References

Wallace A, Deery C. Management of opacities in children and adolescents. Dent Update. 2015; 42:951-958
Wong F, Winter G. Effectiveness of microabrasion technique for improvement of dental aesthetics. Br Dent J. 2002; 193:155-158

Technique tips: microabrasion

From Volume 45, Issue 2, February 2018 | Pages 172-173

Authors

Rachna Chawla

BDS, MFDS RCS(Ed) PGcert

Specialty Doctor, Eastman Dental Hospital, 256 Gray's Inn Road, London WC1X 8LD, UK

Articles by Rachna Chawla

Ayesha Patel

BDS, MFDS RCS(Ed), PGcert DentalEd, MPaedDent

(King's College Hospital)

Articles by Ayesha Patel

Suzanne Dunkley

BDS, MFDS, MClinDent(PaedDent), MPaedDent, FDS RCS(PaedDent)

Consultant Paediatric Dentistry, Eastman Dental Hospital, 256 Gray's Inn Road, London WC1X 8LD, UK

Articles by Suzanne Dunkley

Article

Enamel defects are relatively common in anterior teeth and may cause aesthetic concern for a patient. They can present as white, yellow-brown or brown opacities. These opacities can have a profound effect on patients' self-esteem and confidence.

Microabrasion is a conservative, non-restorative method to remove this discoloration. It is often the treatment of choice, especially for brown opacities, as it is a simple yet effective technique.

If the stains are present in the outer layers of enamel they can be easily removed using microabrasion, leaving a smooth, glassy enamel surface as the finished result (Figures 1 and 2).

If there is an area of discoloration which is deep, this technique may need to be used in conjunction with tooth whitening or composite restorations.1

It is important to ensure that patients are aware that microabrasion is not always successful.

Clinical photographs and sensibility testing are recommended prior to commencing microabrasion to form baseline records. This should be repeated after the procedure.

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