Abstract
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 techniques was efficient and can be recommended as a good conservative alternative for the treatment of fluorosis affected teeth.
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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
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Re-establishing esthetics of fluorosis-stained teeth using enamel microabrasion and dental bleaching techniques
Dental fluorosis manifests itself as white stains on the enamel of teeth exposed to excessive doses of fluoride during their formation. Fluorosis usually occurs as a result of the ingestion of dentifrices, gels and fluoridated solutions. It may be diagnosed as mild, moderate or severe, and in some cases, it
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White spots on enamel: Treatment protocol by superficial or deep infiltration (part 2)
In this 2nd part, the current treatment of white spot lesions by erosion/infiltration is presented, beginning with a reminder of the principle of superficial infiltration, which enables most early carious lesions, fluorosis and post-traumatic lesions to be treated. However, this technique has met with frequent failures in cases of MIH
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Clinical management of severe fluorosis in an adult
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
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[Clinical efficacy of carbarnide peroxide in-home tooth whitening for removal of stains caused by dental fluorosis].
PURPOSE: To evaluate the clinical efficacy of carbarnide peroxide in-home tooth whitening for removal of stains caused by dental fluorosis. METHODS: One hundred and eight teeth,from 24 patients with diffuse opacities on the enamel surfaces due to effects of dental fluorosis, were assigned into mild, medium and heavy groups, and
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Dental Fluorosis Is a "Hypo-mineralization" of Enamel
Teeth with fluorosis have an increase in porosity in the subsurface enamel ("hypomineralization"). The increased porosity of enamel found in fluorosis is a result of a fluoride-induced impairment in the clearance of proteins (amelogenins) from the developing teeth. Despite over 50 years of research, the exact mechanism by which fluoride impairs amelogin
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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
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Severe Dental Fluorosis: Perception and Psychological Impact
[caption id="attachment_8879" align="aligncenter" width="550"] Severe fluorosis - Photograph by David Kennedy, DDS[/caption] In its severe forms, dental fluorosis causes highly disfiguring brown and black staining of the teeth, which can cause chronic embarrassment and social anxiety for the impacted child. In 1984, a panel from the National Institute of Mental Health (NIMH) warned
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Mechanisms by Which Fluoride Causes Dental Fluorosis Remain Unknown
When it comes to how fluoride impacts human health, no tissue in the body has been studied more than the teeth. Yet, despite over 50 years of research, the mechanism by which fluoride causes dental fluorosis (a hypo-mineralization of the enamel that results in significant staining of the teeth) is not
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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
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