Enamel Microabrasion Followed by Dental Bleaching for Patients after Orthodontic Treatment-Case Reports

ABSTRACT This article reports clinical procedures used to remove residual bonded resin and enamel stains following bracket “debonding” at the conclusion of orthodontic treatment. A water‐cooled fine‐tapered diamond bur was used for resin removal, followed by enamel surface finishing using a commerci...

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Bibliographic Details
Published in:Journal of esthetic and restorative dentistry 2007-04, Vol.19 (2), p.71-77
Main Authors: Sundfeld, Renato Herman, Rahal, Vanessa, Croll, Theodore P., De Aalexandre, Rodrigo Sversut, Briso, Andre Luiz Fraga
Format: Article
Language:English
Subjects:
Adolescent
Dental Debonding
Dentistry
Enamel Microabrasion
Female
Humans
Orthodontic Brackets - adverse effects
Tooth Bleaching
Tooth Discoloration - etiology
Tooth Discoloration - therapy
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Summary:ABSTRACT This article reports clinical procedures used to remove residual bonded resin and enamel stains following bracket “debonding” at the conclusion of orthodontic treatment. A water‐cooled fine‐tapered diamond bur was used for resin removal, followed by enamel surface finishing using a commercially available microabrasion paste. It was noted that residual tooth coloration remained yellowish because of enamel translucency; the yellow dentin shade showed through. Additional tooth shade lightening was achieved using carbamide peroxide dental bleaching solution in custom‐formed trays. This report describes a safe and effective technique that optimizes tooth appearance at the conclusion of orthodontic therapy. Mechanical resin removal, enamel microabrasion, and tooth bleaching are employed. CLINICAL SIGNIFICANCE A combination of treatment methods are sometimes required for the best esthetic result. After orthodontic treatment, mechanical resin removal followed successively by enamel microabrasion and tooth bleaching can yield ideal long‐lasting improvement.
ISSN:1496-4155
1708-8240
DOI:10.1111/j.1708-8240.2007.00069.x