Yildiz Gul, Celik Esra Uzer
Departments of Restorative Dentistry, Faculty of Dentistry, Suleyman Demirel University, East Campus, Isparta, Turkiye.
Departments of Restorative Dentistry, Faculty of Dentistry, Izmir Katip Celebi University, Izmir, Turkiye.
Eur J Dent. 2013 Oct;7(4):504-508. doi: 10.4103/1305-7456.120661.
Severely fluorosed and heavily discolored teeth that have large enamel defects give rise to esthetic concerns and require permanent treatment. In such cases, restorative techniques such as porcelain or composite laminate veneers or crowns are generally preferred, in which tooth preparation is inevitably required.
This clinical report describes a patient with severely fluorosed teeth who was successfully treated with a minimally invasive technique including enamel microabrasion (6.6% hydrochloric acid slurry with silicon carbide micro-particles, Opalustre, Ultradent Products, Inc., South Jordan, UT, USA) followed by in-office bleaching (38% hydrogen peroxide, Opalescence Boost, Ultradent). Enamel microabrasion was conducted in two visits while three visits were required for in-office bleaching. Patient was followed-up after 2 years.
A slight staining had occurred during this period, but it was acceptable for patient. No adverse effects were observed.
The minimally invasive technique including enamel microabrasion and in-office bleaching was efficient and may represent a good alternative to traditional restorative techniques for the management of severely fluorosed teeth.
患有严重氟斑牙且牙釉质有大面积缺损、牙齿严重变色的情况会引发美观问题，需要进行永久性治疗。在这种情况下，通常更倾向于采用诸如瓷贴面或复合树脂贴面或全冠等修复技术，而这些技术不可避免地需要对牙齿进行预备。
本临床报告描述了一名患有严重氟斑牙的患者，采用微创技术成功进行了治疗，该技术包括牙釉质微磨除（使用含碳化硅微粒的6.6%盐酸糊剂，Opalustre，美国犹他州南乔丹市Ultradent Products公司），随后进行诊室漂白（38%过氧化氢，Opalescence Boost，Ultradent）。牙釉质微磨除分两次就诊进行，诊室漂白则需要三次就诊。对患者进行了2年的随访。
在此期间出现了轻微染色，但患者可以接受。未观察到不良反应。
包括牙釉质微磨除和诊室漂白在内的微创技术是有效的，对于严重氟斑牙的治疗可能是传统修复技术的一个良好替代方案。
