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Title: Minimally Invasive Dentistry for Pre-Eruptive Enamel Lesions—A Case Series
Authors: Manaia, Mariana 
Rocha, Larissa 
Saraiva, José 
Coelho, Ana 
Amaro, Inês 
Marto, Carlos Miguel 
Vale, Francisco 
Ferreira, Manuel Marques 
Paula, Anabela 
Carrilho, Eunice 
Keywords: enamel; fluorosis; hypomineralization; microabrasion; minimally invasive
Issue Date: 2021
Serial title, monograph or event: Applied Sciences (Switzerland)
Volume: 11
Issue: 11
Abstract: Pre-eruptive enamel lesions occur during tooth formation and include fluorosis, traumatic hypomineralization, and molar incisor hypomineralization. Minimally invasive treatment approaches, such as microabrasion, should be considered for these cases. This article presents a case series of three patients with pre-eruptive enamel defects in esthetically compromised tooth regions which were treated with the microabrasion technique: two fluorosis cases, moderate and advanced, and one hypomineralization case of traumatic etiology. In Cases 1 and 3, there was a significant improvement in esthetics with a total resolution of the enamel defects. However, a slight yellowish coloration may be detected at close observation. In Case 2 (advanced fluorosis), although there was no full resolution of the white spots, there was a clear improvement in esthetics. Microabrasion is a safe and effective, minimally invasive treatment for pre-eruptive enamel lesions. It does not require local anesthesia, it is less destructive than restorative interventions, and allows good esthetic outcomes with no significant postoperative sensitivity. Its efficacy is directly related to the lesions’ severity and depth. Although there are some limitations, further improvement can be achieved with dental bleaching. More invasive treatments might be considered if results are still unsatisfactory.
ISSN: 2076-3417
DOI: 10.3390/app11114732
Rights: openAccess
Appears in Collections:FMUC Med. Dentária - Artigos em Revistas Internacionais
I&D ICBR - Artigos em Revistas Internacionais
FMUC Medicina - Artigos em Revistas Internacionais

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