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Case Reports
. 2017 Dec 29:2017:bcr2017221442.
doi: 10.1136/bcr-2017-221442.

Different applicabilities of the etch-bleach-seal technique for treating opacities on permanent incisor damage by molar incisor hypomineralisation in three young patients

Tony Prud'homme  1   2 , Isabelle Hyon  2 , Sylvie Dajean Trutaud  1   2 , Serena Lopez Cazaux  1   2
Affiliations
Case Reports

Different applicabilities of the etch-bleach-seal technique for treating opacities on permanent incisor damage by molar incisor hypomineralisation in three young patients

Tony Prud'homme et al. BMJ Case Rep. .

Abstract

Enamel opacity on anterior teeth can be prejudicial for the aesthetic appearance of affected patients. Patients with molar incisor hypomineralisation, for example, present opacities that can range from discrete white mottling to extensive yellow-brown discolourations. They can request a treatment to improve their aesthetic conditions. Many techniques have been considered to manage this condition. Wright developed a technique called etch-bleach-seal, which showed promising results for the management of anterior enamel opacities. The aims of this report are to present this technique and to analyse its benefits and inconveniences.

Keywords: dentistry and oral medicine; mouth; paediatrics.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Patient 1: initial clinical situation before treatment (A,B: the central area defects are brown).
Figure 2
Figure 2
Patient 1: initial clinical situation before treatment (A,B: the central area defects are brown).
Figure 3
Figure 3
Patient 3: initial clinical situation before treatment (A: the defect is yellow, with clearly defined limits).
Figure 4
Figure 4
Patient 1: clinical situation after the etch–bleach–seal technique (C,D: note the colour change of the central area defect: brown to yellow-white).
Figure 5
Figure 5
Patient 2: clinical situation after microabrasion and the etch–bleach–seal technique (Note the colour change of the central area defect; D: yellow-brown to yellow-white, and E,F: yellow to yellow-white).
Figure 6
Figure 6
Patient 3: clinical situation after microabrasion and the etch–bleach–seal technique (B: The defect is white, with clearly defined limits; note the colour contrast between the defect and the adjacent tissue).
Figure 7
Figure 7
Patient 3: clinical situation after microabrasion, the etch–bleach step and the Icon infiltration protocol (C: The defect had undefined limits at the bottom; note the absence of colour contrast between the defect and the adjacent tissue).
See this image and copyright information in PMC

References

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