Minimally invasive esthetic management of dental fluorosis: a case report

J Int Med Res. 2020 Oct;48(10):300060520967538. doi: 10.1177/0300060520967538.

Abstract

Dental fluorosis is a dental condition caused by excessive intake of fluoride during enamel formation, which can lead to color abnormalities or defects on the tooth surface. The resultant abnormal appearance ranges in severity from mildly white and opaque to dark brown, which substantially affects patients' esthetic characteristics and self-confidence. Treatment methods include tooth whitening or restoration. This clinical report describes the use of a minimally invasive esthetic technique in a 22-year-old woman with moderate dental fluorosis. The treatment plan included enamel microabrasion, at-home bleaching for 2 weeks, and subsequent resin infiltration for each tooth under a rubber dam. After 2 years of follow-up, evaluation of the patient's esthetic appearance revealed that teeth affected by dental fluorosis could be successfully treated with a minimally invasive technique involving microabrasion, at-home bleaching, and resin infiltration.

Keywords: Dental fluorosis; at-home bleaching; dental enamel; esthetics; microabrasion; resin infiltration; rubber dam.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Enamel Microabrasion
  • Esthetics
  • Esthetics, Dental
  • Female
  • Fluorosis, Dental* / therapy
  • Humans
  • Tooth Bleaching*
  • Young Adult