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Dental Fluorosis Treatment: Three Case Reports

Year 2024, Volume: 10 Issue: 2, 203 - 209, 16.08.2024

Abstract

Objectives: Systemic exposure to high fluoride concentrations during tooth development can induce dental fluorosis, a developmental condition of the enamel that can cause mild to severe tooth discoloration and substance loss. Today, the number of patients who complain of this type of discoloration applied to dental clinics has increased. Especially in regions with > 1 ppm fluoride in drinking water, this amount is quite high. In this case, the results obtained by using one or more of the methods such as microabrasion, dental bleaching, resin infiltration, restorative treatment are satisfactory. By providing patients with an aesthetic smile, it helps them to be more self confident in their social lives. The aim of this case report is to clinically follow the results of different treatment options applied in three patients diagnosed with fluorosis who presented to our clinic with aesthetic complaints.
Case Report: In this case report, the diagnosis, treatment and follow-up processes of three different patients who applied to our clinic in province of Kırıkkale, one of the endemic fluorosis regions were presented.
Conclusion: Microabrasion treatment can be considered as an alternative to invasive treatments that cause substance loss in teeth.
Keywords: Dental bleaching, Dental fluorosis, Microabrasion

References

  • Horowitz H. The future of water fluoridation and other systemic fluorides. J Dent Res. 1990;69(2):760-4.
  • DenBesten P, H Thariani. Biological mechanisms of fluorosis and level and timing of systemic exposure to fluoride with respect to fluorosis. J Dent Res. 1992;71(5):1238-43.
  • Lyaruu D, Bervoets T, Bronckers A. Short exposure to high levels of fluoride induces stage- dependent structural changes in ameloblasts and enamel mineralization. Eur J Oral Sci. 2006;114:111-5.
  • DenBesten P, WJF Li. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci. 2011;22:81-96.
  • Gugnani N, Pandit IK, Gupta M, Gugnani S, Soni S, Goyal V. Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies. J Esthet Restor Dent. 2017;29(5):317-24.
  • Khandelwal V, Nayak UA, Nayak PA, Ninawe N. Aesthetic management of dental fluorosis. BMJ Case Rep. 2013;2013:bcr2013010029.
  • DenBesten P, Heffernan L. Enamel proteases in secretory and maturation enamel of rats ingesting 0 and 100 PPM fluoride in drinking water. Adv Dent Res. 1989;3(2):199-202.
  • Thylstrup A, Fejerskov O. Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol. 1978;6(6):315-28.
  • Fragoso LSM, Lima DANL, de Alexandre RS, Bertoldo CES, Aguiar FHB, Lovadino JR. Evaluation of physical properties of enamel after microabrasion, polishing, and storage in artificial saliva. Biomed Mater. 2011;6(3):035001.
  • Celik EU, Yıldız G, Yazkan B. Comparison of enamel microabrasion with a combined approach to the esthetic management of fluorosed teeth. Oper Dent. 2013;38(5):134-43.
  • Sundfeld RH, Croll TP, Briso ALF, de Alexandre RS, Neto DS. Considerations about enamel microabrasion after 18 years. Am J Dent. 2007;20(2):67-72.
  • Jia Y, Zhang R, Luo HX, Li P, Zhang CL. Study of the effect of fluoride removal agent and microabrasion technology in LED teeth whitening of dental fluorosis. Shanghai Kou Qiang Yi Xue. 2016;25(5):609-12.
  • Briso AL, Lima AP, Gonçalves RS, Gallinari MO, dos Santos PH. Transenamel and transdentinal penetration of hydrogen peroxide applied to cracked or microabrasioned enamel. Oper Dent. 2014;39(2):166-73.
  • Wang Y, Sa Y, Liang S, Jiang T. Minimally invasive treatment for esthetic management of severe dental fluorosis: a case report. Oper Dent. 2013;38(4):358-62.
  • Abou Neel EA, Aljabo A, Strange A, Ibrahim S, Coathup M, Young AM et al. Demineralization– remineralization dynamics in teeth and bone. Int J Nanomedicine. 2016;11:4743-63.

