Revista de Odontologia da UNESP
https://revodontolunesp.com.br/article/doi/10.1590/1807-2577.02021
Revista de Odontologia da UNESP
Original Article

Weight-loss and surface roughness of enamel after microabrasion procedure with different agents

Perda de peso e rugosidade da superfície do esmalte após procedimento de microabrasão com diferentes agentes

Pâmela Lopes Pedro da SILVA; Patricia Pereira MACIEL; Lídia Batista Conrado MARTINS; Fabíola Galbiatti de CARVALHO; Rogério Lacerda dos SANTOS; Eliton Souto de MEDEIROS; Hugo Lemes CARLO

Downloads: 0
Views: 465

Abstract

Abstract: Introduction: Enamel microabrasion is achieved by abrasion of the enamel surface and it is a quick, practical and efficient procedure.

Objective: It was assessed the weight loss and surface aspect of enamel after microabrasion procedures with commercial and mixtures made in-office.

Material and method: Eighty bovine incisors were divided into four groups (n=10): OpalustreTM (6.6% HCl + silicon carbide); Whiteness RMTM (6% HCl + silicon carbide); 37% H3PO4 + pumice and 10% HCl + pumice. Treatment was performed by 15 applications of 10s duration. The enamel weight loss was determined by the difference in weight before and after the microabrasion. The surfaces were analyzed by a surface roughness equipment and scanning electron microscopy. Data were submitted to paired-T test, one-way ANOVA and Tukey tests (α=0.05).

Result: It was observed significantly weight loss for all groups. The difference in weight loss ranged from 0.037±0.012 for group 37% H3PO4 and from 0.054±0.009 for group 6,6% HCl. There was a significant increase in surface roughness for all groups and 10% HCl group showed the lower results (0.65±0.09). It was observed different patterns of enamel morphology by SEM images.

Conclusion: The in-office mixtures resulted in the lowest enamel structure loss (37% H3PO4) and the lowest surface roughness (10% HCl).

Keywords

Enamel miroabrasion, tooth wear, surface roughness, microabrasion agents

Resumo

Resumo: Introdução: A microabrasão do esmalte é realizada através da abrasão da superfície do mesmo, apresentando-se como um procedimento rápido, prático e eficiente.

Objetivo: Avaliar a perda de peso e o aspecto superficial do esmalte após procedimentos de microabrasão com agentes comerciais e não comerciais.

Material e método: Oitenta incisivos bovinos foram divididos em quatro grupos (n = 10): OpalustreTM (6,6% HCl + carboneto de silício); Whiteness RMTM (6% HCl + carboneto de silício); 37% H3PO4 + pedra-pomes e 10% HCl + pedra-pomes. O tratamento foi realizado em 15 aplicações de 10s de duração. A perda de peso do esmalte foi determinada pela diferença de peso antes e depois da microabrasão. As superfícies foram analisadas por equipamento de rugosidade superficial e microscopia eletrônica de varredura. Os dados foram submetidos ao teste T-pareado, ANOVA one-way e teste de Tukey (α = 0,05).

Resultado: Foi observada perda de peso significativa para todos os grupos, a diferença na perda de peso variou de -0,037±0,012 para o grupo 37% H3PO4 a -0.054±0.009 para o grupo 6.6% HCl. Houve um aumento significativo na rugosidade da superfície para todos os grupos e o grupo 10%HCl apresentou os resultados mais baixos (0,65±0,09). Foram observados diferentes padrões de morfologia do esmalte por meio de imagens MEV.

Conclusão: Os agentes não comerciais resultaram na menor perda de estrutura do esmalte (37% H3PO4) e na rugosidade superficial (10% HCl).
 

Palavras-chave

Microabrasão do esmalte, desgaste dentário, rigidez da superfície, agentes de microabrasão

References

1 Croll TP, Cavanaugh RR. Enamel color modification by controlled hydrochloric acid-pumice abrasion. I. technique and examples. Quintessence Int. 1986 Feb;17(2):81-7. PMid:3457401.

2 Schmidlin PR, Göhring TN, Schug J, Lutz F. Histological, morphological, profilometric and optical changes of human tooth enamel after microabrasion. Am J Dent. 2003 Sep;16(Spec No):4A-8A. PMid:14674490.

3 Celik EU, Yıldız G, Yazkan B. Comparison of enamel microabrasion with a combined approach to the esthetic management of fluorosed teeth. Oper Dent. 2013;38(5):E134-43. http://dx.doi.org/10.2341/12-317-C. PMid:23391032.

4 Sinha S, Vorse KK, Noorani H, Kumaraswamy SP, Varma S, Surappaneni H. Microabrasion using 18% hydrochloric acid and 37% phosphoric acid in various degrees of fluorosis - an in vivo comparision. Eur J Esthet Dent. 2013;8(3):454-65. PMid:23957044.

5 Olin PS, Lehner CR, Hilton JA. Enamel surface modification in vitro using hydrochloric acid pumice: an SEM investigation. Quintessence Int. 1988 Oct;19(10):733-6. PMid:2855889.

6 Meireles SS, Andre DA, Leida FL, Bocangel JS, Demarco FF. Surface roughness and enamel loss with two microabrasion techniques. J Contemp Dent Pract. 2009 Jan;10(1):58-65. http://dx.doi.org/10.5005/jcdp-10-1-58. PMid:19142257.

7 Wong FS, Winter GB. Effectiveness of microabrasion technique for improvement of dental aesthetics. Br Dent J. 2002 Aug;193(3):155-8. http://dx.doi.org/10.1038/sj.bdj.4801511. PMid:12213009.

