Conservative techniques for treatment of dental fluorosis: clinical case report

Natasha Muniz Fontes, Ticiana Pessoa, Maria Elisa Martins

Fluoride is a very important element in preventing tooth decay, but fluoride intake exceeding recommended amounts can cause acute/chronic intoxication or fluorosis. Dental fluorosis is a consequence of excessive fluoride intake during the development of teeth (especially during the first three years of life) and reflects more commonly in the permanent dentition. The objective of the present study was to review the literature and present a clinical case in which clinical solutions for the rehabilitation of patients with fluorosis stains were applied by means of microabrasion and dental bleaching techniques, with aesthetic results satisfactory for the patient. Fluorosis treatment in the reported case was carried out in two sessions of microabrasion of dental enamel, using a paste composed by the same proportions of 37% phosphoric acid (Condac 37, FGM®) and pumice stone (Pedra Pomes Extra fina, Maquira®). After a one-month interval, an office whitening session was performed (35% hydrogen peroxide, Total Bleach Office H 35%, DFL®) associated with home whitening (Total Blanc Home C 16%, DFL®). The microabrasion and bleaching techniques proved to be efficient, within the reported clinical case, in the reduction and removal of dental staining caused by moderate fluorosis of the patient, besides favoring the aesthetics of the smile and being able to contribute to the improvement of the self-esteem and social life.

Keywords: Fluorosis, dental. Enamel microabrasion. Tooth bleaching.

How to cite: Fontes NM, Pessoa T, Martins ME. Conservative techniques for treatment of dental fluorosis: clinical case report. J Clin Dent Res. 2017 Oct-Dec;14(4):48-57. DOI: https://doi.org/10.14436/2447-911x.14.4.048-057.oar

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