Enamel Microabrasion: Step-by-Step Technique

Ideal for removing superficial white and brown decalcification stains due to enamel mottling from fluorosis, Opalustre 6.6% hydrochloric acid slurry contains silicon carbide microparticles. This combination provides chemical stain removal along with gentle mechanical abrasion. Opalustre, along with OpalCups, can be used to quickly remove unsightly enamel decalcification defects that are less than 0.2mm in depth.

Before and After Microabrasion Treatment with Opalustre

Step-by-Step Procedure:

  1. Determine and record the baseline of the patient. It’s best to take some pictures as well to help document the progress for the clinician and the patient.
  2. It is very important to properly protect the soft tissues, using a rubber dam, and possibly use a rubber dam as well as a light-cured resin barrier at the gingival margin if desired. 
  3. Starting with 2 to 3 teeth at a time, we recommend applying a 1mm thick layer of Opalustre over the discolored area and using a rubber prophy cup. Apply medium to heavy pressure at approximately 500 RPM for 60 seconds at a time. 
  1. Once complete, suction the paste from the teeth. Rinse.
    • TIP – If the product starts to thin out, you can add some more Opalustre during the procedure which will keep the tooth moist and avoid overheating.
  1. Once you have suctioned and rinsed, evaluate results and repeat as necessary.
    • Note – For patients that have hypo-mineralization greater than 0.1-0.3mm, use a fine-grit water-cooled tapered diamond bur and lightly sweep over the stained area for 5-10 seconds prior to applying the Opalustre.
  2. Evaluate and record the final shade using a shade guide and pictures. If additional treatment is desired, recommend the whitening regimen of your choice, such as Opalescence PF or Opalescence Go.
    • Opalescence Boost can be applied, per doctor recommendation and patient comfort. 

There will be some patients with areas of deep hypo-mineralization and staining that may require a prolonged overnight whitening regimen, or in rare cases, may not respond to treatment and may require aesthetic bonded restorations. If this is the case, we recommend waiting a minimum of two weeks after all whitening before placing aesthetic restorations to ensure appropriate bond strengths and color stability.

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