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Megabrasion: a conservative strategy for the anterior dentition.

Continuous developments in adhesive restorative techniques, tooth whitening procedures, and restorative materials have significantly broadened the initially defined spectrum of indications for composite restorations. These developments have thereby contributed to the achievement of one of the major objectives of conservative restorative dentistry--the maximum preservation of sound tooth structure. In order to optimize the application of modern composite resin technology, mastering the basic principles of natural aesthetics is an essential prerequisite. The learning objective of this article is to discuss the etiology of enamel discoloration and conservative treatment strategies, including microabrasion and masking procedures. Emphasis is placed on a simple procedure--the megabrasion technique--which does not depend extensively on the artistic skills of the operator. It represents a useful and predictable approach for the elimination of white opaque stains on the enamel and yellow-brown enamel discolorations.

Dental Veneers↗

The aesthetic and endodontic dilemmas of calcific metamorphosis.

Traumatic injuries to dentition can initiate either a resorptive or calcific pulpal response. In the sequelae of calcific degeneration, the clinical crown frequently becomes discolored, requiring an aesthetic correction to restore the tooth to its natural color. Four potential solutions are currently available to achieve this goal. The learning objective of this article is to describe the etiology of calcific metamorphosis, discuss the four potential solutions, and present the responses of endodontists polled as to the treatment indications. While the posterior dentition may experience the identical pathologic response to trauma and crown discoloration, this article focuses on the restoration of the anterior dentition. Several cases are presented to illustrate the four treatment modalities, and recommendations for follow-up of traumatic injuries are indicated.

Bicuspid↗

Combining chemical agents and techniques to remove intrinsic stains from vital teeth.

Hydrochloric acid, hydrogen peroxide, and carbamide peroxide are chemical agents currently used to remove a variety of intrinsic stains from vital teeth. Because none of these agents is effective in treating all tooth discolorations, approaches that use combinations of the agents can be helpful in extending the range of their effectiveness. Selection of the appropriate chemical stain removing agent is discussed and situations in which a combination of agents and techniques have proved to be more successful than a single agent approach are described.

Humans↗

Laser tooth whitening.

Cosmetic and adhesive dentistry has not only increased patients' self-esteem and confidence, it has increased their awareness of the value of healthy teeth and gums. White teeth have always been a high priority with patients. Creating and maintaining white teeth, however, has not always been easily achieved. The recent development of laser-assisted tooth whitening procedures makes it easier, faster, non-invasive, and affordable for patients to have whiter teeth.

Attitude to Health↗