Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
권호 표지
DOI QR코드

DOI QR Code

Application of quantitative light-induced fluorescence to determine the depth of demineralization of dental fluorosis in enamel microabrasion: a case report

  • Park, Tae-Young (Department of Conservative Dentistry, Chosun University School of Dentistry) ;
  • Choi, Han-Sol (Department of Conservative Dentistry, Chosun University School of Dentistry) ;
  • Ku, Hee-Won (Department of Conservative Dentistry, Chosun University School of Dentistry) ;
  • Kim, Hyun-Su (Department of Conservative Dentistry, Chosun University School of Dentistry) ;
  • Lee, Yoo-Jin (Department of Conservative Dentistry, Chosun University School of Dentistry) ;
  • Min, Jeong-Bum (Department of Conservative Dentistry, Chosun University School of Dentistry)
  • Received : 2015.06.22
  • Accepted : 2016.03.23
  • Published : 2016.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Enamel microabrasion has become accepted as a conservative, nonrestorative method of removing intrinsic and superficial dysmineralization defects from dental fluorosis, restoring esthetics with minimal loss of enamel. However, it can be difficult to determine if restoration is necessary in dental fluorosis, because the lesion depth is often not easily recognized. This case report presents a method for analysis of enamel hypoplasia that uses quantitative light-induced fluorescence (QLF) followed by a combination of enamel microabrasion with carbamide peroxide home bleaching. We describe the utility of QLF when selecting a conservative treatment plan and confirming treatment efficacy. In this case, the treatment plan was based on QLF analysis, and the selected combination treatment of microabrasion and bleaching had good results.

Keywords

References

  1. Castro KS, Ferreira AC, Duarte RM, Sampaio FC, Meireles SS. Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: a randomized clinical trial. J Dent 2014;42:938-944. https://doi.org/10.1016/j.jdent.2014.01.011
  2. Son JH, Hur B, Kim HC, Park JK. Management of white spots: resin infiltration technique and microabrasion. J Korean Acad Conserv Dent 2011;36:66-71. https://doi.org/10.5395/JKACD.2011.36.1.66
  3. Kim JH, Son HH, Chang J. Color and hardness changes in artificial white spot lesions after resin infiltration. Restor Dent Endod 2012;37:90-95. https://doi.org/10.5395/rde.2012.37.2.90
  4. Kim HJ, Karanxha L, Park SJ. Non-destructive management of white spot lesions by using tooth jewelry. Restor Dent Endod 2012;37:236-239. https://doi.org/10.5395/rde.2012.37.4.236
  5. Pretty IA, Edgar WM, Higham SM. The effect of ambient light on QLF analyses. J Oral Rehabil 2002;29:369-373. https://doi.org/10.1046/j.1365-2842.2002.00914.x
  6. Pretty IA, Hall AF, Smith PW, Edgar WM, Higham SM. The intra- and inter-examiner reliability of quantitative light-induced fluorescence (QLF) analyses. Br Dent J 2002;193:105-109. https://doi.org/10.1038/sj.bdj.4801496
  7. Kim HE, Kwon HK, Kim BI. Recovery percentage of remineralization according to severity of early caries. Am J Dent 2013;26:132-136.
  8. Nakata K, Nikaido T, Ikeda M, Foxton RM, Tagami J. Relationship between fluorescence loss of QLF and depth of demineralization in an enamel erosion model. Dent Mater J 2009;28:523-529. https://doi.org/10.4012/dmj.28.523
  9. Wu J, Donly ZR, Donly KJ, Hackmyer S. Demineralization depth using QLF and a novel image processing software. Int J Dent 2010;2010:958264.
  10. Murphy TC, Willmot DR, Rodd HD. Management of postorthodontic demineralized white lesions with microabrasion: a quantitative assessment. Am J Orthod Dentofacial Orthop 2007;131:27-33. https://doi.org/10.1016/j.ajodo.2005.04.041
  11. Paris S, Meyer-Lueckel H. Masking of labial enamel white spot lesions by resin infiltration-a clinical report. Quintessence Int 2009;40:713-718.
  12. Kendell RL. Hydrochloric acid removal of brown fluorosis stains: clinical and scanning electron micrographic observations. Quintessence Int 1989;20:837-839.
  13. Jacobsson-Hunt U, Harrison MR. The effect of hydrochloric acid pumice abrasion on fluorosed teeth. J Dent Res 1989;68(Supplement 2):Abstract #924, p982.
  14. Welbury RR, Shaw L. A simple technique for removal of mottling, opacities and pigmentation from enamel. Dent Update 1990;17:161-163.
  15. Bussadori SK, do Rego MA, da Silva PE, Pinto MM, Pinto AC. Esthetic alternative for fluorosis blemishes with the usage of a dual bleaching system based on hydrogen peroxide at 35%. J Clin Pediatr Dent 2004;28:143-146.
  16. Knosel M, Attin R, Becker K, Attin T. External bleaching effect on the color and luminosity of inactive whitespot lesions after fixed orthodontic appliances. Angle Orthod 2007;77:646-652. https://doi.org/10.2319/060106-224

Cited by

  1. Methodological considerations for designing a community water fluoridation cessation study vol.45, pp.3, 2017, https://doi.org/10.1111/cdoe.12289
  2. Clinical validation and assessment of a modular fluorescent imaging system and algorithm for rapid detection and quantification of dental plaque vol.17, pp.1, 2017, https://doi.org/10.1186/s12903-017-0472-4
  3. Resolution of a fluorosis case through the association of minimally invasive techniques vol.18, pp.None, 2019, https://doi.org/10.20396/bjos.v18i0.8657330