Fluorosis varied treatment options

Sherwood, I

doi:10.4103/0972-0707.62631

Cited by 55 publications

(41 citation statements)

References 18 publications

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“…Limeback et al reported an esthetic improvement of DF lesions through physical enamel abrasion with a diamond bur. This mechanical removal of pigmented enamel has been described in the literature . The advantage of this technique is in its celerity in reaching the desired esthetic in cases of mild or moderate DF.…”

Section: Discussionmentioning

confidence: 99%

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%

Dental hypomineralization treatment: A systematic review

Coelho

Mata²,

Lino

et al. 2018

J Esthet Restor Dent

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“…From score 4 to 9, more invasive treatments are necessary. Options range from resin-based composite restorations, faceting of affected teeth or even total crowns (39). In each of the treatment options described above, each one has its own advantages and disadvantages; a good clinician should be aware of all the treatment options available assess its merits and demerits and select the best treatment option according to individual patient needs.…”

Section: Discussionmentioning

confidence: 99%

Clinical aspects of dental fluorosis according to histological features: a Thylstrup Fejerskov Index review

Cavalheiro

Bussaneli²,

Restrepo³

et al. 2017

CES odontol.

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“…In addition to the above-mentioned options, full-coverage restorations are another choice for moderate-to-severe discolouration and surface pitting 13. Full coverage restoration requires very careful planning as well as execution of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…However, we found few case reports that described the management of generalised severe fluorosis 13 17. The present case is an example of stepwise full-mouth rehabilitation utilising different restorative approaches to get an aesthetically, as well as functionally, acceptable outcome.…”

Section: Discussionmentioning

confidence: 99%

Clinical management of severe fluorosis in an adult

Farid

Khan

2012

BMJ Case Reports

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Dental fluorosis is defined as hypomineralisation of enamel resulting from excessive ingestion of fluoride (more than 1 ppm) during tooth development. Mild-to-moderate forms of dental fluorosis are often unnoticed by the patients whereas severe fluorosis presents with dark brown-to-black discolouration of teeth along with enamel pitting and hypoplasia. Such discolouration results in an unpleasing appearance as well as psychological distress to the affected individual. Dental fluorosis can be managed by bleaching, micro/macroabrasion, veneering or crowning. The choice between different treatment options depends on the severity of fluorosis and patients' aesthetic demands. The aim of this case report was to describe the stepwise oral rehabilitation of an adult with severe fluorosis along with multiple carious teeth. After restoration of carious teeth and extraction of unsalvageable teeth, bleaching and full-coverage restorations were used for the management of fluorosis.

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Fluorosis varied treatment options

Cited by 55 publications

References 18 publications

Dental hypomineralization treatment: A systematic review

Dental hypomineralization treatment: A systematic review

Clinical aspects of dental fluorosis according to histological features: a Thylstrup Fejerskov Index review

Clinical management of severe fluorosis in an adult

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