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Tooth whitening or tooth bleaching is the process of lightening the colour of human teeth. [1] Whitening is often desirable when teeth become yellowed over time for a number of reasons, and can be achieved by changing the intrinsic or extrinsic colour of the tooth enamel . [ 2 ]
According to a 2012 review article by Demarco et al. covering 34 relevant clinical studies, "90% of the studies indicated that annual failure rates between 1% and 3% can be achieved with Class I and II posterior [rear tooth] composite restorations depending on the definition of failure, and on several factors such as tooth type and location ...
In dental enamel, fluorosis causes subsurface porosity or hypomineralizations, which extend toward the dentinal-enamel junction as the condition progresses and the affected teeth become more susceptible to staining. Due to diffusion of exogenous ions (e.g., iron and copper), stains develop into the increasingly and abnormally porous enamel. [7]
Failure to completely clean out the necrotic soft tissue of the pulp system may cause staining, and certain root canal materials (e.g., gutta percha and root canal sealer cements) can also. [1] Another possible factor is the lack of pulp pressure in dentinal tubules once the pulp is removed, leading to incorporation of dietary stains in dentin.
Tooth remineralization is the natural repair process for non-cavitated tooth lesions, [1] [2] in which calcium, phosphate and sometimes fluoride ions are deposited into crystal voids in demineralised enamel. Remineralization can contribute towards restoring strength and function within tooth structure.
Molar incisor hypomineralisation (MIH) is a type of enamel defect affecting, as the name suggests, the first molars and incisors in the permanent dentition. [1] MIH is considered a worldwide problem with a global prevalence of 12.9% and is usually identified in children under 10 years old. [2]
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Glass ionomer sealants are thought to prevent caries through a steady fluoride release over a prolonged period and the fissures are more resistant to demineralization, even after the visible loss of sealant material, [9] however, a systemic review found no difference in caries development when GICs was used as a fissure sealing material ...
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