Aesthetic Management of Enamel Defects with Microabrasion and Bleaching and their Effectiveness

Background : To investigate the effectiveness of the microabrasion and bleaching techniques together on the enamel defects for the improvement of the dental aesthetics. Methods : Thirty four patients who had Enamel defects affecting the maxillary anterior teeth were selected and the defects were classified as line defects and patch defects. The patient's past medical history, any history of fluoride ingestion were elicited. The affected maxillary anterior teeth were treated with microabrasion paste, (Opalustre) followed by bleaching (opalescence). The aesthetic improvements were assessed by the patients and their level of satisfaction and happiness after the treatment were recorded. Results : Happy score was significantly more among Lined pattern when compared to Patched pattern. Statistical test: Chi square test. Conclusion : Microabrasion and bleaching technique together are effective in improving the aesthetics of the patients with both type of defects (line defects and patch defects) and are effective conservative management of enamel discolorations.