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Restorative Dentistry

Effectiveness of Microabrasion Procedure for Aesthetic Management of Dental Fluorosis Stains Abstract

Dr Mayada Jemâa 1 Dr S. Lakhal 2 Dr H. Brahem 1 Pr N. Zokkar 3 Pr L. Bhouri 3 Pr S. Marouen 4 Pr MB. Khattech 4


Assistant Professor, Department of

Dental Medicine, Military Principal

The excessive systemic absorption of fluoride during the tooth development will cause dental fluorosis which is the most common type of enamel demineralization. 1 This kind of pathology leads to the whitish, opaque and unpleasant appearance of enamel that is often visible. 2

the esthetic aspect of teeth with fluorosis. Added to that, surface enamel modifications (roughness and microhardness) resulting from microabrasion, are easily restored by saliva. 4

Dental fluorosis may induce psychosocial effects on patients and affect their quality of life. 3 In the literature, different treatment modalities to manage dental fluorosis were described. The treatment depends on the severity of the fluorosis ranging from ceramic veneers to composite restorations and chemo-mechanical procedure. 2

- To define the dental fluorosis - To describe the microabrasion method: Step by step - To discuss the effects of microabrasion technique on the enamel surface. - To report three clinical cases suffering from moderate dental fluorosis treated in our service of Dental Medicine with enamel microabrasion procedure.

Recently, enamel microabrasion has been proposed as a safe, effective, economic, conservative, minimally invasive, non-restorative and less time-consuming method that improves

Hence, the objectives of this article are:

Key Words: Enamel microabrasion, fluorosis, tooth discoloration, remineralization, esthetics, minimally invasive treatment.

Hospital of Instruction, Tunis, Tunisia 2

Resident, Department of Dental

Medicine, Military Principal Hospital of


Instruction, Tunis, Tunisia 3

Professor, Department of Restor-





Dental Clinic, Monastir, Tunisia 4

Professor, Department of Dental

Medicine, Military Principal Hospital of Instruction, Tunis, Tunisia


Dental News

During tooth development, the excessive systemic absorption of fluoride can result in dental fluorosis. 5, 1, 3 Dean et al. in 1940 have demonstrated that there is a relation between the concentration of fluoride in drinking water and the prevalence and the gravity of dental fluorosis. 6 Referring to Danielson Guedes Pontes et al. 2012, the dental fluorosis is the result of chronic fluoride intoxication caused by excess ingestion going beyond tolerable limits for a prolonged period. 7 Bilateral, diffuse, thin and horizontal white striations and stained plaque areas are present. Then, depending on the severity of the dental fluorosis, the affected enamel may become discolored and/or pitted. 3, 4 March 2019

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