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[Micro-abrasion of the enamel: an alternative to the removal of demineralization and superficial decalcification].

Abstract
Tooth discoloration's may cause serious damage to the aesthetic appearance of the patients. These discoloration's can be treated in several ways but up to lately tooth structure had to be removed in an irreversible manner in order to provide sufficient bulk for the new restorative material. Nowadays thanks to the work of T. Croll and others a method has been established in a scientific way whereby tooth discoloration's confined to the outermost layer of enamel can be removed, through the application of an compound called PREMA which will simultaneous erode and abrade the enamel surface. If carefully selected the discoloration can be removed with only a limited loss of tooth structure. The authors describe the historical background of the method. Furthermore patient's selection, specific instruments and materials are described in detail. The clinical procedure is explained step by step, followed by a complete report of the effects of the procedure on the different tooth structures. Finally the long term results are discussed and the possibility to enhance the result by combining this method with home bleaching.
AuthorsM Tudts, B Van Meerbeek, P Lambrechts, G Vanherle
JournalRevue belge de medecine dentaire (Rev Belge Med Dent (1984)) Vol. 51 Issue 1 Pg. 54-71 ( 1996) ISSN: 0775-0293 [Print] Belgium
Vernacular TitleLa microabrasion de l'émail: une alternative à l'élimination des déminéralisations et décalcifications superficielles.
PMID9304123 (Publication Type: English Abstract, Historical Article, Journal Article, Review)
Chemical References
  • Complex Mixtures
  • Dentifrices
  • Prema
Topics
  • Complex Mixtures
  • Dental Enamel (drug effects, ultrastructure)
  • Dental Pulp (drug effects, pathology)
  • Dentifrices (therapeutic use)
  • Enamel Microabrasion (history, instrumentation, methods)
  • History, 20th Century
  • Humans
  • Longitudinal Studies
  • Patient Selection
  • Tooth Bleaching
  • Tooth Demineralization (pathology, therapy)
  • Tooth Discoloration (pathology, therapy)
  • Treatment Outcome

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