Interdisciplinary approach to complete-mouth rehabilitation: a clinical report.

Dental fluorosis results from excess fluoride ingestion during tooth formation and is commonly seen in certain endemic areas. Its clinical manifestations may range from white opaque patches of enamel in mild cases to pitting and loss of enamel in severe cases. The treatment of fluorosis is important not only because of esthetic and functional concerns but also to help improve a patient's self-esteem; therefore, a multidisciplinary approach is often necessary. This article describes a multidisciplinary approach to complete-mouth rehabilitation of a patient affected with fluorosis. A confluence of the endodontic, periodontal, orthodontic, and prosthodontic disciplines resulted in improved esthetics and enhanced masticatory efficiency.

Soluções estéticas para alterações intrínsecas do esmalte dentário / Aesthetic solution for intrinsic alterations of dental enamel

A alta expectativa por tratamentos estéticos gerada pelos pacientes, associada a uma Odontologia cada vez menos invasiva, torna o tratamento das lesões intrínsecas de esmalte um desafio para o clínico. Desta forma, existe a necessidade da constante atualização e discussão sobre o tema para oferecer o tratamento mais conservador e, ao mesmo tempo, de excelência. Neste artigo serão apresentados e discutidos alguns casos clínicos representativos de situações mais frequentes de alterações do esmalte dentário, em que foram empregados diferentes tratamentos, desde os mais conservadores até os que envolvem algum desgaste dentário, visando o restabelecimento estético e funcional do esmalte.

The high expectations of the patients for aesthetic treatments associated to a less invasive Dentistry turns treatment of intrinsic lesions of enamel a challenge for clinicians. Thus constant update and discussion are needed in order to offer a more conservative approach and, at the same time, an excellent treatment. The present paper will present and discuss some clinical cases representing the most frequent situations of tooth enamel alterations, in which different treatments have been used, from the most conservative to those involving some tooth drilling, aiming at aesthetic and functional restoration of the enamel.

Microabrasão de esmalte: solução estética para dentes com fluorose / Enamel microabrasion: esthetic treatment for permanent teeth with dental fluorosis

A adição de flúor à água de abastecimento e a produtos odontológicos favoreceu o declínio da cárie dental; no entanto, observa-se o aumento da prevalência de fluorose dental. O tratamento da fluorose visa à melhora na estética. O objetivo deste trabalho é apresentar o caso clínico de uma paciente de nove anos de idade, atendida na clínica de graduação da Disciplina de Odontopediatria da Fousp, onde foi utilizada a técnica de microabrasão com a mistura de ácido fosfórico a 37% em gel e pedra-pomes para melhorar a estética dos dentes anteriores. A técnica de microabrasão do esmalte mostrou ser uma boa alternativa para a remoção de manchas fluoróticas do esmalte dental, deixando sua coloração mais uniforme, melhorando a estética, além de ser uma técnica de fácil execução, conservadora e de baixo custo.

The fluoride addition to the water of provisioning and dentistry products favored the decline of the dental decay bringing the increase of the fluorosis parallelly. The treatment seeks the improvement of the aesthetics. The aim of this study is to present a case report of a nine-years old patient, who showed dental fluorosis, assisted at the Children's Dentistry Clinic, of the Graduation course of Fousp. The enamel microabrasion technique using a mixture of pumice and 37% phosphoric acid proved to be efficient in this case. It has a satisfactory aesthetic and the procedure is easily performed, conservative and a law-cast alternative.

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

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.

[The esthetic restoration of the anterior teeth damaged by fluorosis using plastic facings. A 5-year observation]. / Esteticheskoe vosstanovlenie perednei gruppy zubov, porazhennykh fliuorozom, plastmassovymi oblitsovkami. Piatiletnee nabliudenie.

Presents the results of five-year follow-up of a female patient with fluorosis who was fitted with plate plastic linings stuck with evicrol to the enamel of 321 perpendicular 123 teeth. After 4-year use of dentures plate linings were replaced by new ones made of the same sinma plastic because of partial plastic abrasion and loss of the lining. Control check-up showed satisfactory results.

Dental bleaching.

Bleaching techniques of both vital and nonvital teeth are reviewed. Current techniques and their origins are investigated, and the appropriate uses for various methods examined. The current research shows that bleaching, while highly effective, must be viewed with caution. The bleaching process cannot be viewed as entirely benign. The influx of bleaching agents prescribed for home-administration use by dentists is particularly deficient in the amount of independent, refereed research on their long-term effects on oral tissues.