Result: T-test showed variable E, C and H with p=0.000 (p<0.05) showed a significant changes in total color deviation, chroma and hue, while the variable of L with p=0.015 (p>0.05) meant no significant change of value. Conclusion: It can be concluded that red beetroot juice (Beta vulgaris, sp) can affect color changes on the tooth surface.


2019 ◽  
Vol 44 (2) ◽  
pp. 138-145 ◽  
Author(s):  
N Jiang ◽  
C Zhang ◽  
C Agingu ◽  
T Attin ◽  
H Cheng ◽  
...  

SUMMARY Objectives: To investigate the effect of whitening dentifrices on the effectiveness of in-office tooth bleaching. Methods and Materials: A double-blind randomized controlled clinical trial was performed. The participants were randomly allocated into three groups according to the different dentifrices used during this clinical trial: regular dentifrice (group C), conventional whitening dentifrice (group CW), and whitening dentifrice containing blue covarine (group CU). All participants received in-office tooth bleaching for the maxillary anterior teeth (two sessions conducted at a one-week interval). Tooth color was measured with a spectrophotometer at baseline (T1), after the first bleaching session (T2), after the second bleaching session (T3); one week after the completion of in-office bleaching (T4); and three weeks after the completion of in-office bleaching (T5). The data were statistically analyzed through repeated analysis of variance and the Tukey test (α=0.05). Results: Sixty participants completed the study (n=20 per group). At T3, group CU exhibited the lowest ΔE values (p=0.008). The ΔE values increased from T4 to T5 in the CW and CU groups, whereas a decrease in ΔE values was observed for group C. Conclusions: The use of a whitening dentifrice containing blue covarine during in-office bleaching reduced color changes. After tooth bleaching, brighter tooth colors were observed in the participants who brushed with whitening dentifrices compared to those who brushed with a regular dentifrice.


2021 ◽  
Vol 2021 ◽  
pp. 1-9
Author(s):  
Mehdi Khemiss ◽  
Ines Kallel ◽  
Hela Zouaghi ◽  
Mohamed Ben Khelifa ◽  
Sana Bagga

Objective. The aim of this clinical study was to evaluate the effectiveness of a whitening toothpaste containing 3% carbamide peroxide and lactoperoxidase. Materials and methods. Participants were instructed to brush their teeth using an enzymatic-activated dentifrice following a particular procedure for three weeks. Color was recorded before and after treatment using a VITA Easyshade spectrophotometer. Differences in L ∗ (tooth color lightness), a ∗ (displacement along the red-green axis), and b ∗ (displacement along the yellow-blue axis) were measured before and after treatment using the paired t and the Wilcoxon signed-rank tests. Color changes (ΔE) were calculated using the obtained measurements. Results. Thirty-four volunteers were included. ΔE was 4.03. For the set of 348 teeth, a greater tendency towards green (lower a ∗ ) and blue (lower b ∗ ) was observed ( p  < 0.05). There were no significant differences in lightness after treatment. Mandibular central incisors showed a greater tendency towards green (lower a ∗ ) and blue (lower b ∗ ). Bleaching effectiveness was observed in both the upper and lower central incisors and in the lateral mandibular incisors. Conclusion. Based on these results, it may be concluded that brushing with an enzymatic-activated dentifrice is effective for whitening teeth.


