A game changer for MIH patients – because tooth substance is worth protecting
Treating developmental enamel abnormalities with invasive procedures like veneers? Far from ideal.
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 with 5% or 10% CP
- Infiltration treatment with Icon Vestibular, consisting of Icon Etch, Icon Dry and Icon Infiltrant
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 vacuum-formed tray here – with product properties that can only be achieved with the help of 3D printing.
The use of a bleaching gel containing carbamide peroxide reduces the brownish parts of organic protein structures. As a result, the teeth are visually whitened overall. However, in the case of developmental enamel opacities, the porous enamel has a different refractive index than the surrounding healthy enamel, meaning that white spots often remain visible. For a harmonious overall appearance, infiltration treatment with Icon Vestibular is a practical and often necessary addition.