Minimally Invasive Management of Dental Fluorosis with a Combination Technique: A Case Report
Journal of Dental School, Shahid Beheshti University of Medical Sciences,
Vol. 37 No. 2 (2019),
11 March 2020
,
Page 73-76
https://doi.org/10.22037/jds.v37i2.29407
Abstract
Objectives Dental fluorosis is a condition characterized by hypomineralization of tooth structure. It manifests as bilateral white opaque discolorations. Patients with these kinds of staining and discoloration often present to dental offices in young ages, seeking esthetic solutions. Color, shape and structural alterations in the anterior teeth could lead to significant esthetic complications for young patients. There are many cosmetic options to correct the unpleasant appearance of the anterior teeth. Dental bleaching is a conservative treatment for stained or dark-colored teeth. Micro-abrasion and removal of the outer layer of the tooth is another effective and successful method to treat fluorosis. Resin infiltration can also significantly change the esthetic appearance of such teeth.
Case Micro-abrasion followed by tooth bleaching and application of resin infiltrate was used in this study as a minimally invasive and inexpensive approach to treat discolored teeth due to dental fluorosis.
Conclusion To treat discolored teeth affected by dental fluorosis, a minimally invasive and inexpensive approach would be micro-abrasion followed by tooth bleaching and resin infiltration. This approach obviates the need for more invasive techniques such as veneers and crowns while it meets the esthetic demands of patients.
- Fluorosis
- Dental
- Tooth Bleaching
- Enamel Microabrasion
How to Cite
References
Carey CM. Focus on fluorides: update on the use of fluoride for the prevention of dental caries. J Evid Based Dent Pract. 2014 Jun;14 Suppl:95-102.
Azami-Aghdash S, Ghojazadeh M, Pournaghi Azar F, Naghavi-Behzad M, Mahmoudi M, Jamali Z. Fluoride concentration of drinking waters and prevalence of fluorosis in Iran: a systematic review. J Dent Res Dent Clin Dent Prospects. 2013 Winter;7(1):1-7
Fejerskov O, Thylstrup A, Larsen MJ. Clinical and structural features and possible pathogenic mechanisms of dental fluorosis. Scand J Dent Res. 1977 Nov;85(7):510-34
Peariasamy K, Anderson P, Brook AH. A quantitative study of the effect of pumicing and etching on the remineralization of enamel opacities. Int J Paediatr Dent. 2001 May;11(3):193-200.
Croll TP. Esthetic correction for teeth with fluorosis and fluorosis-like enamel dysmineralization. J Esthet Dent. 1998;10(1):21-9.
Khandelwal V, Nayak UA, Nayak PA, Ninawe N. Aesthetic management of dental fluorosis. BMJ Case Rep. 2013 May; 2013:bcr2013010029.
Shafiei F. Doustfatemeh S. Effect of a Combined Bleaching Regimen on the Microhardness of a Sealed Methacrylate-based and a Silorane-based Composites. J Dent (Shiraz). 2013 Sep;14(3):111-7.
Edalat A, Abbaszadeh M, Eesvandi M, Heidari A. The Relationship of Severe Early Childhood Caries and Body Mass Index in a Group of 3- to 6-year-old Children in Shiraz. J Dent (Shiraz). 2014 Jun;15(2):68-73.
Ermis RB, Uzer Celik E, Yildiz G, Yazkan B. Effect of tooth discolouration severity on the efficacy and colour stability of two different trayless at-home bleaching systems. J Dent Res Dent Clin Dent Prospects. 2018 Spring;12(2):120-7.
Gugnani N, Pandit IK, Gupta M, Gugnani S, Soni S, Goyal V. Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies. J Esthet Restor Dent. 2017 Sep;29(5):317-24.
Alavi AA, Behroozi Z, Nik Eghbal F. The shear bond strength of porcelain laminate to prepared and unprepared anterior teeth. J Dent (Shiraz). 2017 Mar;18(1):50-5.
Goldstein CE, Goldstein RE, Feinman RA, Garber DA. Bleaching vital teeth: State of the art. Quintessence Int. 1989 Oct;20(10):729-37.
Penumatsa NV, Sharanesha RB. Bleaching of fluorosis stains using sodium hypochlorite. J Pharm Bioallied Sci. 2015 Aug;7(Suppl 2):S766-8. Sundfeld RH, Franco LM, Gonçalves RS, de Alexandre RS, Machado LS, Neto DS. Accomplishing esthetics using enamel microabrasion and bleaching-a case report. Oper Dent. 2014 May-Jun;39(3):223-7.
Sundfeld RH, Franco LM, Gonçalves RS, de Alexandre RS, Machado LS, Neto DS. Accomplishing esthetics using enamel microabrasion and bleaching-a case report. Oper Dent. 2014 May-Jun;39(3):223-7.
Gugnani N, Pandit IK, Goyal V, Gugnani S, Sharma J, Dogra S. Esthetic improvement of white spot lesions and non-pitted fluorosis using resin infiltration technique: series of four clinical cases. J Indian Soc Pedod Prev Dent. 2014 Apr-Jun;32(2):176-80.
Di Giovanni T, Eliades T, Papageorgiou SN. Interventions for dental fluorosis: A systematic review. J Esthet Restor Dent. 2018 Nov;30(6):502-8.
- Abstract Viewed: 587 times
- PDF Downloaded: 212 times