Clinical management of severe fluorosis in an adult

Farid, Huma; Khan, Farhan Raza

doi:10.1136/bcr-2012-007138

Cited by 10 publications

(6 citation statements)

References 13 publications

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“…The advantage of this technique is in its celerity in reaching the desired esthetic in cases of mild or moderate DF. However, these procedures employ a high‐speed rotary instrument, which can lead to excessive removal of the dental structure …”

Section: Discussionmentioning

confidence: 99%

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Dental hypomineralization treatment: A systematic review

Coelho

Mata²,

Lino

et al. 2018

J Esthet Restor Dent

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Introduction Defects in the maturation stage of amelogenesis result in a normal volume of enamel but insufficient mineralization, called hypomineralization. Molar‐incisor hypomineralization (MIH), amelogenesis imperfecta and dental fluorosis (DF) are examples of such defects. Objective To evaluate the effectiveness of the treatments applied to the different forms of dental hypomineralization. Materials and Methods PubMed, Scopus, Cochrane Library, Web of Science, and Embase were screened. The research was limited to studies published in English, Spanish, and Portuguese, until May 30, 2018. The research question was formulated following the Population, Intervention, Comparison, Outcome strategy. The quality of the methodology of each article was evaluated employing the Cochrane Handbook for Systematic Reviews. Results From the initial research, 7895 references were obtained, of which 33 were included in the systematic review. The following treatments were reported: desensitizing and remineralizing products, resin infiltration, restorations, fissure sealants, tooth bleaching, enamel microabrasion and calcium, and vitamins supplements. Conclusions Although the results are suggestive, there is a clear need for a greater uniformity of the methodologies, thus allowing for the development of clinical guidelines. Nevertheless, it was possible to identify several effective treatments for teeth with MIH (arginine pastes or fluoride varnishes) and DF (tooth bleaching and/or enamel microabrasion). Clinical Significance Because MIH, amelogenesis imperfecta, and DF are commonly seen in dental daily practice, it is extremely important to analyze the literature regarding its treatment.

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Section: Discussionmentioning

confidence: 99%

“…However, these procedures employ a high-speed rotary instrument, which can lead to excessive removal of the dental structure. 107,109 Gugnani et al 58 suggested the use of a resin infiltrant to esthetically improve DF stains. The efficacy of resin infiltration in arresting noncavitated caries lesions has been proven.…”

Section: Discussionmentioning

confidence: 99%

Dental hypomineralization treatment: A systematic review

Coelho

Mata²,

Lino

et al. 2018

J Esthet Restor Dent

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“…Many patients, especially young patients, have higher expectations for the appearance of their front teeth. Many scholars 7,8) believe that veneers, especially porcelain veneers, are the best choice for the esthetic restoration of dental fluorosis 9) . A total of 328 teeth of 64 patients with dental fluorosis were selected for this study, including 34 cases with direct resin veneers (196 teeth) and 30 cases with porcelain veneers (132 teeth).…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Direct Resin Veneers and Porcelain Veneers in the Esthetic Restoration of Anterior Teeth with Dental Fluorosis

Zeng

2021

J. Hard Tissue Biology.

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To evaluate the clinical effect of direct resin veneers and porcelain veneers in the esthetic restoration of anterior teeth affected by dental fluorosis, 64 patients suffering from dental fluorosis (328 teeth) between February 2015 and June 2016 were selected. Of these patients, 34 were given direct resin veneers (196 teeth) and 30 were given porcelain veneers (132 teeth). Clinical follow-up observation was carried out for 24 months on restoration integrity, marginal fit, gingival index, secondary caries, and patient satisfaction. After 24 months of restoration, it was found that there was no secondary caries in the direct resin veneer or porcelain veneer restoration, and the integrity of the restorations, marginal adhesiveness, and gingival condition examination scores were evaluated as excellent. The scores for patient satisfaction were 80.27 and 90.63, respectively, and the difference was statistically significant (p < 0.05). The results demonstrated that direct resin veneers and porcelain veneers can both achieve a positive clinical therapeutic effect in dental fluorosis esthetic restoration, but patient satisfaction after porcelain veneer restoration is higher.

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“…Particularly in the continents of Africa and Asia there are excessively high amounts of fluoride present in their water content while if we talk about the continents of North America and Europe then we can say that there are comparatively lesser incidence of fluorosis as excessive amount of fluoride is not present in the water bodies. 8,9 Particularly since the last few years especially last 10 years the prevalence of fluorosis has increased multifold as there are a variety of products used particularly for oral cavity which have a higher quantity of fluoride present in them. There are several toothpastes present and several mouthwashes present which have an excess of fluoride amount in them and when someone uses them without supervision then that can lead to creating a problem for that person.…”

Section: Epidemiology Of Dental Fluorosismentioning

confidence: 99%

Managing dental fluorosis: A guide to improving appearance of the teeth

Srivastava,

Tangade,

Priyadarshi

2023

ADR

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Too much consumption of fluoride during tooth formation causes the disorder known as dental fluorosis, leading to changes in their appearance and structure. The severity of dental fluorosis is typically classified into different stages based on the visual appearance of the teeth. Mild cases of dental fluorosis may not require any treatment, and the condition may improve over time as the enamel continues to mineralize. In more severe cases, treatment options include teeth whitening, dental bonding, veneers, and crowns. While treatment can improve the appearance of the teeth, it cannot reverse the damage that has already occurred to the enamel surface. Therefore, it is important to take steps to prevent further damage by monitoring fluoride intake and practicing good oral hygiene. Regular dental checkups and cleanings can also help to identify and manage any issues related to dental fluorosis. Overall, dental fluorosis is a cosmetic issue which has got nothing to do with functional changes related to a tooth and appropriate treatment can help to improve the appearance of the affected teeth. In this article we will see various aspects of dealing with dental fluorosis right from its etiology to management.

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Clinical management of severe fluorosis in an adult

Cited by 10 publications

References 13 publications

Dental hypomineralization treatment: A systematic review

Dental hypomineralization treatment: A systematic review

A Comparative Study of Direct Resin Veneers and Porcelain Veneers in the Esthetic Restoration of Anterior Teeth with Dental Fluorosis

Managing dental fluorosis: A guide to improving appearance of the teeth

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