Journal of South Asian Association of Pediatric Dentistry

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VOLUME 5 , ISSUE 2 ( May-August, 2022 ) > List of Articles

CASE REPORT

An Innovative Approach to Treat Discolored Anterior Teeth: A Novel Method

Anisha Kakran, Saurabh Narang

Keywords : Discoloration, Esthetic treatment, Etch-bleach-seal, Fluorosis, Microabrasion

Citation Information : Kakran A, Narang S. An Innovative Approach to Treat Discolored Anterior Teeth: A Novel Method. J South Asian Assoc Pediatr Dent 2022; 5 (2):101-104.

DOI: 10.5005/jp-journals-10077-3232

License: CC BY-NC 4.0

Published Online: 23-08-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Introduction: Discoloration of anterior teeth is not uncommon and can be due to a variety of reasons including genetic and environmental factors. Discolored teeth are not well mineralized and are prone to sensitivity and caries. Therefore, their early management is necessary. Case presentation: Three patients were presented to the Department of Pedodontics, PGIDS, Rohtak, with chief complaint of mild to moderate fluorosis. Microabrasion followed by etch bleach and seal was performed to remove the fluorotic stains. Results were found to be satisfactory with the following technique. Discussion: There are many treatment approaches varying from conservative to invasive treatment options like microabrasion, etch-bleach-seal, bleaching, veneering, and crowns. Veneers and crowns should be avoided in young permanent teeth as the tooth structure loss is more in these techniques which can further lead to sensitivity. But nowadays, dentistry has shifted to more conservative sides as preservation of tooth structure has been considered to be of at most importance. Therefore, this article deals with the effects of the combination of two conservative treatment approaches that is microabrasion and etch-bleach-seal, which can be carried out to treat mild to moderate discolorations.


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  1. Small B, Murray J. Enamel opacities: prevalence, classification and aetiological considerations. J Dent 1978;6(1):33–42. DOI: 10.1016/0300-5712(78)90004-0
  2. Suckling G, Pearce E. Developmental defects of enamel in a group of New Zealand children: their prevalence and some associated etiological factors. Community Dent Oral Epidemiol 1984;2(3):177–184. DOI: 10.1111/j.1600-0528.1984.tb01434.x
  3. Wright JT. Hereditary defects of enamel. In: Robinson C, Kirkham J, Shore R, editors. Dental Enamel Formation to Destruction. Boca Raton: CRC Press; 1995. p. 193–222.
  4. Wright JT, Stonehouse N, Lord V, et al. Biochemical characterisation of hypomaturation amelogenesis imperfecta enamel. Caries Res 1991;25:219.
  5. Wong M. A clinical comparison of treatments for endemic dental fluorosis. J Endod 1991;17(7):343–345. DOI: 10.1016/S0099-2399(06)81703-6
  6. Singhal R, Namdev R, Singhal P, et al. Newer technique of extra-coronal bleaching with sodium perborate on non-pitted fluorosis stains in permanent anterior teeth. J Clin Pedia Dent 2022;46(2):112–118. DOI: 10.17796/1053-4625-46.2.4
  7. Croll TP. Enamel microabrasion for removal of superficial dysmineralization and decalcification defects. J Am Dent Assoc 1990;120(4):411–415. DOI: 10.14219/jada.archive.1990.0127
  8. Wright JT. The etch-bleach-seal technique for managing stained enamel defects in young permanent incisors. Pediatr Dent 2002;24(2):249–252.
  9. Sundfeld D, Pavani CC, Pini NIP, et al. Esthetic recovery of teeth presenting fluorotic enamel stains using enamel microabrasion and home-monitored dental bleaching. J Conserv Dent 2019;22(4):401–405. DOI: 10.4103/JCD.JCD_77_19
  10. Train TE, McWhorter AG, Seale NS, et al. Examination of esthetic improvement and surface alteration following microabrasion in fluorotic human incisors. Pediatr Dent 1996;18(5):353–362.
  11. Donly KJ, O'Neill M, Croll TP. Enamel microabrasion: a microscopic evaluation of the “abrosion effect”. Quintessence Int 1992;23(3):175–179.
  12. Miereles AA, de Almeida Andre D, Ledia FL, et al. Surface roughness and enamel loss with two microabrasion techniques. J Contemp Dent Pract 2009;10(1):58–65.
  13. Mendes RF, Mondelli J, Freitas CA. Avaliacao da quantidade de desgaste do esmate dentario subroetido a microabrasao. Rev FOB 1999;7(1):35–40.
  14. Garg I, Sharan S, Anu, et al. The etch-bleach-seal technique for conservative aesthetic management of fluorosis stains in young permanent incisors: a case report IJDSIR 2020;3(4):267–271.
  15. Robinson C, Shore RC, Kirkham J, et al. Extracellular processing of enamel matrix proteins and the control of crystal growth. J Biol Buccale 1990;18(4):355–361.
  16. Belkhir MS, Douki N. A new concept for removal of dental fluorosis stains. J Endodont 1991;17(6):288–292. DOI: 10.1016/s0099-2399(06)81869-8
  17. Benbachir-Hassani N, Ardu S, Krejci I. Indications and limits of the microabrasion technique. Quintessence Int 2007;38(10):811–815.
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