Effectiveness of the dental microabrasion technique as a minimally invasive clinical approach for the aesthetic treatment of dental fluorosis. Case report
DOI:
https://doi.org/10.56294/saludcyt2024.551Keywords:
esthetics dental fluorosis, dental fluorosis, enamel microabrasionAbstract
Introduction: Dental fluorosis represents one of the most commonly observed enamel defects in the Ecuadorian population; certain provinces, especially those located in the central area of the inter-Andean region of Ecuador, are highly affected. The cases of two female patients are presented, aged 25 and 29 respectively, treated in a private dental clinic in the Francisco Pacheco Parish, Portoviejo canton during the period May 2023 – September 2023, with clinical diagnosis and photographic of dental fluorosis in a mild degree according to the Dean indexFor which the dental microabrasion technique was performed as a minimally invasive clinical approach, obtaining satisfactory results that eliminated the stains present in the tooth enamel. Conservative treatment options should be the first choice when defining the actions to follow, always prioritizing the patient's well-being. It is recommended to consider the possibility of combining them when circumstances justify it. Additional follow-ups are necessary to verify the effectiveness of these treatments. Treatment with dental microabrasion is demonstrated as an effective minimally invasive technique to treat mild dental fluorosis
References
1. Armas-Vega ADC, González-Martínez FD, Rivera-Martínez MS, Mayorga-Solórzano MF, Banderas-Benítez VE, Guevara-Cabrera OF. Factors associated with dental fluorosis in three zones of Ecuador. J Clin Exp Dent. 2019 [cited 2024 Jul 1];11(1) e42–e48. https://doi.org/10.4317/jced.55124
2. Vélez-León EM, Albaladejo-Martínez A, Ortíz-Ortega P, Cuenca-León K, Armas-Vega A, Melo M. Distribution of Dental Fluorosis in the Southern Zone of Ecuador: An Epidemiological Study. Dent J. 2023[cited 2024 Jul 1]; 11(3):71. https://doi.org/10.3390/dj11030071
3. Sundfeld D, Pavani CC, Pini N, Machado LS, Schott TC, Sundfeld RH. Enamel microabrasion and dental bleaching on teeth presenting severe-pitted enamel fluorosis: A case report. Oper Dent. 2019[cited 2024 Jul 1]; 44(6):566-73. https://doi.org/10.2341/18-116-T
4. Vázquez S, Morán Sánchez C, Ramírez H, Alonso C. Tratamiento mínimamente invasivo en un paciente pediátrico con fluorosis dental mediante el uso de microabrasión: reporte de un caso. Odontol Pediátr (Lima). 2020[cited 2024 Jul 1]; 28(2):103-8. Disponible en: https://www.odontologiapediatrica.com/wp-content/uploads/2020/09/103-108%20CASO%20CLINICO.pdf
5. Ardu S, Stavridakis M, Krejci I. Un tratamiento mínimamente invasivo de la fluorosis dental severa. Quintessence Int. 2007[cited 2024 Jul 1]; 38(6):455-8. Disponible en: https://archiveouverte.unige.ch/unige:84484
6. Gençer M, Kirzioğlu Z. A comparison of the effectiveness of resin infiltration and microabrasion treatments applied to developmental enamel defects in color masking. Dent Mater J. 2019[cited 2024 Jul 1]; 38(2):295-302. https://doi.org/10.4012/dmj.2018-074
7. Martínez Espinosa D, Pérez Morales YJ. La odontología estética como arte. Acta Méd Cent. 2014[cited 2024 Jul 1]; 8(14). Disponible en: https://www.medigraphic.com/pdfs/medicadelcentro/mec-2014/mec144u.pdf
8. Santos BC, Fernandes DC. Odontologia estética e qualidade de vida: revisão integrativa. Cad Grad Ciênc Biol Saúde UNIT-ALAGOAS. 2016 [cited 2024 Jul 1]; 3(3):91. Disponible en: https://periodicos.set.edu.br/fitsbiosaude/article/view/3328
9. Tumenas I, Pascottos R, Saade JL, Bassani M. Odontología mínimamente invasiva. Rev Assoc Paul Cir Dent. 2014[cited 2024 Jul 1]; 68(4):283-95. Disponible en: http://revodonto.bvsalud.org/scielo.php?pid=S0004-52762014000400002&script=sci_arttext&tlng=pt
10. Wang Q, Meng Q, Meng J. Minimally invasive esthetic management of dental fluorosis: a case report. J Int Med Res. 2020[cited 2024 Jul 1]; 48(10). https://doi.org/10.1177/0300060520967538
