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J Conserv Dent. 2019 Jul-Aug;22(4):401-405. doi: 10.4103/JCD.JCD_77_19.

Esthetic recovery of teeth presenting fluorotic enamel stains using enamel microabrasion and home-monitored dental bleaching.

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Department of Restorative Dentistry and Prosthodontics, Ingá University Center - Uningá, Maringá, Parana, Brazil.
Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araçatuba, São Paulo State, Brazil.
Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande Do Sul, Rio Grande Do Sul, Brazil.
Department of Orthodontics, Faculty of Medicine, Sigmund Freud University, Vienna, Austria.
Department of Pediatric and Social Dentistry, School of Dentistry, São Paulo State University, Araçatuba, São Paulo State, Brazil.


This clinical report describes the enamel microabrasion technique for removing maxillary and mandibular hard fluorotic enamel stains followed by home-monitored home dental bleaching. The removal of fluorotic enamel stains utilized macroabrasion with a water-cooled, fine-tapered 3195 FF diamond bur followed microabrasion with the application of Prema Compound (Premier Dental Products Co, Norristown, PA, USA). Home-monitored dental bleaching was performed 14 days after enamel microabrasion using a 10% carbamide peroxide gel for 2 h/day. The wearing time of the acetate tray/dental bleaching was quantified by a microsensor from TheraMon microelectronic system (Sales Agency Gschladt, Hargelsberg, Austria) that was completely embedded in the acetate trays. The teeth were bleached effectively during 23 days. The mean wearing time of the acetate trays/dental bleaching product was 1.54 h/day, for the upper and lower arches. The patient reported satisfaction with the treatment. The association of enamel microabrasion and home dental bleaching was an excellent clinical treatment for teeth affected with enamel fluorosis.


Dental bleaching; enamel fluorosis; enamel microabrasion; enamel stains; fluorosis

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