Quantitative analysis of dental enamel removal during a microabrasion technique
DOI:
https://doi.org/10.11606/issn.2357-8041.clrd.2014.69159Keywords:
Dental Enamel, Hydrochloric Acid, Enamel Microabrasion.Abstract
Objective: To quantify, by means of profi lometry, the removal of dental enamel during the use of a microabrasion technique involving the use of hydrochloric acid and manual abrasion with a plastic spatula. Method: Thirty six specimens obtained from human third molars were polished to obtain fl at surfaces and divided into 3 groups (n = 12) according to the different treatments received: A placebo treatment with deionized water as a negative control (CG); microabrasion with 6.6% hydrochloric acid, OpalustreTM (G1); and microabrasion with 6% hydrochloric acid, Whiteness RMTM (G2). The microabrasion was performed in a standardized manner by submitting the specimens to 4 cycles of 10 seconds each and manual abrasion using a plastic spatula (200 g load). The loss of enamel surface was measured after each cycle of treatment by contact profi lometry. Results: Enamel loss was already observed after the fi rst 10 seconds of abrasion with hydrochloric acid in both treated groups (G1 and G2). After 4 abrasions of 10 seconds each, the average fi nal enamel losses in the treated groups were 46.04 μm (G1) and 54.65 μm (G2). In the G1 and G2 groups, a signifi cant increase in enamel wear was detected in each cycle in comparison to the control group (p ≤ 0.05). A signifi cant difference in enamel loss between G1 and G2 was found after 30 and 40 seconds of microabrasion. Relevance: The results of this study provide objective data for safely performing the microabrasion technique on dental enamel using hydrochloric acid and manual abrasion using a plastic spatula.Downloads
References
Croll TP. Enamel microabrasion: the technique. Quintessence Int. 1989 Jun;20(6):395-400.
Lynch CD, McConnell RJ. The use of microabrasion to remove discolored enamel: a clinical report. J Prosthet Dent. 2003
Nov;90(5):417-9.
Paic M, Sener B, Schug J, Schmidlin PR. Effects of microabrasion on substance loss, surface roughness, and colorimetric
changes on enamel in vitro. Quintessence Int. 2008 Jun;39(6):517-22.
Killian CM, Croll TP. Enamel microabrasion to improve enamel surface texture. J Esthet Dent. 1990 Sep-Oct;2(5):125-8.
Allen K, Agosta C, Estafan D. Using microabrasive material to remove f luorosis stains. J Am Dent Assoc. 2004
Mar;135(3):319-23.
de Macedo AF, Tomazela-Herndl S, Corrêa MS, Duarte DA, Santos MT. Enamel microabrasion in an individual with Cohen
syndrome. Spec Care Dentist. 2008 May-Jun;28(3):116-9.
Balan B, Madanda Uthaiah C, Narayanan S, Mookalamada Monnappa P. Microabrasion: an effective method
for improvement of esthetics in dentistry. Case Rep Dent. 2013;2013:951589.
Celik EU, Yildiz G, Yazkan B. Comparison of enamel microabrasion with a combined approach to the esthetic
management of f luorosed teeth. Oper Dent. 2013 Sep-Oct;38(5):E134-43.
McCloskey RJ. A technique for removal of fluorosis stains. J Am Dent Assoc. 1984 Jul;109(1):63-4.
Rodrigues MC, Mondelli RF, Oliveira GU, Franco EB, Baseggio W, Wang L. Minimal alterations on the enamel surface by
micro-abrasion: in vitro roughness and wear assessments. J Appl Oral Sci. 2013 Mar-Apr;21(2):112-7.
Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, micro-abrasion, and bleaching on surface enamel.
J Dent Res. 1993 Jan;72(1):67-71.
Levy SM. An update on fluorides and fluorosis. J Can Dent Assoc. 2003 May;69(5):286-91.
