Abstract

PURPOSE: To evaluate the clinical efficacy of carbarnide peroxide in-home tooth whitening for removal of stains caused by dental fluorosis. METHODS: One hundred and eight teeth,from 24 patients with diffuse opacities on the enamel surfaces due to effects of dental fluorosis, were assigned into mild, medium and heavy groups, and treated with carbarnide peroxide in-home tooth whitening. Before, immediately after bleaching and one year later, CMYK shade guide was used to record the change of color. Bleaching efficacy and course of treatment were calculated, and lightening stability was evaluated. The sensitivity of teeth was recorded during the treatment by Visual analogue scale (VAS).The results were analyzed with SPSS13.0 software package for X(2) text. RESULTS: (1)Mild group had 100% decoloring efficacy after one course. The decoloring efficacy in medium and heavy groups was 94.29% and 86.21%. There was no significant difference among three groups(P>0.05).(2)There was no significant difference on the treatment efficacy between the time of treatment completion and after one year in all three groups(P>0.05).(3) The tooth sensitivity appeared during the treatment and disappeared in 2 to 3 hours after divorced from medicine. The sensitive rate was 56.52%. CONCLUSION: The bleaching efficacy of carbarnide peroxide in-home tooth whitening on dental fluorosis’s stains is good, safe and can maintain a period of time.

• Related Studies :

  • Complete oral rehabilitation in a case with severe dental fluorosis

    The authors have presented a technique of full occlusal rehabilitation in a case of severe dental fluorosis. In this technique, maxillary and mandibular anterior teeth were simultaneously prepared and restored first. This was followed by simultaneous preparation of maxillary and mandibular posterior teeth that were restored in canine guided occlusion.

  • Impact of aesthetic restorative treatment on anterior teeth with fluorosis among residents of an endemic area in Brazil: intervention study

    BACKGROUND:  Endemic dental fluorosis has already been described in some regions of the world. The aim of this study was to evaluate the functional and psychosocial impact of direct aesthetic restorative treatments in endemic fluorosis patients in the northern state of Minas Gerais, Brazil. Was a quasi-experimental intervention study. METHODS:  The

  • Resin infiltration technique and fluoride varnish on white spot lesions in children: Preliminary findings of a randomized clinical trial.

    AIM: To clinically assess the efficacy of resin infiltration versus fluoride varnish for arresting white spot lesions (WSLs) on permanent teeth in children. Subjects and Methods: Among the children referred to the our University, Faculty of Dentistry, Department of Pediatric Dentistry, 23 aged between 8-14 with 81 anterior WSLs were included

  • A minimally invasive procedure for esthetic achievement: enamel microabrasion of fluorosis stains.

    Esthetic alterations (such as fluorosis) that result from intrinsic dental staining in enamel and dentin can be controlled or softened by noninvasive methods such as dental bleaching or enamel microabrasion. Part of the enamel is removed during microabrasion; however, this wear is clinically insignificant and does not harm the dental

  • Re-establishing esthetics of fluorosis-stained teeth using enamel microabrasion and dental bleaching techniques

    Dental fluorosis manifests itself as white stains on the enamel of teeth exposed to excessive doses of fluoride during their formation. Fluorosis usually occurs as a result of the ingestion of dentifrices, gels and fluoridated solutions. It may be diagnosed as mild, moderate or severe, and in some cases, it

• Related FAN Content :

  • Dental Fluorosis Is a "Hypo-mineralization" of Enamel

    Teeth with fluorosis have an increase in porosity in the subsurface enamel ("hypomineralization"). The increased porosity of enamel found in fluorosis is a result of a fluoride-induced impairment in the clearance of proteins (amelogenins) from the developing teeth. Despite over 50 years of research, the exact mechanism by which fluoride impairs amelogin

  • Severe Dental Fluorosis: Perception and Psychological Impact

    [caption id="attachment_8879" align="aligncenter" width="550"] Severe fluorosis - Photograph by David Kennedy, DDS[/caption] In its severe forms, dental fluorosis causes highly disfiguring brown and black staining of the teeth, which can cause chronic embarrassment and social anxiety for the impacted child. In 1984, a panel from the National Institute of Mental Health (NIMH) warned

  • Dental Fluorosis Impacts Dentin in Addition to Enamel

    Dental fluorosis is a mineralization defect of tooth enamel marked by increased subsurface porosity. The enamel, however, is not the only component of teeth that is effected. As several studies have demonstrated, dental fluorosis can also impair the mineralization of dentin as well. As noted in one review: "The fact that

  • "Mild" Dental Fluorosis: Perceptions & Psychological Impact

    The vast majority of research has found that patients, parents, and the general public alike view mild fluorosis (TF score 3) as a significant blemish of the teeth, one that is likely to embarrass the affected child to a degree that cosmetic treatment would be warranted.

  • Community Fluorosis Index (CFI)

    The current Community Fluorosis Index for U.S. adolescents as a whole (from both fluoridated and non-fluoridated areas) is roughly 5 times higher than the CFI health authorities predicted for fluoridated areas when fluoridation first began. It is also higher than the CFI that the NIDR found in fluoridated areas back in the 1980s. It is readily apparent, therefore, that children are ingesting far more fluoride than was the case in the 1950s, and even as recently as the 1980s.