Enamel Microabrasion
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Enamel Microabrasion
Enamel microabrasion is a procedure in cosmetic dentistry used to improve the appearance of the teeth. Like tooth whitening it is used to remove discolorations of the tooth surface but microabrasion is both a mechanical and chemical procedure. History In the past, teeth with stains or other color changes were made to look better through the use of restorative materials, such as dental porcelain. These materials would create a thin veneer over the outer surface of the tooth. Although veneers looked better, these materials did not match the structure or characteristics of the tooth enamel and replacement was frequently needed. As far back as 1916, some researchers were advocating instead removing a thin layer of the outermost enamel to expose the (presumably) undamaged layer underneath. The first practical application of enamel microabrasion was developed by Theodore Croll and Richard Cavanaugh in 1986, who used a combination of weak hydrochloric acid and pumice to remove a few t ...
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Cosmetic Dentistry
Cosmetic dentistry is generally used to refer to any dental work that improves the appearance (though not necessarily the functionality) of teeth, gums and/or bite. It primarily focuses on improvement in dental aesthetics in color, position, shape, size, alignment and overall smile appearance. Many dentists refer to themselves as "cosmetic dentists" regardless of their specific education, specialty, training, and experience in this field. This has been considered unethical with a predominant objective of marketing to patients. The American Dental Association does not recognize cosmetic dentistry as a formal specialty area of dentistry. However, there are still dentists that promote themselves as cosmetic dentists. Fields There are primarily two dental specialties that predominantly focus on dental aesthetics. They are: # Prosthodontics and # Orthodontics Common cosmetic dentistry options Types Cosmetic dentistry may involve: # the addition of a dental material to teeth or gums – ...
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Tooth Whitening
Tooth whitening or tooth bleaching is the process of lightening the color of human teeth. Whitening is often desirable when teeth become yellowed over time for a number of reasons, and can be achieved by changing the intrinsic or extrinsic color of the tooth enamel. The chemical degradation of the chromogens within or on the tooth is termed as bleaching. Hydrogen peroxide () is the active ingredient most commonly used in whitening products and is delivered as either hydrogen peroxide or carbamide peroxide. Hydrogen peroxide is analogous to carbamide peroxide as it is released when the stable complex is in contact with water. When it diffuses into the tooth, hydrogen peroxide acts as an oxidising agent that breaks down to produce unstable free radicals. In the spaces between the inorganic salts in tooth enamel, these unstable free radicals attach to organic pigment molecules resulting in small, less heavily pigmented components. Reflecting less light, these smaller molecules creat ...
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Tooth Discoloration
Tooth discoloration is abnormal tooth color, hue or translucency. External discoloration is accumulation of stains on the tooth surface. Internal discoloration is due to absorption of pigment particles into tooth structure. Sometimes there are several different co-existent factors responsible for discoloration. Normal tooth shade The appearance and perception of a tooth is the result of a complex interaction of factors such as lighting conditions, translucency, opacity, light scattering, gloss and the human eye and brain. Of these, the intrinsic pigmentation of a tooth is the most influential, which in turn is determined by genetic and natural factors. Light hitting a tooth undergoes reflection, absorption and transmission by varying degrees in each tissue layer of the tooth substance. Reflected light detected by the human eye determines the perceived appearance of a tooth. Teeth have a thin enamel layer on the outer surface. The enamel layer is whiter and semitransparent, a ...
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Dental Porcelain
Dental porcelain (also known as dental ceramic) is a dental material used by dental technicians to create biocompatible lifelike dental restorations, such as crowns, bridges, and veneers. Evidence suggests they are an effective material as they are biocompatible, aesthetic, insoluble and have a hardness of 7 on the Mohs scale. For certain dental prostheses, such as three-unit molars porcelain fused to metal or in complete porcelain group, zirconia-based restorations are recommended. The word "ceramic" is derived from the Greek word ''keramos'', meaning "potter's clay". It came from the ancient art of fabricating pottery where mostly clay was fired to form a hard, brittle object; a more modern definition is a material that contains metallic and non-metallic elements (usually oxygen). These materials can be defined by their inherent properties including their hard, stiff, and brittle nature due to the structure of their inter-atomic bonding, which is both ionic and covalent. In c ...
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Veneer (dentistry)
In dentistry, a veneer is a layer of material placed over a tooth. Veneers can improve the aesthetics of a smile and protect the tooth's surface from damage. There are two main types of material used to fabricate a veneer: composite and dental porcelain. A composite veneer may be directly placed (built-up in the mouth), or indirectly fabricated by a dental technician in a dental lab, and later bonded to the tooth, typically using a resin cement. They are typically used for treatment of adolescent patients who will require a more permanent design once they are fully grown. The lifespan of a composite veneer is approximately four years. In contrast, a porcelain veneer may only be indirectly fabricated. A full veneer crown is described as "a restoration that covers all the coronal tooth surfaces (mesial, distal, facial, lingual and occlusal)". Laminate veneer, on the other hand, is a thin layer that covers only the surface of the tooth and is generally used for aesthetic purposes. Th ...
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Tooth Enamel
Tooth enamel is one of the four major Tissue (biology), tissues that make up the tooth in humans and many other animals, including some species of fish. It makes up the normally visible part of the tooth, covering the Crown (tooth), crown. The other major tissues are dentin, cementum, and Pulp (tooth), dental pulp. It is a very hard, white to off-white, highly mineralised substance that acts as a barrier to protect the tooth but can become susceptible to degradation, especially by acids from food and drink. Calcium hardens the tooth enamel. In rare circumstances enamel fails to form, leaving the underlying dentin exposed on the surface. Features Enamel is the hardest substance in the human body and contains the highest percentage of minerals (at 96%),Ross ''et al.'', p. 485 with water and organic material composing the rest.Ten Cate's Oral Histology, Nancy, Elsevier, pp. 70–94 The primary mineral is hydroxyapatite, which is a crystalline calcium phosphate. Enamel is formed o ...
