Dental Bleaching, Microabrasion, and Resin Infiltration: Case Report of Minimally Invasive Treatment of Enamel Hypoplasia

Enamel hypoplasia occurs because of a defect in formation of the organic matrix during the development of tooth enamel. Minimally invasive procedures of the slightly altered enamel contribute to a greater longevity of teeth and prevent them from relapsing into the repetitive restorative cycle. This case history report aimed to show a sequential technique of minimally invasive procedures for esthetic resolution in anterior teeth. Prior to microabrasion, anterior teeth were bleached in office with 37% hydrogen peroxide. Afterwards, hypoplastic spots on the buccal incisal thirds of the maxillary central incisors were treated with two sessions of microabrasion using phosphoric acid and pumice stone and one session using resin infiltrant. Besides a slight remaining white spot on tooth 21, the masking of spots was done with this sequence of treatments, re-establishing color harmony. Spot depth, diagnosis, and the most relevant treatment choice determined the clinical success.