Resin infiltration as a minimal invasive esthetic treatment for a mild fluorosis case

Abstract

The present case report aimed to describe a minimally invasive method to mask the white opaque lesions of enamel in a mild fluorosis case (Dean's Index code 3) to improve its esthetic outcome. Summary: Dental fluorosis (DF) is a developmental disturbance of enamel caused by excessive ingestion of fluoride on ameloblasts during enamel formation. The clinical manifestations depend on the severity of fluorosis. In mild cases, there are white opaque striations across the enamel surface, whereas in more severe cases, the porous regions increase in size, with enamel pitting, and secondary discoloration of the enamel surface. Patients often suffer from the discoloration and the pitted surface of the teeth which are the major characteristics leading to an unaesthetic appearance. A minimally invasive treatment approach of inoffice bleaching followed by a resin infiltration technique was applied to enhance the porous fluorosed enamel surface. The combination of the two techniques resulted in a perfectly satisfactory aesthetic outcome with a clinical follow-up for 12 months.

Effect of Combining Minimal Invasive Modalities on Treating Mild Dental Fluorosis: An In vivo Study

“…This improvement may be explained by water absorption by the resin over time, which was not removed completely by the alcohol. This absorption can result in minimizing the optical interfaces in the light path thus improving the lesion translucency [24], [26], [27].…”