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2022-03-10T18:58:03Z2022-03-10T18:58:03Z2018331121125https://doi.org/10.15448/1980-6523.2018.1.2963719806523http://hdl.handle.net/1843/39946OBJECTIVE: To describe the enamel microabrasion technique used to treat the patient with white stains due dental fluorosis, highlighting the importance of complete anamnesis and clinical examination to achieve the clinical success. CASE DESCRIPTION: patient’s complains, aesthetic self-perception, age, general health, history of excessive intake of fluoride and time of teeth development were considered to the diagnosis and treatment plan. Also, dental trans illumination was used to evaluate the white spots diffusion and estimate the lesion’s length. An abrasive paste mixture of equal parts 37% phosphoric acid and pumice was applied with a wooden spatula in order to perform enamel microabrasion. After the last application, the teeth were polished with finishing discs and a neutral sodium fluoride gel was applied to enamel remineralization. Satisfactory results in the aesthetic improvement were possible with a minimally invasive and cost-effective technique. The dental trans illumination after treatment showed the disappearance of the enamel opacities, preserved on the one-year follow-up. CONCLUSION: Cosmetic dentistry has been increasingly practiced today. However, a correct aesthetic planning should be based on current restorative dentistry concept. For any type of procedure, the dentist should opt for sound tooth structure preservation. This technique might be an efficient alternative to restorative treatments and can be considered a successful procedure. In cases of esthetic alterations due fluorosis, non-invasive methods such enamel microabrasion should be considered before invasive restorative treatments.OBJETIVO: Descrever a técnica de microabrasão do esmalte utilizada no tratamento do paciente com manchas brancas devido à fluorose dentária, destacando a importância da anamnese completa e exame para alcançar o sucesso clínico. DESCRIÇÃO DO CASO: queixas do paciente, autopercepção estética, idade, estado geral de saúde, histórico de ingestão excessiva de flúor e tempo de desenvolvimento dos dentes foram considerados para o diagnóstico e plano de tratamento. Além disso, a iluminação trans dental foi usada para avaliar a difusão de manchas brancas e estimar o comprimento da lesão. Uma mistura de pasta abrasiva de partes iguais de ácido fosfórico a 37% e pedra-pomes foi aplicada com uma espátula de madeira para realizar a microabrasão do esmalte. Depois de última aplicação, os dentes foram polidos com discos de acabamento e um gel neutro de fluoreto de sódio foi aplicado à remineralização do esmalte. Resultados satisfatórios na melhora estética foram possíveis com uma técnica minimamente invasiva e de baixo custo. A iluminação trans dental após o tratamento mostraram o desaparecimento das opacidades do esmalte, preservadas no seguimento de um ano. CONCLUSÃO: A odontologia estética tem sido cada vez mais praticada atualmente. No entanto, um correto o planejamento estético deve ser baseado no conceito atual da odontologia restauradora. Para qualquer tipo de procedimento, o dentista deve optar pela preservação da estrutura dentária sadia. Esta técnica pode ser uma alternativa eficiente aos tratamentos restauradores e pode ser considerado um procedimento de sucesso. Dentro casos de alterações estéticas por fluorose, métodos não invasivos como a microabrasão do esmalte devem ser considerado antes de tratamentos restauradores invasivos.engUniversidade Federal de Minas GeraisUFMGBrasilFAO - DEPARTAMENTO DE ODONTOLOGIA RESTAURADORARevista odonto ciênciaProcedimento conservadorFluorose dentalManchas brancasEsmalteEnamel microabrasion: achieving aesthetic success to dental fluorosis in a single session: one-year follow-upMicroabrasão de esmalte: alcançando sucesso estético para fluorose dentária em uma única sessão: acompanhamento de um anoinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://revistaseletronicas.pucrs.br/ojs/index.php/fo/article/view/29637Cecília Atem Gonçalves de AraújocostaRodrigo Richard da SilveiraJosé Carlos PereiraJuliano Sartori MendonçaSérgio Lima Santiagoapplication/pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFMGinstname:Universidade Federal de Minas Gerais (UFMG)instacron:UFMGLICENSELicense.txtLicense.txttext/plain; charset=utf-82042https://repositorio.ufmg.br/bitstream/1843/39946/1/License.txtfa505098d172de0bc8864fc1287ffe22MD51ORIGINAL2018_Enamel microabrasion.pdf2018_Enamel microabrasion.pdfapplication/pdf655441https://repositorio.ufmg.br/bitstream/1843/39946/2/2018_Enamel%20microabrasion.pdf8a89458c369d00e1a3edfba903eb7c60MD521843/399462022-03-10 15:58:04.19oai:repositorio.ufmg.br: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Repositório InstitucionalPUBhttps://repositorio.ufmg.br/oaiopendoar:2022-03-10T18:58:04Repositório Institucional da UFMG - Universidade Federal de Minas Gerais (UFMG)false
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