8 Murphy TC, Willmot DR, Rodd HD. Management of postorthodontic demineralized white lesions with microabrasion: a quantitative assessment. Am J Orthod Dentofacial Orthop. 2007 Jan;131(1):27-33. http://dx.doi.org/10.1016/j.ajodo.2005.04.041. PMid:17208103.

9 Tong LS, Pang MK, Mok NY, King NM, Wei SH. The effects of etching, micro-abrasion, and bleaching on surface enamel. J Dent Res. 1993 Jan;72(1):67-71. http://dx.doi.org/10.1177/00220345930720011001. PMid:8418110.

10 Paic M, Sener B, Schug J, Schmidlin PR. Effects of microabrasion on substance loss, surface roughness, and colorimetric changes on enamel in vitro. Quintessence Int. 2008 Jun;39(6):517-22. PMid:19057750.

11 Price RBT, Loney RW, Doyle MG, Moulding MB. An evaluation of a technique to remove stains from teeth using microabrasion. J Am Dent Assoc. 2003 Aug;134(8):1066-71. http://dx.doi.org/10.14219/jada.archive.2003.0320. PMid:12956346.

12 Wang Q, Meng Q, Meng J. Minimally invasive esthetic management of dental fluorosis: a case report. J Int Med Res. 2020 Oct;48(10):300060520967538. http://dx.doi.org/10.1177/0300060520967538. PMid:33121307.

13 Romero MF, Babb CS, Delash J, Brackett WW. Minimally invasive esthetic improvement in a patient with dental fluorosis by using microabrasion and bleaching: a clinical report. J Prosthet Dent. 2018 Sep;120(3):323-6. http://dx.doi.org/10.1016/j.prosdent.2017.12.024. PMid:29724552.

14 Pliska BT, Warner GA, Tantbirojn D, Larson BE. Treatment of white spot lesions with ACP paste and microabrasion. Angle Orthod. 2012 Sep;82(5):765-9. http://dx.doi.org/10.2319/111611-710.1. PMid:22352382.

15 Mathias J, Kavitha S, Mahalaxmi S. A comparison of surface roughness after micro abrasion of enamel with and without using CPP-ACP: an in vitro study. J Conserv Dent. 2009 Jan;12(1):22-5. http://dx.doi.org/10.4103/0972-0707.53337. PMid:20379436.

16 Fragoso LSM, Lima DANL, de Alexandre RS, Bertoldo CES, Aguiar FHB, Lovadino JR. Evaluation of physical properties of enamel after microabrasion, polishing, and storage in artificial saliva. Biomed Mater. 2011 Jun;6(3):035001. http://dx.doi.org/10.1088/1748-6041/6/3/035001. PMid:21487176.

17 Fais LMG, Pinelli LAP, Adabo GL, Silva RHBT, Marcelo CC, Guaglianoni DG. Influence of microwave sterilization on the cutting capacity of carbide burs. J Appl Oral Sci. 2009 Nov-Dec;17(6):584-9. http://dx.doi.org/10.1590/S1678-77572009000600009. PMid:20027431.

18 Pini NIP, Lima DANL, Ambrosano GMB, da Silva WJ, Aguiar FHB, Lovadino JR. Effects of acids used in the microabrasion technique: Microhardness and confocal microscopy analysis. J Clin Exp Dent. 2015 Oct;7(4):e506-12. http://dx.doi.org/10.4317/jced.51416. PMid:26535098.

19 Pini NIP, Lima DANL, Sundfeld RH, Ambrosano GMB, Aguiar FHB, Lovadino JR. Tooth enamel properties and morphology after microabrasion: an in situ study. J Investig Clin Dent. 2017 May;8(2):e12212. http://dx.doi.org/10.1111/jicd.12212. PMid:26997329.

20 Poorni S, Kumar RA, Shankar P, Indira R, Ramachandran S. Effect of 10% sodium ascorbate on the calcium: phosphorus ratio of enamel bleached with 35% hydrogen peroxide: an in vitro quantitative energy-dispersive X-ray analysis. Contemp Clin Dent. 2010 Oct;1(4):223-6. PMid:22114425.

21 Azzahim L, Chala S, Abdallaoui F. Role of enamel microabrasion associated with external bleaching in the management of patients with dental fluorosis. Pan Afr Med J. 2019 Oct;34:72. PMid:31819788.

22 Dalzell DP, Howes RI, Hubler PM. Microabrasion: effect of time, number of applications, and pressure on enamel loss. Pediatr Dent. 1995 May-Jun;17(3):207-11. PMid:7617497.

23 Nevárez-Rascón M, Molina-Frechero N, Edith-Adame, Almeida E, Soto-Barreras U, Gaona E, et al. . Effectiveness of a microabrasion technique using 16% HCL with manual application on fluorotic teeth: A series of studies. World J Clin Cases. 2020 Feb;8(4):743-56. http://dx.doi.org/10.12998/wjcc.v8.i4.743. PMid:32149058.

24 Rodrigues MC, Mondelli RFL, Oliveira GU, Franco EB, Baseggio W, Wang L. Minimal alterations on the enamel surface by micro-abrasion: in vitro roughness and wear assessments. J Appl Oral Sci. 2013 Mar-Apr;21(2):112-7. http://dx.doi.org/10.1590/1678-7757201302117. PMid:23739863.

25 Silverstone LM, Saxton CA, Dogon IL, Fejerskov O. Variation in the pattern of acid etching of human dental enamel examined by scanning electron microscopy. Caries Res. 1975;9(5):373-87. http://dx.doi.org/10.1159/000260179. PMid:1055640.
 


Submitted date:
04/05/2021

Accepted date:
09/01/2021

6171c5aca953955f9c2f6503 rou Articles
Links & Downloads

Rev. odontol. UNESP

Share this page
Page Sections