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      Conservative reconstruction of the smile by orthodontic, bleaching, and restorative procedures

      case-report

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          Abstract

          The following is a clinical case report of a patient whose chief complaint was the presence of generalized spacing in the maxillary anterior segment following orthodontic treatment. After meticulous clinical analyses and discussions of the clinical procedures to be adopted, dental bleaching was performed in both arches with 10% hydrogen peroxide (Opalescence Trèswhite Supreme 10% Hydrogen Peroxide - Ultradent Products, Inc., South Jordan, USA) after the conclusion and stabilization of orthodontic treatment. Then, the orthodontic appliance was removed and the diastemas in the maxillary anterior teeth were closed with Amelogen Plus (Ultradent Products, Inc., South Jordan, USA) resin composite. It was observed that the association of orthodontic, bleaching, and restorative procedures was capable of restoring dental shape, function, and esthetics, allowing the patient to smile without hesitation.

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          Most cited references14

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          Dental esthetics and the golden proportion.

          A system of esthetic predictions is described that has been used since antiquity. The naturalness of the system is emphasized by showing examples from nature and how artists and designers use it. The application of this system to dental esthetics is facilitated by the description and inclusion of a dental grid for the anterior esthetic segment.
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            Considerations about enamel microabrasion after 18 years.

            To review of the current status of enamel microabrasion method and its results 18 years after the development and application of this method. A technique performing enamel microabrasion with hydrochloric acid mixed with pumice and other techniques employing a commercially available compound of hydrochloric acid and fine-grit silicon carbide particles in a water-soluble paste have been described. Much has been learned about the application of this esthetic technique, long-term treatment results and microscopic changes to the enamel surface that has significant clinical implications. The latest treatment protocol is presented and photographic case histories document the treatment results. Clinical observations made over 18 years are discussed. According to our findings, the dental enamel microabrasion technique is a highly satisfactory, safe and effective procedure.
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              Enamel microabrasion followed by dental bleaching for patients after orthodontic treatment--case reports.

              This article reports clinical procedures used to remove residual bonded resin and enamel stains following bracket "debonding" at the conclusion of orthodontic treatment. A water-cooled fine-tapered diamond bur was used for resin removal, followed by enamel surface finishing using a commercially available microabrasion paste. It was noted that residual tooth coloration remained yellowish because of enamel translucency; the yellow dentin shade showed through. Additional tooth shade lightening was achieved using carbamide peroxide dental bleaching solution in custom-formed trays. This report describes a safe and effective technique that optimizes tooth appearance at the conclusion of orthodontic therapy. Mechanical resin removal, enamel microabrasion, and tooth bleaching are employed. A combination of treatment methods are sometimes required for the best esthetic result. After orthodontic treatment, mechanical resin removal followed successively by enamel microabrasion and tooth bleaching can yield ideal long-lasting improvement.
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                Author and article information

                Journal
                Eur J Dent
                Eur J Dent
                European Journal of Dentistry
                Dental Investigations Society
                1305-7456
                1305-7464
                January 2012
                : 6
                : 1
                : 105-109
                Affiliations
                [1 ] Discipline of Restorative Dentistry, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil
                [2 ] Department of Pediatric and Community Dentistry, Araçatuba Dental School, São Paulo State University, Araçatuba, Brazil
                [3 ] Orthodontic Trainee at the Araçatuba School of Dentistry, São Paulo State University, Araçatuba, Brazil
                [4 ] Discipline of Dental Materials, Piracicaba Dental School–Campinas University, Piracicaba, Brazil
                Author notes
                Corresponding author: Dr. Renato Herman Sundfeld, Faculdade de Odontologia de Araçatuba – Departamento de Odontologia Restauradora – UNESP Rua José Bonifácio 1193, CEP - 16015-050, Araçatuba - São Paulo - Brazil, E-mail: sundfeld@ 123456foa.unesp.br
                Article
                dent06_p0105
                10.1055/s-0039-1698938
                3252801
                22229015
                a565a297-d261-4623-a493-87e7516fe724
                Copyright 2012 European Journal of Dentistry. All rights reserved.
                History
                Categories
                Case Reports

                Dentistry
                dental bleaching,diastema,composite resin,orthodontics
                Dentistry
                dental bleaching, diastema, composite resin, orthodontics

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