Editorial Type:
Article Category: Case Report
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Online Publication Date: 19 Sept 2024

Combined Minimally Invasive Esthetic Rehabilitation of Dental Fluorosis—5-year Follow-up: Case Report

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Page Range: 497 – 506
DOI: 10.2341/23-176-S
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SUMMARY

Dental fluorosis (DF) is a specific esthetic issue characterized by a persistent condition in which there is a disruption in enamel development, leading to the formation of hypomineralized enamel. The resulting unusual appearance varies in intensity, presenting as mildly white and opaque to dark brown, and significantly impacts individuals’ esthetic features and self-confidence. The objective of this case report was to assess the efficacy of microabrasion, dental whitening, and resin infiltration in terms of resolving lesions, tracking the sensitivity of teeth, and evaluating patient satisfaction over a period of time. A minimally invasive treatment approach in a 27-year-old woman with severe DF is detailed. The treatment plan involved enamel microabrasion, in-office bleaching, and two weeks of at-home bleaching, followed by resin infiltration for the affected tooth under rubber dam isolation. After a 5-year follow-up, the assessment of the patient’s esthetic appearance indicated a successful treatment of teeth affected by DF.

Copyright: 2024
Figure 1.
Figure 1.

Initial (occlusion photo).

Figure 2.
Figure 2.

Initial (smile photo).

Figure 3.
Figure 3.

Initial (maxillary teeth).

Figure 4.
Figure 4.

Rubber-Dam isolation (ınitial).

Figure 5.
Figure 5.

Application of microabrasion slurry (maxillary teeth).

Figure 6.
Figure 6.

Application of microabrasion slurry (mandibular teeth).

Figure 7.
Figure 7.

Application of microabrasion slurry (before cleaning of maxillary teeth).

Figure 8.
Figure 8.

Application of microabrasion slurry (before cleaning of mandibular teeth).

Figure 9.
Figure 9.

After microabrasion (maxillary teeth).

Figure 10.
Figure 10.

After microabrasion (mandibular teeth).

Figure 11.
Figure 11.

Bleaching procedure.

Figure 12.
Figure 12.

Two weeks after microabrasion, in-office and at-home bleaching.

Figure 13.
Figure 13.

Rubber-dam isolation before resin infiltration.

Figure 14.
Figure 14.

ICON-Etch application.

Figure 15.
Figure 15.

Etching of maxillary teeth.

Figure 16.
Figure 16.

Water rinsing of etch.

Figure 17.
Figure 17.

After ICON-etch.

Figure 18.
Figure 18.

ICON-Dry application.

Figure 19.
Figure 19.

ICON-Infiltrant application.

Figure 20.
Figure 20.

Cleaning of proximal surfaces before curing.

Figure 21.
Figure 21.

Curing.

Figure 22.
Figure 22.

After curing (unpolished surface).

Figure 23.
Figure 23.

Polishing with Diacomp Plus Twist (medium).

Figure 24.
Figure 24.

Polishing with Diacomp Plus Twist (fine).

Figure 25.
Figure 25.

After polishing.

Figure 26.
Figure 26.

Immediately after resin infiltration.

Figure 27.
Figure 27.

Two weeks after microabrasion, bleaching, and resin infiltration (occlusion).

Figure 28.
Figure 28.

Two weeks after microabrasion, bleaching, and resin infiltration (maxillary teeth).

Figure 29.
Figure 29.

One-year follow-up.

Figure 30.
Figure 30.

Five-year follow-up (occlusion).

Figure 31.
Figure 31.

Five-year follow-up (maxillary teeth).

Figure 32.
Figure 32.

Five-year follow-up (smile photo).

Contributor Notes

*Corresponding author: Evliya Çelebi Mahallesi, Meşrutiyet Caddesi, No:62, Istanbul, Beyoğlu, Turkey 34430; e-mail: gdokumacigil@gmail.com
Accepted: 28 May 2024
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