Severe enamel abrasion due to misuse of an air polishing device

  Objectives:  In this case report, a 28‐year‐old male patient who severely injured the enamel tissue of his upper incisors due to excessive self‐performed air polishing has been presented. Air polishing devices are frequently used in initial or supportive periodontal therapy to remove supragingival plaque and dental stains. Enamel tissue is minimally affected by air polishing when appropriately performed by a professional. However, excessive air polishing may have detrimental effects even on the intact enamel. The aim of this case report is to present a patient who severely injured the enamel surfaces of his upper incisors due to excessive self‐performed air polishing. Methods:  A case of severe enamel abrasions in a 28‐year‐old male patient who injured the enamel surfaces of his upper incisors following several self‐performed air polishing sessions has been presented. Results:  Severely abraded enamel surfaces of the upper incisors were present and during the course of therapy restored by composite restorations to establish a satisfactory clinical appearance. Conclusions:  In clinical practice, air polishing can be performed rather safely on intact enamel and is a beneficial procedure in initial and supportive periodontal therapy when performed by a professional under recommended operating conditions. However, review of the literature reveals that air polishing may be harmful on tooth and surrounding structures unless carried out cautiously. Furthermore, excessive use of air polishing devices, especially by unauthorized personnel may be damaging and lead to severe abrasion of enamel tissue.