Abstract

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.

• Related Studies :

  • Clinical effectiveness of two microabrasion materials for the removal of enamel fluorosis stains

    This study evaluated the effectiveness of two microabrasion products for the removal of enamel fluorosis stains. Using a split-mouth study design, two operators used PREMA (PM) and Opalustre (OP) to remove fluorosis-like stains from 36 subjects (10-12 years old). Both products were rubbed onto the surface of the affected teeth

  • Using microabrasive material to remove fluorosis stains.

    BACKGROUND: Increased public access to fluoride has decreased the prevalence of caries and increased the prevalence of fluorosis staining. This article provides a case report involving a conservative method of removing fluorosis stain, as well as describes an in vitro test of the method. CASE DESCRIPTION: A healthy man sought treatment

  • Enhancing white and pink esthetics using porcelain laminates in a fluorosis patient

    Fluorosis can cause enamel degeneration to varying extent depending on the fluoride levels prevalent in that particular area. It can range from slight mottling of enamel to severe degeneration leading to demineralization and resultant discoloration. In the latter case, treatment options are limited to bonding of the outer surface of

  • Clinical evaluation of enamel microabrasion for the aesthetic management of mild-to-severe dental fluorosis

    STATEMENT OF THE PROBLEM: The clinical performance of enamel microabrasion alone for aesthetic management of dental fluorosis is debatable. PURPOSE OF THE STUDY: This study aimed to compare the clinical efficacy of enamel microabrasion for the aesthetic management of mild-to-severe dental fluorosis. METHODS/MATERIALS: A total of 154 fluorosed incisors and

  • In-office dental bleaching and enamel microabrasion for fluorosis treatment

    Recently, mostly as a result of drinking water fluoridation, the number of young patients affected by fluorosis increased considerably. This study describes a minimally invasive technique, using in-office dental bleaching (35% hydrogen peroxide) and enamel microabrasion (silicon carbide and 12% hydrochloric acid) to eliminate fluorosis like stains. The association of

• Related FAN Content :

  • Diagnostic Criteria for Dental Fluorosis: The Thylstrup-Fejerskov (TF) Index

    The traditional criteria (the "Dean Index") for diagnosing dental fluorosis was developed in the first half of the 20th century by H. Trendley Dean. While the Dean Index is still widely used in surveys of fluorosis -- including the CDC's national surveys of fluorosis in the United States -- dental

  • "Mild" Dental Fluorosis: Perceptions & Psychological Impact

    The vast majority of research has found that patients, parents, and the general public alike view mild fluorosis (TF score 3) as a significant blemish of the teeth, one that is likely to embarrass the affected child to a degree that cosmetic treatment would be warranted.

  • Racial Disparities in Dental Fluorosis

    In 2005, the Centers for Disease Control published the results of a national survey of dental fluorosis conducted between 1999 and 2002. According to the CDC, black children in the United States have significantly higher rates of dental fluorosis than either white or Hispanic children. This was not the first time that black children were found to suffer higher rates of dental fluorosis. At least five other studies -- dating as far back as the 1960s -- have found black children in the United States are disproportionately impacted by dental fluorosis.

  • Dental Fluorosis: The "Cosmetic" Factor

    Any condition that can cause children to be embarrassed about their physical appearance can have significant consequences on their self-esteem and confidence.  Researchers have repeatedly found that "physical appearance [is] the best predictor of self-esteem" in adolescents, (Harter 2000) and that facial attractiveness, particularly the appearance of one's teeth, is a

  • Community Fluorosis Index (CFI)

    The current Community Fluorosis Index for U.S. adolescents as a whole (from both fluoridated and non-fluoridated areas) is roughly 5 times higher than the CFI health authorities predicted for fluoridated areas when fluoridation first began. It is also higher than the CFI that the NIDR found in fluoridated areas back in the 1980s. It is readily apparent, therefore, that children are ingesting far more fluoride than was the case in the 1950s, and even as recently as the 1980s.