Minimally Invasive Treatment for Esthetic Management of Severe Dental Fluorosis: A Case Report

Abstract

SUMMARY Dental fluorosis is a developmental disturbance of enamel caused by excessive fluoride on ameloblasts during enamel formation. Patients often present to the dentist with a main goal of improving their esthetic appearance. This case report describes a minimally invasive technique for treating a severe case of enamel fluorosis with brown surface aspect and small defects. A selective mega-abrasion and microabrasion were used to recreate macro- and micro- surface morphology, followed by power bleaching, home bleaching, and resin infiltration to improve the esthetic appearance.

Combined Esthetic Therapy of Severe Dental Fluorosis: A Case Report

“…The resin infiltration application following the bleaching combined with microabrasion is a novel approach for the esthetic improvement of dental fluorosis cases 9 . The involvements of resin infiltration might contribute to prevention of caries and masking the chalky white appearence.…”

“…Kirby Bodden and Haywood 12 suggested macroabrasion combined with nightguard bleaching as an easier and time efficient technique that would produce the most favorable outcomes. In a contemporary publication, Wang et al 9 proposed a resin infiltration technique following macroabrasion and microabrison combined with home bleaching therapy as a minimally invasive approach for the esthetic correction of a severe fluorosis case. Munoz et al 13 preferred to apply the resin infiltration technique alone and the outcome of the treatment for a mild case was satisfying.…”

“…Therefore an increasing number of patients with dental fluorosis are applying to dental clinics with esthetic expectations 9 .…”

“…The treatment plan for dental fluorosis depends on the severity of the disease 9 . From mild to severe cases; bleaching, microabrasion, esthetic veneers or composite restorations, prosthetic crowns or combinations of these were recommeded in the literature 10 .…”

“…Nowadays, crowning and veneering seems to be destructive and outmoded for the estethic correction of dental fluorosis 9 . Kirby Bodden and Haywood 12 suggested macroabrasion combined with nightguard bleaching as an easier and time efficient technique that would produce the most favorable outcomes.…”