2010 ◽  
Vol 43 (3) ◽  
pp. 157
Author(s):  
Devi Eka Juniarti

Background: Nowadays, aesthetic rehabilitation becomes a necessity. It is affected by patient’s background, especially career, social and economic status. The aesthetic abnormality of anterior teeth i.e discoloration, malposition and malformation can affect patient’s appearance, especially during smile. These dental abnormalities, as a result, can decrease patient’s performance. Dental malformation, for instance, can be caused by developmental tooth defect, such as enamel hypoplasia. Enamel hypoplasia is a developmental defect caused by the lack of matrix amount which leads to thin and porous enamel. Enamel hypoplasia can also be caused by matrix calcification disturbance starting from the formation and development of enamel matrix causing defect and permanent changes which can occur on one or more tooth. Purpose: The aim of the study is to improve dental discoloration and tooth surface texture on anterior maxillary teeth with enamel hypoplasia by using indirect veneer with porcelain material. Case: A 20 years-old woman with enamel hypoplasia came to the Dental Hospital, Faculty of Dentistry Airlangga University. The patient wanted to improve her anterior maxillary teeth. It is clinically known that there were some opaque white spots (chalky spotted) and porous on anterior teeth’s surface. Case management: Indirect veneer with porcelain material had been chosen as a restoration treatment which has excellent aesthetics and strength, and did not cause gingival irritation. As a result, the treatment could improve the confidence of the patient, and could also make their function normal. Conclusion: Indirect veneer is an effective treatment, which can improve patient’s appearance and self confidence.Latar belakang: Saat ini perbaikan estetik menjadi suatu kebutuhan. Kebutuhan akan estetik dipengaruhi latar belakang penderita, terutama karir, status sosial dan ekonomi. Hal ini disebabkan, kelainan estetik seperti diskolorasi, malposisi, malformasi, dapat mempengaruhi penampilan penderita terutama saat tersenyum. Kelainan gigi tersebut pada akhirnya dapat memperburuk penampilan penderita. Malformasi gigi dapat disebabkan oleh kelainan pada masa perkembangan gigi, misalnya hipoplasia enamel. Hipoplasia enamel adalah kelainan perkembangan yang disebabkan sedikitnya matriks enamel sehingga terjadi ketipisan dan porusnya enamel. Hipoplasia enamel dapat disebabkan gangguan kalsifikasi matriks saat pembentukan dan perkembangan matriks enamel, kerusakan dan perubahan permanen ini dapat melibatkan satu atau beberapa gigi. Tujuan: Tujuan perawatan ini memperbaiki diskolorasi dan tekstur permukaan gigi depan rahang atas akibat hipoplasia enamel menggunakan veneer indirek berbahan porselen. Kasus: Seorang penderita wanita 20 tahun dengan hipoplasia enamel datang ke Rumah Sakit Gigi dan Mulut Pendidikan Fakultas Kedokteran Gigi Universitas Airlangga. Penderita ingin memperbaiki gigi depan rahang atas yang secara klinis tampak bercak putih opak seperti kapur dan porus pada permukan labial gigi. Tatalaksana kasus: Veneer indirek dengan bahan porselen dipilih sebagai restorasi oleh karena segi estetik, kekuatan dan tidak mengiritasi ginggiva. Restorasi ini dapat meningkatkan kepercayaan diri penderita dan memperbaiki fungsi gigi. Kesimpulan: Veneer indirek merupakan perawatan yang efektif, dapat meningkatkan penampilan dan kepercayan diri penderita.


2014 ◽  
Vol 15 (5) ◽  
pp. 529-533
Author(s):  
Anastasios Dimitrios Koursoumis ◽  
Nikolaos P Kerezoudis ◽  
Afrodite Kakaboura

ABSTRACT Aim The purpose of this study was to assess in vitro the tooth color alterations associated with two commonly used endodontic irrigants, the chlorhexidine gluconate (CHX) and the sodium hypochlorite (NaOCl) up to 15 days post-treatment. Additionally, the possible influence of endodontic access preparation on tooth color was investigated. Materials and methods Thirty intact human anterior teeth were used. Black adhesive tape with a 4 mm diameter window was used to standardize the enamel surface intended for color analysis. After the access cavity, preparation and the initial root canal negotiation with stainless steel hand files, the root canal shaping was completed with rotary nickel-titanium files. The teeth were divided into three groups (n = 10). Conventional syringe irrigation was performed with one irrigant for each group. The enamel surfaces were colorimetrically evaluated before access cavity, after cavity preparation and at 1, 3, 7 and 15 days post-treatment. The CIE color parameters (L*, a*, b*) were recorded and averaged for each material and the corresponding color differences (ΔE) were calculated and statistically analyzed. Results The most significant factor in tooth color alteration, during the endodontic treatment, was the access preparation. CHX and NaOCl caused tooth color changes comparable with the saline. CHX and NaOCl did not increase the tooth color changes relative to the values induced by the access preparation. Conclusion The two endodontic irrigants were not able to induce tooth color alteration to a greater extent than the access preparation. Clinical significance Chlorhexidine and NaOCl cannot be considered as discoloring endodontic materials. The most contributing factor in tooth color alteration during endodontic treatment in the anterior teeth is access preparation. How to cite this article Koursoumis AD, Kerezoudis NP, Kakaboura A. In vitro Assessment of Tooth Color Alteration by Two Different Types of Endodontic Irrigants. J Contemp Dent Pract 2014;15(5):529-533.


