Minimum invasive aesthetic solution: use of professional whitening in dental office to soften molar-incisive hypomineralization
DOI:
https://doi.org/10.21270/archi.v10i9.5265Keywords:
Tooth Desmineralization, Tooth Bleaching Agents, Tooth Bleaching; Permanent dental restoration; Hydrogen peroxideAbstract
Objective: To report the case of a patient with molar-incisor hypomineralization (MIH) on the incisors treated with dental professional whitening using the artifice of protecting the hypomineralized lesion to avoid painful symptoms and mask the lesions.Case Report: A 22-year-old patient, in good general health, sought dental care with a major complaint related to esthetics in the anterior region. On clinical examination, MIH was observed, with mild severity. In the upper and lower incisors, there were white/creamy demarcated opacities in the incisal third of the vestibular surfaces without posteruptive enamel breakdown. In molars, there were satisfactory atypical restorations in composite resin. The patient reported no sensitivity. To mask the hypomineralized regions, it was proposed the use of dental bleaching in the office with 35% carbamide peroxide. As an adjunct strategy, a photopolymerizable gingival barrier was used to block the contact of the bleaching agent with the hypomineralized regions. This strategy aimed to avoid painful sensibility and reduce the contrast between enamel defects and healthy enamel. There was no sensitivity during the procedure. At the end of the treatment, the tooth was observed with a uniform chroma, a noticeable improvement in aesthetics and patient satisfaction. Conclusion: Dental professional whitening with coverage of MIH defects proved to be a suitable option to mask hypomineralized regions.
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