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Article: Volume 42 Number 10 Page 951 - December 2015

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  Dent Update 2015; 42: 951-958

Paediatric dentistry:  Management of Opacities in Children and Adolescents

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Abstract: Enamel opacities can appear as white, cream, yellow or brown patches. They can result from developmental or acquired conditions. The diagnosis, severity of the opacity and patient’s desire for treatment guide the clinician when choosing the correct management option. Microabrasion is indicated for surface opacities, whereas bleaching can treat opacities deep within the tooth. When these techniques have failed to achieve the desired result, camouflaging the opacity with composite resin may be useful. Novel techniques, such as infiltrating or sealing the opacity, can alter enamel’s refractive index, offering further treatment choices.

Clinical relevance: There are many conservative treatments available which can improve the appearance of enamel opacities.

Author notes: Ann Wallace, BDS, MFDS RCS(Edin), Specialty Registrar in Paediatric Dentistry, Charles Clifford Dental Hospital, Sheffield, S10 2SZ and Chris Deery, BDS, MSc, PhD, FDS(Paed Dent) RCS(Edin), FDS RCS(Eng), Professor of Paediatric Dentistry, Unit of Oral Health and Development, School of Clinical Dentistry, Claremont Crescent, Sheffield, S10 2TA, UK.

Objective: To recognize enamel opacities and be able to manage the condition.