Association of in-office and supervisoned in-office bleaching protocols in Molar Incisor Hypomineralization: A Case Report

Author Info

AGUIAR Fl?vio Henrique Baggio LIMA D?bora Alves Nunes Leite DOS SANTOS Tain? Queiroz LIMA Joyce Figueiredo Macedo de de MARTINS Muriel Rodrigues de Souza SOBRAL-SOUZA Danielle Ferreira Ferreira

Corresponding Author

LIMA D?bora Alves Nunes Leite
Associate Professor, Department of Restorative Dentistry, Piracicaba Dental School, University of Campinas, Piracicaba, São Paulo, Brazil

A B S T R A C T

Molar incisor hypomineralization (MIH) is defined as a qualitative enamel defect of systemic origin. It is frequently associated with many dental problems which requires a complex treatment, especially when anterior teeth are involved. Currently, dental bleaching is one of the treatments of option to improve the aesthetic conditions for mild/moderate cases, but it can cause side effects on enamel such as mineral lost. To overcome this situation, many remineralizing agents have been incorporated to the formulation of the bleaching gels. The paper presents a case report of a young woman with white opacities on incisors treated with a combined use of two in-office bleaching protocols with gels containing fluoride and potassium nitrate in their composition (Opalescence® Boost 40% and Opalescence® Quick PF 45% - Ultradent) to minimize the enamel side-effects and to correct the aesthetic defect. To further protect the hypomineralized area, it was proposed to apply a layer of an etch-and-rinse adhesive system (Adper ™ Single Bond 2 – 3M) prior all dental bleaching session. The protocol used in this treatment has shown to be effective to improve aesthetics, according to the patient expectation.

Article Info

Article Type

Case Report

Publication history

Received: Sat 05, May 2018
Accepted: Fri 18, May 2018
Published: Tue 12, Jun 2018

Copyright

© 2023 LIMA D?bora Alves Nunes Leite. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.DOCR.2018.02.001