11. Beltrán-Valladares PR, Cocom-Tun H, Casanova-Rosado JF, Vallejos-Sánchez AA, Medina-Solís CE, Gerardo M. Prevalencia de fluorosis dental y fuentes adicionales de exposición a fluoruro como factores de riesgo a fluorosis dental en escolares de Campeche, México. Rev Invest Clin. 2005[cited 2024 Jul 1]; 57(4):532-9. Disponible en: https://www.scielo.org.mx/pdf/ric/v57n4/v57n4a6.pdf
12. Di Giovanni T, Eliades T, Papageorgiou SN. Interventions for dental fluorosis: A systematic review. J Esthet Restor Dent. 2018[cited 2024 Jul 1]; 30(6):502-8. https://doi.org/10.1111/jerd.12408
13. Browne D, Whelton H, O'Mullane D, Tavener J, Flannery E. The aesthetic impact of enamel fluorosis on Irish adolescents. Community Dent Oral Epidemiol. 2011 [cited 2024 Jul 1]; 39(2):127-36. https://doi.org/10.1111/j.1600-0528.2010.00577.x
14. Bolaños V, Acuña G, González Umaña L. Fluorosis dental: tratamiento. Odovtos Int J Dent Sci. 2008[cited 2024 Jul 1]; (10):10-6. Disponible en: https://www.redalyc.org/articulo.oa?id=499551913003
15. Covaleda Rodriguez J, Torres Peñuela A, Sánchez Esparza M, Pineda R, Silva Borrero V, Parra Galvis D, et al. Abordaje clínico mínimamente invasivo de fluorosis dental en estadios de TF1 a TF5. Revisión sistemática. Av Odontoestomatol. 2021[cited 2024 Jul 1]; 37(2):87-93. https://dx.doi.org/10.4321/s0213-12852021000200005
16. Proaño-Yela PA, Monard-Proaño MA, Zambrano-Vélez DE. Tratamiento microabrasivo del esmalte dental. Dominio Cienc. 2017[cited 2024 Jul 1]; 3(2):328-47. Disponible en: https://dominiodelasciencias.com/ojs/index.php/es/article/view/426
17. Nevárez-Rascón M, Molina-Frechero N, Adame E, Almeida E, Soto-Barreras U, Gaona E, et al. Efectividad de una técnica de microabrasión usando HCL al 16% con aplicación manual en dientes fluoróticos: una serie de estudios. Rev Mundial Casos Clín. 2020[cited 2024 Jul 1]; 8(4):743-56. https://doi.org/10.12998/wjcc.v8.i4.743
18. Azpeitia-Valadez ML, Rodríguez-Frausto M, Sánchez-Hernández MÁ. Prevalencia de fluorosis dental en escolares de 6 a 15 años de edad. Rev Med Inst Mex Seguro Soc. 2008;46(1):67-72. Disponible en: https://www.redalyc.org/pdf/4577/457745519011.pdf
19. Akpata E. Manejo terapéutico de la fluorosis dental: una revisión crítica de la literatura. Rev Saudita Cienc Orales. 2014[cited 2024 Jul 1]; 1(1). https://doi.org/10.4103/WKMP-0056.124179.
20. Garg I, Kumar A, Kumar A. Comparative evaluation of esthetic improvement of resin infiltration (RI), in-office bleaching (B), enamel microabrasion (M) and resin infiltration with double application of infiltrant (2RI) on non-pitted fluorosis stains: A randomized six-month interventional study. Int J Clin Pediatr Dent. 2022[cited 2024 Jul 1]; 15(1):20-34. https://doi.org/10.5005/jp-journals-10005-2140
21. Azzahim L, Chala S, Abdallaoui F. La micro-abrasion amélaire associée à l’éclaircissement externe: intérêt dans la prise en charge de la fluorose [Role of enamel microabrasion associated with external bleaching in the management of patients with dental fluorosis]. Pan Afr Med J. 2019[cited 2024 Jul 1]; 34:72. https://doi.org/10.11604/pamj.2019.34.72.20401
22. Nevárez-Rascón M, Villegas-Ham J, Molina-Frechero N, Castañeda-Castaneira E, Bologna-Molina R, Nevárez-Rascón A. Tratamiento para manchas por fluorosis dental por medio de micro abrasión sin instrumentos rotatorios. CES Odontol. 2010[cited 2024 Jul 1]; 23(2):61-6. Disponible en: https://revistas.ces.edu.co/index.php/odontologia/article/view/1187/860
23. Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis - a systematic review and meta-analysis. Clin Oral Investig. 2021[cited 2024 Jul 1]; 25(8):4711-9. https://doi.org/10.1007/s00784-021-03931-7
24. Natera G, Alfredo E, Peraza Urrutia I, Uzcátegui Giannattasio GM. Microabración del esmalte: técnica para la remoción de manchas dentales. Acta Odontol Venez. 2005[cited 2024 Jul 1]; 43(3):318-22. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0001-63652005000300019&lng=es&tlng=es.
