Name of the Procedure:

ENAMEL MICROABRASION (D9970)

Common name(s): Enamel Microabrasion
Technical/Medical terms: None

Summary

Enamel microabrasion is a cosmetic dental procedure used to remove superficial discoloration and minor imperfections from the surface of the teeth. During the procedure, a combination of mild abrasives and acids is applied to the enamel to carefully buff away stains and reveal a brighter, smoother appearance.

Purpose

Medical conditions or problems it addresses:

• Superficial tooth discoloration
• Minor enamel imperfections

Goals or expected outcomes:

• Whiter and aesthetically pleasing teeth
• Smooth and imperfection-free tooth surface

Indications

Specific symptoms or conditions:

• Yellow or brown stains on the enamel
• Surface irregularities on the teeth

Patient criteria or factors:

• Healthy enamel and gums
• Stains that are not responsive to regular teeth cleaning
• Desire for cosmetic improvement of teeth

Preparation

Pre-procedure instructions:

• Maintain good oral hygiene leading up to the procedure
• Avoid eating or drinking strong-colored foods and beverages the day of the procedure

Diagnostic tests or assessments:

• Dental examination to ensure suitability
• Possibly, dental cleaning to prepare the surface

Procedure Description

Step-by-step explanation:

1. The dentist applies a protective barrier to the gums.
2. A mix of mild abrasives and acids is applied to the teeth.
3. Using a specialized rotary brush, the dentist gently buffs the enamel.
4. The teeth are then rinsed and inspected for effectiveness.
5. The process may be repeated until the desired result is achieved.

Tools, equipment, or technology used:

• Rotary brush
• Abrasive compound
• Acidic gel

Anesthesia or sedation details:

• Generally, no anesthesia or sedation needed

Duration

• Typically, 30 to 60 minutes

Setting

• Outpatient clinic or dental office

Personnel

• Performed by a dentist
• Assistance from a dental hygienist or dental assistant

Risks and Complications

Common risks:

• Temporary tooth sensitivity
• Gum irritation

Rare risks:

• Over-thinning of enamel
• Permanent sensitivity

Possible complications and their management:

• Sensitivity can be managed with desensitizing toothpaste
• Protective measures for gums during the procedure to minimize irritation

Benefits

• Immediate improvement in tooth appearance
• Removal of superficial stains
• Enhancement of self-confidence with a better smile

How soon benefits might be realized:

• Usually immediately after the procedure

Recovery

Post-procedure care and instructions:

• Avoid consuming staining foods or drinks for 24-48 hours
• Maintain regular oral hygiene practices

Expected recovery time:

• Immediate recovery with no downtime

Follow-up appointments:

• Regular dental check-ups

Alternatives

Other treatment options:

• Teeth whitening
• Veneers
• Dental bonding

Pros and cons of alternatives:

• Teeth Whitening: Less invasive but may not be as effective for deep stains
• Veneers: More durable but expensive and invasive
• Dental Bonding: Fixes shape and color but may require enamel removal

Patient Experience

During the procedure:

• Mild discomfort, usually no pain
• Vibration from the rotary brush

After the procedure:

• Possible temporary sensitivity
• Immediate visual improvement
• Pain management includes using sensitive toothpaste and mouthwash