A game changer for young patients – because tooth substance is worth protecting
Treating developmental enamel abnormalities with invasive procedures like veneers? Far from ideal, especially for younger patients.
But there’s another way: DMG’s new holistic treatment concept offers gentle, effective and minimally invasive masking of enamel opacities!
Your benefits with a holistic treatment concept
1. Manufacturing a precision-fit bleaching tray with LuxaPrint Ortho Flex and DentaMile
- A digital scan for an optimally fitting bleaching tray – the first step of the dental workflow
- Excellent marginal sealing prevents the gel from leaking and coming into contact with the gums
- Peroxide action is more stable in-situ thanks to the DentaMile bleaching tray gel reservoir
- The gel reservoirs can be custom-adapted to the affected teeth, thereby protecting the primary teeth in the mixed dentition of young patients, for example
Your benefits with a holistic treatment concept
2. How does bleaching with Flairesse work?
- Removal of organic residues (e.g. proteins) from the lesion that can inhibit subsequent infiltration
Reduction of the colour contrast (especially in the case of brownish discoloured opacities) between affected and healthy tooth enamel
- Wearing time of 1-8 hours daily
The initial at-home bleaching treatment takes place in the dental clinic. The patient then continues bleaching at home for the period defined by the dentist. The material from one syringe is sufficient for daily use over ten days in teeth 5 to 5 of the upper and lower jaw.
Your benefits with a holistic treatment concept
3. Infiltration treatment with Icon Vestibular
- Minimally invasive and gentle
- Can be used for caries-related white spots and enamel opacities like MIH, fluorosis or trauma
- Improved masking effect in holistic treatment concept with bleaching*
* Source: Schoppmeier CM, Derman SHM, Noack MJ, Wicht MJ. Power bleaching enhances resin infiltration masking effect of dental fluorosis:
A randomized clinical trial. J Dent. 2018 Dec;79:77-84., Pan Z et al. J Dent. 2019 Dec:91:103228.
FAQs
As a holistic treatment concept for developmental enamel opacities, the dental workflow includes the following steps and products:
- Optional: Professional tooth cleaning with the Flairesse prophylaxis system consisting of Flairesse Paste, Flairesse Gel or Flairesse Foam and Flairesse Varnish
- Precision-fit 3D-printed bleaching tray manufacture with LuxaPrint Ortho Flex and DentaMile
- Mild bleaching with Flairesse Bleaching Gel, available as a medical product with 5% or 10% CP
- Infiltration treatment with Icon Vestibular, consisting of Icon Etch, Icon Dry and Icon Infiltrant
What makes DMG’s holistic treatment concept for developmental enamel opacities so special is that the minimally invasive dental workflow can be used in young patients – and, if need be, into old age. Developmental enamel opacities are particularly problematic in childhood, as the altered structure of the tooth enamel is clearly visible and can have a significant impact on a child’s self-confidence, self-esteem, general satisfaction, social relationships and overall quality of life.1
However, invasive procedures like microabrasion or veneers aren’t an option for young patients. This is where DMG’s minimally invasive treatment concept offers a gentle and effective solution.
1 Source: 1) Hasmun N et al. J Dent. 2020;98:103372. 2) Athayde GDS et al. J Dent. 2022 Aug;123:104168.
One of the key elements of the 3D-printed DentaMile bleaching trays is the gel reservoir. A precise reservoir edge seal positions the bleaching gel in a controlled manner and prevents it from spreading to the sensitive gums. This protects the gingiva from harm and guarantees efficient and safe bleaching.
The DentaMile bleaching tray differs significantly from a thermoformed splint here – with product properties that can only be achieved with the help of 3D printing.
Bleaching doesn’t just make teeth appear whiter overall. Where there is yellowish or brownish discolouration of the enamel abnormality, the aesthetic masking of the opacity would not be possible without the deproteinising effect of bleaching. In other words, removing any discolouration by bleaching before the infiltration treatment improves the overall result.
Infiltration, on the other hand, is usually a necessary addition to bleaching, as the porous enamel found in opacities has a different refractive index to healthy enamel. This gives the infiltrated enamel a similar refractive index to that of the natural enamel again, which makes the enamel colour visually similar.
Thus, bleaching and infiltration complement one another ideally.