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Microabrasão e branqueamento externo em casos de fluorose dentária
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Advisor(s)
Abstract(s)
Introdução: As cavidades e manchas no esmalte dentário, provocadas pelo consumo excessivo de flúor, favorecem uma baixa autoestima uma vez que a sua aparência não é estética, podendo afetar a qualidade de vida. Para diminuir a fluorose, existem vários tratamentos exequíveis que variam entre as opções mais conservadoras (branqueamento dentário, microabrasão e resina infiltrada) e menos conservadoras (restaurações diretas e indiretas, tais como facetas ou coroas). A escolha do tratamento depende sempre do caso e do grau de severidade da fluorose que o doente manifesta.
Objetivos: Com a presente revisão, pretendemos avaliar o sucesso da microabrasão e do branqueamento externo como tratamentos isolados e combinados, nos casos de fluorose dentária.Materiais e Métodos: A literatura foi pesquisada de Janeiro de 2010 a Agosto de 2020, para identificação e seleção de artigos sobre métodos de tratamento e terapêutica da fluorose dentária, mais direcionados para a microabrasão e o branqueamento externo. As bases de dados digitais utilizadas foram o PubMed e o Google Scholar. Os filtros foram definidos para seleção dos seguintes tipos de estudos: ensaio clínico randomizado, ensaio clínico não randomizado, estudos de caso e acesso gratuito ao artigo completo. Para a procura dos artigos, foram empregues as seguintes palavras-chave: fluorose dentária, tratamento da fluorose dentária, sucesso do tratamento da fluorose dentária, microabrasão e branqueamento externo no tratamento da fluorose dentária, sucesso da microabrasão e do branqueamento externo no tratamento da fluorose dentária
Resultados: Os resultados desta revisão sistemática, baseiam-se nas taxas de sucesso relativas à microabrasão, ao branqueamento externo e à combinação de ambos para o tratamento da fluorose, numa amostra que varia de uma a setenta pessoas, com vários níveis de fluorose, avaliadas por diferentes índices. O risco de viés é baixo e a incerteza varia entre 0.845 e 0.983.Conclusão: Os tratamentos de microabrasão e branqueamento externo, são eficazes no tratamento da fluorose dentária tanto separados, como em conjunto. Concluímos que são necessários mais estudos com menos incerteza associada aos resultados e com maior follow up.
Introduction: In order to reduce the descoloration of fluorotic teeth, there are several viable treatments that diverge between the more conservative choices (tooth whitening, microabrasion and infiltrated resin) and less conservative (direct and indirect restorations, such as veneers or crowns), taking into consideration that the choice of treatment always depends on the clinic case and the harshness of fluorosis the patient has. Objetives: With this review, we intend to evaluate the success of microabrasion and external whitening as isolated and combined treatments, in cases of dental fluorosis. Materials and Methods: The literature was searched from January 2010 up until August 2020, for articles on approaches of treatment and therapy for dental fluorosis, more directed to microabrasion and external bleaching. The databases used were PubMed and Google Scholar. The filters were altered to randomized clinical trial, human trial, clinical trial and free full text. To search for articles, the following keys were used: dental fluorosis, dental fluorosis treatment, dental fluorosis treatment success, microabrasion and external bleaching success in the treatment of dental fluorosis. Results: The results of this systematic review are based on success rates for microabrasion, external bleaching and the combination of both, for the treatment of fluorosis in a sample ranging from one to seventy people, with various levels of fluorosis, assessed by different indexes. The risk of bias is low and the uncertainty varies between 0.845 and 0.983. Conclusão: Microabrasion and external whitening treatments are effective in treating dental fluorosis both separately and together. In conclusion more studies are needed with less uncertainty associated with the results and with greater follow up.
Introduction: In order to reduce the descoloration of fluorotic teeth, there are several viable treatments that diverge between the more conservative choices (tooth whitening, microabrasion and infiltrated resin) and less conservative (direct and indirect restorations, such as veneers or crowns), taking into consideration that the choice of treatment always depends on the clinic case and the harshness of fluorosis the patient has. Objetives: With this review, we intend to evaluate the success of microabrasion and external whitening as isolated and combined treatments, in cases of dental fluorosis. Materials and Methods: The literature was searched from January 2010 up until August 2020, for articles on approaches of treatment and therapy for dental fluorosis, more directed to microabrasion and external bleaching. The databases used were PubMed and Google Scholar. The filters were altered to randomized clinical trial, human trial, clinical trial and free full text. To search for articles, the following keys were used: dental fluorosis, dental fluorosis treatment, dental fluorosis treatment success, microabrasion and external bleaching success in the treatment of dental fluorosis. Results: The results of this systematic review are based on success rates for microabrasion, external bleaching and the combination of both, for the treatment of fluorosis in a sample ranging from one to seventy people, with various levels of fluorosis, assessed by different indexes. The risk of bias is low and the uncertainty varies between 0.845 and 0.983. Conclusão: Microabrasion and external whitening treatments are effective in treating dental fluorosis both separately and together. In conclusion more studies are needed with less uncertainty associated with the results and with greater follow up.
Description
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Keywords
Flúor Esmalte Fluorose dentária Branqueamento externo Microabrasão