Megabrasion: a conservative strategy for the anterior dentition

Continuous developments in adhesive restorative techniques, tooth whitening procedures, and restorative materials have significantly broadened the initially defined spectrum of indications for composite restorations. These developments have thereby contributed to the achievement of one of the major objectives of conservative restorative dentistry--the maximum preservation of sound tooth structure. In order to optimize the application of modern composite resin technology, mastering the basic principles of natural aesthetics is an essential prerequisite. The learning objective of this article is to discuss the etiology of enamel discoloration and conservative treatment strategies, including microabrasion and masking procedures. Emphasis is placed on a simple procedure--the megabrasion technique--which does not depend extensively on the artistic skills of the operator. It represents a useful and predictable approach for the elimination of white opaque stains on the enamel and yellow-brown enamel discolorations.