25. Pecarevic D, Gómez C, Rosales-Lomboy F, Guevara V. Manejo estético de la fluorosis dental: microabrasión, infiltración de resina y clareamiento externo. Int J Interdiscip Dent. 2022[cited 2024 Jul 1]; 15(2):157-60. https://dx.doi.org/10.4067/S2452-55882022000200157
26. Vinueza S, Jaramillo N, Pinto J. Tratamientos mínimamente invasivos para casos de fluorosis dental en Odontopediatría: una revisión sistemática. OdontoInvestigación. 2022[cited 2024 Jul 1]; 8(2). https://doi.org/10.18272/oi.v8i2.2688
27. Echague Garay BL, Fretes Pérez SM, Lezcano OM, Arce Ortiz TA. Microabrasión de esmalte en paciente pediátrico con fluorosis: relato de caso. Sci Oralis Salutem. 2022[cited 2024 Jul 1]; 3(2):79-86. Disponible en: https://revistas.unc.edu.py/index.php/founc/article/view/101/79
28. De Barrio M. Microabrasión del esmalte: indicaciones, limitaciones y alcance clínico. Rev Soc Odontol Plata. 2021[cited 2024 Jul 1]; 31(61):15-20. Disponible en: https://sedici.unlp.edu.ar/bitstream/handle/10915/155634/Documento_completo.pdf-PDFA.pdf?sequence=1&isAllowed=y
29. Natera A, Da Silva A, Fernández M, Montilla M, Moukel J, Rodríguez L, Vivas S. Tratamiento de fluorosis con microabrasión del esmalte: reporte de un caso clínico índice TF5. Odous Científica. 2015[cited 2024 Jul 1]; 16(2):51-7. Disponible en: http://servicio.bc.uc.edu.ve/odontologia/revista/vol16-n2/art05.pdf
30. Pini NP, Sundfeld-Neto D, Aguiar FH, Sundfeld RH, Martins LR, Lovadino JR, Lima DA. Microabrasión del esmalte: una descripción general de las consideraciones clínicas y científicas. World J Clin Cases. 2015[cited 2024 Jul 1]; 3(1):34. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4295217/
31. García-Pérez A, Pérez-Pérez NG, Flores-Rojas AI, Barrera-Ortega CC, González-Aragón Pineda AE, Villanueva Gutiérrez T. Marginalization and fluorosis: its relationship with dental caries in rural children in Mexico: a cross-sectional study. Community Dent Health. 2020[cited 2024 Jul 1]; 37(3):216-22. https://doi.org/10.1922/CDH_00017Perez07
32. Constante Cruz AP, Pérez Rosero ER, Rodríguez Villarreal JP, Cabrera Arias MA, Armas Vega AC. Impacto de la fluorosis dental en la calidad de vida de adolescentes ecuatorianos de entre 11 a 14 años. Odontol Vital. 2020[cited 2024 Jul 1]; (32):21-8. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S165907752020000100021&lng=en&tlng=es
33. Molina-Frechero N, Nevarez-Rascón M, Nevarez-Rascón A, González-González R, Irigoyen-Camacho ME, Sánchez-Pérez L, et al. Impact of dental fluorosis, socioeconomic status and self-perception in adolescents exposed to a high level of fluoride in water. Int J Environ Res Public Health. 2017[cited 2024 Jul 1]; 14(1):73. https://doi.org/10.3390/ijerph14010073
34. Hosney S, Ercoli C, Dilbone D, Carranza MG, Chochlidakis K. Esthetic and functional rehabilitation of an adolescent patient with severe dental fluorosis: a clinical report. J Prosthodont. 2022[cited 2024 Jul 1]; 31(2):96-101. https://doi.org/10.1111/jopr.13453
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