White spots in anterior teeth may be considered as micro defects. Sometimes they give a smile a particular “unique” aspect, but sometimes they can be displeasing or unaesthetic issues. Here are some tips on how to remove them in a conservative way.
Fig.1
26 years old patient with big white spots. The patient wanted to remove them.
Fig.2
A wider picture outlines huge dyschromia that caused the patient to grin, more than to smile. The complete removal of all white spots would have required an invasive treatment.
So, the deeper spots were removed with burs, while the smallest ones were treated with chemical and mechanical abrasion.
Fig.3
After having applied the dental dam, white and opaque areas are even more outlined.
Fig.4
With a medium grain bur, affected enamel is selectively removed.
Fig.5
Opalustre (Ultradent) is applied to normalize defects not removed by the bur.
Fig.6
After brushing for 30 seconds the material was washed carefully.
Fig.7
Clinical aspect after drilling and Opalustre.
With different flash inclinations, we can easily outline the results.
Fig.8
Before treatment.
Fig.9
After mechanical removal of deeper spots.
Fig.10
After Opalustre application.
The removed structure was replaced with a small amount of translucent composite, changing little or nothing of the girl’s smile.
Fig.11
With no particular preparation, enamel is etched and bonding is applied.
Fig.12
Just a single medium-traslucency enamel layer is enough to complete the final restoration.
Fig.13
Restoration harmonization is outlined even with curing lighting.
Fig.14
Macro vision before treatment.
Fig.15
After treatment.
Fig.16
After picture, with flash inclination that highlights good surface homogeneity.
Fig.17
View of the final result. The two pictures show color, shape and texture.
Fig.18
Fig.19
The patient’s smile at the end of treatment.