Chandra S, Chawla TN. Clinical evaluation of the sandpaper disk method for removing fluorosis stains from teeth. J Am
Dent Assoc. 1975 Jun;90(6):1273-6.
Sundfeld RH, Croll TP, Briso AL, de Alexandre RS, Sundfeld Neto D. Considerations about enamel microabrasion after 18
years. Am J Dent. 2007 Apr;20(2):67-72.
Welbury RR, Shaw L. A simple technique for removal of mottling, opacities and pigmentation from enamel. Dent Update.
May;17(4):161-3.
Shillingburg HT Jr, Grace CS. Thickness of enamel and dentin. J South Calif Dent Assoc. 1973 Jan;41(1):33-6 passim.
Schmidlin PR, Göhring TN, Schug J, Lutz F. Histological, morphological, profilometric and optical changes of human
tooth enamel after microabrasion. Am J Dent. 2003 Sep;16 Spec No:4A-8A.
Kendell RL. Hydrochloric acid removal of brown fluorosis stains: clinical and scanning electron micrographic observations.
Quintessence Int. 1989 Nov;20(11):837-9.
Waggoner WF, Johnston WM, Schumann S, Schikowski E. Microabrasion of human enamel in vitro using hydrochloric
acid and pumice. Pediatr Dent. 1989 Dec;11(4):319-23.
Ramalho KM, Eduardo Cde P, Rocha RG, Aranha AC. A minimally invasive procedure for esthetic achievement: enamel microabrasion of fluorosis stains. Gen Dent. 2010 Nov-Dec;2010; 58(6):e225-9.
Esteves-Oliveira M, Pasaporti C, Heussen N, Eduardo CP, Lampert F, Apel C. Prevention of toothbrushing abrasion
of acid-softened enamel by CO(2) laser irradiation. J Dent. Sep;39(9):604-11.
Ramalho KM, Eduardo Cde P, Heussen N, Rocha RG, Lampert F, Apel C, et al. Protective effect of CO2 laser (10.6 mum)
and fluoride on enamel erosion in vitro. Lasers Med Sci. Jan;28(1):71-8.
Bertassoni LE, Martin JM, Torno V, Vieira S, Rached RN, Mazur RF. In-office dental bleaching and enamel microabrasion
for fluorosis treatment. J Clin Pediatr Dent. 2008 Spring;32(3):185-7.
Higashi C, Dall’Agnol AL, Hirata R, Loguercio AD, Reis A. Association of enamel microabrasion and bleaching: a case
report. Gen Dent. 2008 May;56(3):244-9.
Setien VJ, Roshan S, Nelson PW. Clinical management of discolored teeth. Gen Dent. 2008 May;56(3):294-300; quiz
-4.
Croll TP, Killian CM, Miller AS. Effect of enamel microabrasion compound on human gingiva: report of a case. Quintessence
Int. 1990 Dec;21(12):959-63.
Fragoso LS, Lima DA, de Alexandre RS, Bertoldo CE, Aguiar FH, Lovadino JR. Evaluation of physical properties of enamel
after microabrasion, polishing, and storage in artificial saliva. Biomed Mater. 2011 Jun;6(3):035001.
Dalzell DP, Howes RI, Hubler PM. Microabrasion: effect of time, number of applications, and pressure on enamel loss.
Pediatr Dent. 1995 May-Jun;17(3):207-11.
Kilpatrick NM, Welbury RR. Hydrochloric acid/pumice microabrasion technique for the removal of enamel pigmentation.
Dent Update. 1993 Apr;20(3):105-7.
Mendes RF, Modelli J, Freitas CA. Avaliação da quantidade de desgaste do esmalte dentário submetido a microabrasão.
Rev Fac Odontol Bauru. 1999 Jan-Jun;7(1/2):35-40.
Price RBT, Loney RW, Doyle G, Moulding B. An evaluation of a technique to remove stains fron teeth using microabraion.
J Am Dent Assoc. 2003 Aug;134(8):1066-71.
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