Clinical Management of the White Spot Lesions After Vital Tooth Bleaching: A Case Report
Makaleler > Tam Makale · 2023
Yazarlar: Dilek AKIN, Çiğdem ATALAYIN ÖZKAYA, Frederic Meyer, Joachim Enax
Journal of Ege University School of Dentistry, Uluslararası, 2023, cilt 44, ss 265-269
Özet
Tooth-bleaching agents may lead to alterations on enamel surface.These changes require clinical treatment when they become visible and not limited with ultastructural alterations.The aim of this case report is to present how white spot lesions, one of the potential side effects that can be encountered after tooth-bleaching, were treated by the combination of different remineralization agents.In a 28-year-old female patient, demineralized areas on the enamel surface were detected on the fourth day after office bleaching with 40% hydrogen peroxide (Opalescence Boost PF).The patient reported no post-operative hypersensitivity.Topical fluoride gel (1.23% APF-Imicryl) and fluoride varnish (5% NaF-Clinpro 3M ESPE) were applied respectively by one week interval.The lesions were less noticeable but they still exist at the follow-up one week later after the application.A toothpaste containing hydroxyapatite with flouride free formulation-Karex was administired for daily oral care.One week later, it was observed that all demineralized areas were completely remineralized and the tooth color was determined as A1 with Vita color guide.The combined and gradually use of different remineralization agents in the treatment of white spot lesions after vital tooth-bleaching may be a clinically effective strategy.