2020 ◽  
Vol 10 (13) ◽  
pp. 4650
Author(s):  
Marta Peydro-Herrero ◽  
José María Montiel-Company ◽  
Carlos Labaig-Rueda ◽  
María Fernanda Solá-Ruiz ◽  
Rubén Agustín-Panadero ◽  
...  

Background: Dental bleaching has become an everyday procedure for treating teeth presenting discoloration, as a therapy on its own or as a part of restorative dentistry. The most widely used bleaching products available for vital teeth are hydrogen peroxide and carbamide peroxide, marketed as a range of products adapted to different treatment modes. The purpose of the study was to evaluate the clinical whitening efficacy of four high-concentration bleaching products for vital teeth applied in single in-office sessions. Methods: This clinical trial included 40 patients divided into four groups according to the concentration of the hydrogen peroxide-based (HP) product used (Group 1: HP 35%; Group 2: HP 37.5%; Group 3: HP 38%; Group 4: HP 40%). Each patient received one in-office whitening treatment of maxillary and mandibular anterior teeth (incisors, canines, and premolars), making a total of 791 teeth. The color changes produced in central incisors and canines were measured. Results: All groups underwent significant color changes from initial to final evaluations for color parameters L*, a*, and b*. No significant differences between the four groups were found for either the L* or a* parameters. Analysis of the b* parameter found significant differences between the HP 38% group and the HP 35% group. No significant differences in ΔE were found between the four groups (ANOVA p = 0.174). HP 38% obtained the highest ΔE (4.63), while HP 40% obtained 4.01. Conclusions: A single in-office whitening session, regardless of the bleaching product used, modifies tooth color effectively. All four products achieved increases in the L* parameter and significant reductions in parameters a* and b*. The ΔE did not show significant differences between the four groups. In-office whitening with high concentration hydrogen-peroxide-based products was found to be an effective treatment for moderate and severe dental discoloration.


2019 ◽  
Vol 2 (1) ◽  
pp. 35
Author(s):  
Selviana Wulansari ◽  
Gabriela Lintang Cristandy ◽  
Tien Suwartini

  Introduction: Tooth discoloration is one of the problems and the reason why people begin to notice the appearance of their teeth. Phenolic compounds are often found in foods and beverages, one of them is red beetroot juice that cause discoloration on the tooth surface. The acidity of red beetroot juice is a factor of color changes on the tooth surface extrinsicly.   Objectives: This study aims to determine the effect of red beetroot juice on color changes of tooth surface.   Methods: This experimental laboratory research conducted pretest and posttest. Twenty maxillary premolar samples within inclusion criteria were stored in the artificial saliva at 37oC and treated for 30 minutes using 50 mL red beetroot juice, followed by immersion in artificial saliva overnight. Treatment was repeated 7 times for 7 days consecutively. The teeth was tested by using Vita Easyshade V before and after treatment and then the acquired data was statistical tested using paired T-test.   Result: T-test showed variable E, C and H with p=0.000 (p<0.05) showed a significant changes in total color deviation, chroma and hue, while the variable of L with p=0.015 (p>0.05) meant no significant change of value.   Conclusion: It can be concluded that red beetroot juice (Beta vulgaris, sp) can affect color changes on the tooth surface.


2012 ◽  
Vol 24 (3) ◽  
Author(s):  
Chu Chin Sin ◽  
Ayu Trisna Hayati ◽  
Endang Sukartini

Introduction: One of the most frequent dental problems that confronted dentist is tooth discoloration which can cause significant cosmetic problems. Extrinsic tooth discoloration occurs when stain forms on the tooth surface or in the pellicle and the common causes of extrinsic tooth discoloration is coffee. Robusta coffee contains high level of chromogenic compound which can incorporate itself into the acquired pellicle and tannic acids that can denature the pellicle protein and increase its stain ability. The purpose of this experiment was to investigate the tooth discoloring effect of Robusta coffee solution. Methods: This research type was a true experiment (in vitro) using 30 samples of maxillary first premolar whose roots had been cut until the CEJ. Samples were divided into 2 groups (which are soaked in Robusta coffee solution and the other in mineral water) of 15, with a frequency of three times daily for seven days. The difference in tooth color changes was measured by using a spectrophotometer. Results: This research was analyzed by using t-test and there was a significant difference between the two groups (p-value≤0.00). Conclusion: Robusta coffee effected to tooth discoloration.


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