title: Clinical efficacy of 5% sodium hypochlorite for removal of stains caused by dental fluorosis.
abstract: The objective of this study was to evaluate the clinical efficacy of 5% sodium hypochlorite solution for removal of stains caused by dental fluorosis in young patients. A clinical trial involved 33 patients with diffuse opacities on the enamel surfaces of maxillary incisors due to effects of dental fluorosis. The protocol of treatment 3 steps: (1) cleaning and enamel etching with 37% phosphoric acid in order to eliminate the layer that covers the fluorotic enamel surface and allow better penetration of the bleaching agent, (2) application of 5% sodium hypochlorite to remove stains caused by organic material, and (3) filling the opened micro-cavities with a light-cured, composite surface sealant to prevent restaining. The whiteness of the enamel lesions before and after treatment were expressed in L*, a*, and b* color space measurements using a Minolta Chroma Meter CR300. Analysis of parameters of [symbol:see text]E (L*, a*, b*) showed that changes were observed in the L* (brightness) and a* (redness), which paralleled the [symbol: see text]E differences. There was no significant difference in the b* (yellow) parameter. The technique described in this study appears to have advantages over other methods for improving the appearance of fluorotic lesions. It is simple, low cost, non invasive so the enamel keeps its structure, relatively rapid, and safe; it requires no special materials, and it can be used with safety on young permanent teeth.
authors.affiliation: Pediatric Dentistry Posgraduate Program, Facultad de Estomatología, Universidad Autónoma de San Luis Potosí, México.
authors.forename: Aurora
authors.initials: A
authors.lastname: Cárdenas Flores
authors.forename: Héctor
authors.initials: H
authors.lastname: Flores Reyes
authors.forename: Antonio
authors.initials: A
authors.lastname: Gordillo Moscoso
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Castanedo Cázares
authors.forename: Amaury de J
authors.initials: Ade J
authors.lastname: Pozos Guillén
mesh_terms: D000134:Acid Etching, Dental; D002648:Child; D003124:Colorimetry; D005260:Female; D009050:Fluorosis, Dental / Q000150:complications*; D006801:Humans; D008297:Male; D016877:Oxidants / Q000627:therapeutic use*; D019279:Resin Cements; D012973:Sodium Hypochlorite / Q000627:therapeutic use*; D014073:Tooth Bleaching / Q000379:methods*; D014075:Tooth Discoloration / Q000188:drug therapy* / Q000209:etiology
chemical_list: C095811:Fortify sealant; D016877:Oxidants; D019279:Resin Cements; D012973:Sodium Hypochlorite