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Hydrochloric Acid
Hydrochloric acid, also known as muriatic acid, is an aqueous solution of hydrogen chloride. It is a colorless solution with a distinctive pungent smell. It is classified as a strong acid Acid strength is the tendency of an acid, symbolised by the chemical formula HA, to dissociate into a proton, H+, and an anion, A-. The dissociation of a strong acid in solution is effectively complete, except in its most concentrated solutions .... It is a component of the gastric acid in the digestive systems of most animal species, including humans. Hydrochloric acid is an important laboratory reagent and industrial chemical. History In the early tenth century, the Persian physician and alchemist Abu Bakr al-Razi ( 865–925, Latin: Rhazes) conducted experiments with sal ammoniac (ammonium chloride) and vitriol (hydrated sulfates of various metals), which he distilled together, thus producing the gas hydrogen chloride. In doing so, al-Razi may have stumbled upon a primitive method ...
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Pumice
Pumice (), called pumicite in its powdered or dust form, is a volcanic rock that consists of highly vesicular rough-textured volcanic glass, which may or may not contain crystals. It is typically light-colored. Scoria is another vesicular volcanic rock that differs from pumice in having larger vesicles, thicker vesicle walls, and being dark colored and denser.Jackson, J.A., J. Mehl, and K. Neuendorf (2005) ''Glossary of Geology'' American Geological Institute, Alexandria, Virginia. 800 pp. McPhie, J., M. Doyle, and R. Allen (1993) ''Volcanic Textures A guide to the interpretation of textures in volcanic rocks'' Centre for Ore Deposit and Exploration Studies, University of Tasmania, Hobart, Tasmania..198 pp. Pumice is created when super-heated, highly pressurized rock is violently ejected from a volcano. The unusual foamy configuration of pumice happens because of simultaneous rapid cooling and rapid depressurization. The depressurization creates bubbles by lowering the solubi ...
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Tooth Discoloration
Tooth discoloration is abnormal tooth color, hue or translucency. External discoloration is accumulation of stains on the tooth surface. Internal discoloration is due to absorption of pigment particles into tooth structure. Sometimes there are several different co-existent factors responsible for discoloration. Normal tooth shade The appearance and perception of a tooth is the result of a complex interaction of factors such as lighting conditions, translucency, opacity, light scattering, gloss and the human eye and brain. Of these, the intrinsic pigmentation of a tooth is the most influential, which in turn is determined by genetic and natural factors. Light hitting a tooth undergoes reflection, absorption and transmission by varying degrees in each tissue layer of the tooth substance. Reflected light detected by the human eye determines the perceived appearance of a tooth. Teeth have a thin enamel layer on the outer surface. The enamel layer is whiter and semitransparent, a ...
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Dental Fluorosis
Dental fluorosis is a common disorder, characterized by hypomineralization of tooth enamel caused by ingestion of excessive fluoride during enamel formation. It appears as a range of visual changes in enamel causing degrees of intrinsic tooth discoloration, and, in some cases, physical damage to the teeth. The severity of the condition is dependent on the dose, duration, and age of the individual during the exposure. The "very mild" (and most common) form of fluorosis, is characterized by small, opaque, "paper white" areas scattered irregularly over the tooth, covering less than 25% of the tooth surface. In the "mild" form of the disease, these mottled patches can involve up to half of the surface area of the teeth. When fluorosis is moderate, all of the surfaces of the teeth are mottled and teeth may be ground down and brown stains frequently "disfigure" the teeth. Severe fluorosis is characterized by brown discoloration and discrete or confluent pitting; brown stains are wid ...
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Tooth Eruption
Tooth eruption is a process in tooth development in which the teeth enter the mouth and become visible. It is currently believed that the periodontal ligament plays an important role in tooth eruption. The first human teeth to appear, the deciduous (primary) teeth (also known as baby or milk teeth), erupt into the mouth from around 6 months until 2 years of age, in a process known as "teething". These teeth are the only ones in the mouth until a person is about 6 years old creating the primary dentition stage. At that time, the first permanent tooth erupts and begins a time in which there is a combination of primary and permanent teeth, known as the mixed dentition stage, which lasts until the last primary tooth is lost. Then, the remaining permanent teeth erupt into the mouth during the permanent dentition stage. Theories Although researchers agree that tooth eruption is a complex process, there is little agreement on the identity of the mechanism that controls eruption. There ...
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Rubber Dams
A dental dam or rubber dam is a thin, square sheet, usually latex or nitrile, used in dentistry to isolate the operative site (one or more teeth) from the rest of the mouth. Sometimes termed "Kofferdam" (from German), it was designed in the United States in 1864 by . It is used mainly in endodontic, fixed prosthodontic (crowns, bridges) and general restorative treatments. Its purpose is both to prevent saliva interfering with the dental work (e.g. contamination of oral micro-organisms during root canal therapy, or to keep filling materials such as composite dry during placement and curing), and to prevent instruments and materials from being inhaled, swallowed or damaging the mouth. In dentistry, use of a rubber dam is sometimes referred to as ''isolation'' or ''moisture control''. Dental dams are also used for safer oral sex. Dentistry Background The technique used to apply the dental dam is selected according to the tooth requiring treatment. Several techniques can be u ...
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