Florozisli Dişlerin Mikroabrazyon Ve Rezin İnfiltrasyon Yöntemi İle Tedavisi: Olgu Sunumu

Bu olgu sunumunun amacı; minimal invaziv bir yaklaşımla hastanın dental florozis nedeniyle oluşan estetik sorunların rezin inlfitrasyon sistemi ile tedavisini anlatmaktır. Kliniğimize başvuran 31 yaşındaki bayan hastamıza öncelikle mikroabrazyon tedavisi yapılıp mine seviyesindeki çukurcuklar giderildikten sonra üretici talimatlarına uygun bir şekilde rezin infiltrasyon tedavisi uygulanmıştır. Rezin infiltrasyon tedavisinden hemen sonra ve 6 aylık takibinde de hastayı memnun edici bir sonuç elde edildi. Bu tedavinin etkinliğini gözlemlemek, rezin infiltrasyonunun olumlu etkilerinin altı aydan daha uzun süre devam edip etmediğini belirlemek ve diğer florozis formlarının bu şekilde tedavi edilip edilemeyeceğini araştırmak için klinik olarak kontrollü çalışmaların yapılması gerekmektedir.

Anahtar Kelimeler:

Dental florozis, Mikro abrazyon, Rezin infiltrasyon

Treatment Of Teeth With Dental Florosis By Microabrasion And Resin Infiltration: Case Report

The purpose of this presentation presentation; To describe the treatment of structural system resin infiltration, consisting of dental fluorosis associated with a minimally invasive system. Our 31-year-old female patient, who had previously been treated with bleacing but without satisfactory results, was first treated with microabrasion and after removing the pits at the enamel level on the diy surface, resin infiltration treatment was applied in accordance with the procedure. This case report demonstrated a positive long-term (6 months) outcome. Clinically controlled studies are needed to observe the efficacy of this treatment, to determine whether the positive effects of resin infiltration persist for more than six months, and to investigate whether other forms of fluorosis can be treated in this way.

Keywords:

Dental fluorosis, Microabrasion, Resin infiltration,

PDF

___

1. Bronckers AL, Lyaruu DM, DenBesten PK. The impact of fluoride on ameloblasts and the mechanism of enamel fluorosis. J Dent Res. 2009;88:877-93.
2. Watts A, Addy, M. Tooth discolouration and staining: a review of the literature. Br Dent J 2001;190:309–316.
3. Auschill, T. M., Schmidt, K. E., & Arweiler, N. B. (2015). Resin infiltration for aesthetic improvement of mild to moderate fluorosis: a six-month follow-up case report. Oral Health Prev Dent, 13(4), 317-22
,4. Wang Y, Sa Y, Liang S, Jiang T. Minimally invasive treatment for esthetic management of severe dental fluorosis: A case report. Oper Dent. 2013;38:358-62.
5. Bussadori SK, do Rego MA, da Silva PE, Pinto MM, Pinto AC. Esthetic alternative for fluorosis blemishes with the usage of a dual bleaching system based on hydrogen peroxide at 35%. J Clin Pediatr Dent 2004;28:143-6.
6. Murphy TC, Willmot DR, Rodd HD. Management of postorthodontic demineralized white lesions with microabrasion: A quantitative assessment. Am J Orthod Dentofacial Orthop 2007;131:27-33.
7. Kim S, Kim EY, Jeong TS, Kim JW. The evaluation of resin infiltration for masking labial enamel white spot lesions. Int J Paediatr Dent 2011;21:241-8.
8. Lee J, Okoye LO, Lima PP, Gakunga PT, Amaechi BT. Investigation of the esthetic outcomes of white spot lesion treatments. Niger J Clin Pract. 2020 Sep;23(9):1312-1317. doi: 10.4103/njcp.njcp_119_20. PMID: 32913173.
9. Sakamaki ST, Bahn AN. Effect of orthodontic banding on localized oral lactobacilli. J Dent Res. 1968;47:275–279.
10. Gu X, Yang L, Yang D, Gao Y, Duan X, Zhu X, Yuan H, Li J. Esthetic improvements of postorthodontic white-spot lesions treated with resin infiltration and 11. microabrasion: A split-mouth, randomized clinical trial. Angle 12. Orthod. 2019 May;89(3):372-377. doi: 10.2319/041218-274.1. Epub 2019 Feb 5. PMID: 30719932; PMCID: PMC8117680. 13. Watts A, Addy, M. Tooth discolouration and staining: a review of the literature. Br Dent J 2001;190:309–316.