Dental Florozis Tedavisi: Üç Olgu Sunumu

Year 2024, Volume: 10 Issue: 2, 203 - 209, 16.08.2024

Abstract

Amaç: Dental florozis, diş gelişimi sırasında sistemik olarak yüksek konsantrasyonlarda florür maruziyetinin sebep olduğu, dişlerde hafiften şiddetliye doğru farklı oranlarda renklenmelere ve madde kayıplarına yol açabilen minenin gelişimsel bozukluğudur. Günümüzde bu tip renklenmelerden şikayetçi olan hastaların kliniklere başvurma sayısı artmıştır. Özellikle içme sularında >1 ppm’den fazla florür bulunan bölgelerde bu sayı oldukça fazladır. Bu durumda mikroabrazyon, diş beyazlatma, rezin infiltrasyon, restoratif tedavi gibi yöntemlerden bir veya birkaçını kullanarak elde edilen sonuçlar memnun edicidir. Hastalara estetik bir gülümseme sağlanarak sosyal hayatlarında daha özgüvenli olmalarına katkıda bulunulur. Bu olgu sunumunun amacı, estetik şikayetle kliniğimize başvuran florozis tanısı konulmuş üç hastada uygulanan farklı tedavi seçeneklerinin sonuçlarını klinik olarak takip etmektir.
Olgu Sunumu: Bu olgu sunumunda, ülkemizin endemik florozis bölgelerinden Kırıkkale ilinde bulunan kliniğimize başvuran üç farklı hastanın teşhis, tedavi ve takip süreçleri ele alınmıştır.
Sonuç: Mikroabrazyon tedavisi dişlerde madde kaybına neden olan invaziv tedavilere bir alternatif olarak düşünülebilir.
Anahtar Kelimeler: Dental Beyazlatma, Dental Florozis, Mikroabrazyon

References

  • Horowitz H. The future of water fluoridation and other systemic fluorides. J Dent Res. 1990;69(2):760-4.
  • DenBesten P, H Thariani. Biological mechanisms of fluorosis and level and timing of systemic exposure to fluoride with respect to fluorosis. J Dent Res. 1992;71(5):1238-43.
  • Lyaruu D, Bervoets T, Bronckers A. Short exposure to high levels of fluoride induces stage- dependent structural changes in ameloblasts and enamel mineralization. Eur J Oral Sci. 2006;114:111-5.
  • DenBesten P, WJF Li. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci. 2011;22:81-96.
  • Gugnani N, Pandit IK, Gupta M, Gugnani S, Soni S, Goyal V. Comparative evaluation of esthetic changes in nonpitted fluorosis stains when treated with resin infiltration, in-office bleaching, and combination therapies. J Esthet Restor Dent. 2017;29(5):317-24.
  • Khandelwal V, Nayak UA, Nayak PA, Ninawe N. Aesthetic management of dental fluorosis. BMJ Case Rep. 2013;2013:bcr2013010029.
  • DenBesten P, Heffernan L. Enamel proteases in secretory and maturation enamel of rats ingesting 0 and 100 PPM fluoride in drinking water. Adv Dent Res. 1989;3(2):199-202.
  • Thylstrup A, Fejerskov O. Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol. 1978;6(6):315-28.
  • Fragoso LSM, Lima DANL, de Alexandre RS, Bertoldo CES, Aguiar FHB, Lovadino JR. Evaluation of physical properties of enamel after microabrasion, polishing, and storage in artificial saliva. Biomed Mater. 2011;6(3):035001.
  • Celik EU, Yıldız G, Yazkan B. Comparison of enamel microabrasion with a combined approach to the esthetic management of fluorosed teeth. Oper Dent. 2013;38(5):134-43.
  • Sundfeld RH, Croll TP, Briso ALF, de Alexandre RS, Neto DS. Considerations about enamel microabrasion after 18 years. Am J Dent. 2007;20(2):67-72.
  • Jia Y, Zhang R, Luo HX, Li P, Zhang CL. Study of the effect of fluoride removal agent and microabrasion technology in LED teeth whitening of dental fluorosis. Shanghai Kou Qiang Yi Xue. 2016;25(5):609-12.
  • Briso AL, Lima AP, Gonçalves RS, Gallinari MO, dos Santos PH. Transenamel and transdentinal penetration of hydrogen peroxide applied to cracked or microabrasioned enamel. Oper Dent. 2014;39(2):166-73.
  • Wang Y, Sa Y, Liang S, Jiang T. Minimally invasive treatment for esthetic management of severe dental fluorosis: a case report. Oper Dent. 2013;38(4):358-62.
  • Abou Neel EA, Aljabo A, Strange A, Ibrahim S, Coathup M, Young AM et al. Demineralization– remineralization dynamics in teeth and bone. Int J Nanomedicine. 2016;11:4743-63.
There are 15 citations in total.

Details

Primary Language English
Subjects Restorative Dentistry
Journal Section Case Report
Authors

Merve Haberal 0000-0003-2804-0947

Behiye Esra Biberoğlu 0000-0003-4445-0823

Çiğdem Çelik 0000-0002-5936-0196

Publication Date August 16, 2024
Submission Date January 5, 2024
Acceptance Date February 23, 2024
Published in Issue Year 2024 Volume: 10 Issue: 2

Cite

Vancouver Haberal M, Biberoğlu BE, Çelik Ç. Dental Fluorosis Treatment: Three Case Reports. Aydin Dental Journal. 2024;10(2):203-9.

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