Hypoplastic enamel treatment in permanent anterior teeth of a child

Oper Dent. 2013 Jul-Aug;38(4):363-8. doi: 10.2341/12-284-T. Epub 2013 Jan 17.

Abstract

In some patients with labial white stains involving the enamel and dentin, bleaching associated with a restorative procedure using composites may be an appropriate treatment alternative. Although bleaching makes the teeth and the stain whiter, the staining is less evident and easier to restore. Restorative procedures using adequate composites may then recover the natural optical properties while also providing appropriate mechanical properties, thereby ensuring the longevity of the treatment. In this article, the clinical case of a 9-year-old patient who reported dissatisfaction with her smile because of the presence of hypoplastic enamel staining at the central superior and inferior incisors is reported. The treatment consisted of a bleaching protocol followed by composite resin restorations using the stratification technique. The final esthetic result demonstrated the possibility of obtaining a natural smile with an adequate color and natural-looking restorations, thereby ensuring the esthetics and the patient's functional satisfaction.

Publication types

  • Case Reports

MeSH terms

  • Carbamide Peroxide
  • Child
  • Color
  • Composite Resins / chemistry
  • Dental Enamel / pathology
  • Dental Enamel Hypoplasia / diagnosis
  • Dental Enamel Hypoplasia / therapy*
  • Dental Materials / chemistry
  • Dental Restoration, Permanent / methods
  • Dentin / pathology
  • Esthetics, Dental
  • Female
  • Humans
  • Incisor / pathology*
  • Peroxides / therapeutic use
  • Smiling
  • Tooth Bleaching / methods
  • Tooth Bleaching Agents / therapeutic use
  • Tooth Preparation / methods
  • Transillumination / methods
  • Urea / analogs & derivatives
  • Urea / therapeutic use

Substances

  • Composite Resins
  • Dental Materials
  • Peroxides
  • Tooth Bleaching Agents
  • Carbamide Peroxide
  • Urea