Minimum invasive aesthetic solution: use of professional whitening in dental office to soften molar-incisive hypomineralization

Authors

  • Raissa Freitas Pinheiro Departamento de Odontologia, Instituto Nacional de Ensino Superior e Pós-Graduação Padre Gervásio, INAPÓS 37550-000, Pouso Alegre, MG, Brasil
  • Mariana de Oliveira Gonçalves Departamento de Odontologia, Instituto Nacional de Ensino Superior e Pós-Graduação Padre Gervásio, INAPÓS, 37550-000, Pouso Alegre, MG, Brasil
  • Emerson Tavares de Sousa Departamento de Odontologia, Instituto Nacional de Ensino Superior e Pós-Graduação Padre Gervásio, INAPÓS, 37550-000 Pouso Alegre - MG, Brasil; Departamento de Ciências da Saúde e Clínica Infantil, Faculdade de Odontologia de Piracicaba, Universidade de Campinas, UNICAMP, 13414-903 Piracicaba, SP, Brasil https://orcid.org/0000-0002-5368-8721
  • Isabela Ribeiro Madalena Departamento de Odontologia, Instituto Nacional de Ensino Superior e Pós-Graduação Padre Gervásio, INAPÓS, 37550-000, Pouso Alegre - MG, Brasil; Departamento de Clínica Infantil, Faculdade de Odontologia de Ribeirão Preto, Universidade de São Paulo, FORP/USP, 14040-904, Ribeirão Preto, SP, Brasil https://orcid.org/0000-0002-4486-1318

DOI:

https://doi.org/10.21270/archi.v10i9.5265

Keywords:

Tooth Desmineralization, Tooth Bleaching Agents, Tooth Bleaching; Permanent dental restoration; Hydrogen peroxide

Abstract

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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Published

2021-07-18

How to Cite

Pinheiro, R. F., Gonçalves, M. de O., Sousa, E. T. de, & Madalena, I. R. (2021). Minimum invasive aesthetic solution: use of professional whitening in dental office to soften molar-incisive hypomineralization. ARCHIVES OF HEALTH INVESTIGATION, 10(9), 1473–1477. https://doi.org/10.21270/archi.v10i9.5265

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Original Articles