Burcu GÖZETİCİ, Mahmut KUŞDEMİR, Funda ÖZTÜRK BOZKURT

COMBINED ESTHETIC THERAPY OF SEVERE DENTAL FLUOROSIS: A CASE REPORT

ABSTRACT In todays’ modern dentistry, the undesirable appea- rence of dental fluorosis need to be improved to satisfy patients’ esthetic requirements in a minimally invasive manner. The approach proposed for the treatment should remove the stained enamel defects, provide blending effect for chalky white appearence and strengthen the enamel against caries develop- ment. The purpose of this case report is to present the clinical results of a combined esthetic treatment of a severe fluorosis case with microabrasion, bleaching and resin infiltration. Treatment plan was based on a combined approach of microabrasion, home bleaching and resin infiltration. An improvement in the esthetic appearence was achi- eved and remained stable in the 6-months follow-up. The technique might be more minimally invasive, less time consuming and cheaper compared to restorative techniques. Key Words: dental fluorosis, microabrasion, home bleaching, resin infiltration ŞİDDETLİ DENTAL FLOROZİSİN KOMBİNE ESTETİK ESTETİK TEDAVİSİ: BİR OLGU SUNUMUGünümüz modern diş hekimliğinde, hastaların estetik beklentilerini arttırmak için dental florozisin istenmeyen görüntüsünün minimal invaziv yaklaşımla iyileştirilmesi gerekmektedir. Tedavi için önerilen yaklaşım, renklenmiş mine defektlerini uzaklaştırmalı, beyaz tebeşirimsi görüntü için renk eşitleyci etki sağlamalı ve mineyi çürük gelişimine karşı güçlendirmelidir. Bu vaka raporunun amacı, şiddetli dental florozisin mikroabrazyon, beyazlatma ve rezin infiltrasyonu ile kombine estetik tedavisinin klinik sonuçlarını sunmaktır. Tedavi planı, mikroabrazyon, ev tipi beyazlatma ve rezin infiltrasyonun kombine edildiği bir yaklaşıma dayanmaktadır. Estetik görüntüde bir iyileşme sağlanabilmiş ve 6 aylık takip süresince stabil kalmıştır. Restoratif teknikler ile karşılaştırıldığında, teknik daha minimal invaziv, daha az zaman gerektiren ve daha ucuz olabilir. Anahtar Kelimeler: Dental florozis, mikroabrazyon, ev tipi beyazlatma, rezin infiltrasyon

Anahtar Kelimeler:

dental fluorosis, microabrasion, home bleaching

PDF

___

1. DenBesten P, Li W. Chronic fluoride toxicity: Dental fluorosis. Monogr of Oral Sci 2011;22:81-96.
2. Dean HT, Jay P, Arnold FA, Elvove E. Domestic waters and dental caries. II. A study of 2832 white children ages of 12-14 years of eight suburban Chicago comunities, including Lactobacillus acidophilus studies of 1761 children. Public Health Rep 1941;56:761-92.
3. Dean HT, Arnold FA, Elvove E. Domestic waters and dental caries. V. Additional studies of the relation of fluoride domestic waters to dental caries in 4425 white children, age 12-14 years of 13 cities in 4 states. Public Health Rep 1942;57: 1155-79.
4. Everett E.T. Fluoride’s effects on the formation of teeth and bones, and the influence of genetics. J Dent Res 2011;90:552-60.
5. Institute of Medicine. Dietary reference intakes: for calcium, phosphorus, magnesium, vitamin D and fluoride. National Academies Press; Washington: 1997.
6. Ardu S, Stavridakis M, Krejci IA. Minimally invasive treatment of severe dental fluorosis. Quintessence Int 2007;38:455-8
7. Beltran-Aguilar ED, Barker LK, Canto MT, et al. Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis–United States, 1988–1994 and 1999–2002. MMWR Surveill Summ. 2005;54:1–43.
8. State of art report on the extent of fluoride in drinking water and the resulting endemicity in India. Scientific and Technical Information Compilation for UNICEF, New Delhi by Fluorosis Research and Rural Development Foundation, New Delhi 1999.
9. Wang Y, Sa Y, Liang S, Jiang T. Minimally invasive treatment for esthetic management of severe dental fluorosis: A case report. Oper Dent 2013; 38:358-62
10. Thylstrup A, Fejerskov O, Mosha HJ. A polarized light and microradiographic study of enamel in human primary teeth from a high fluoride area. Arch Oral Biol. 1978;23:373–80
19. Kielbassa AM, Müller J, Gemhardt CR. Closing the gap betweenoral hygiene and minimally invasive dentistry: A review on the resin infiltration technique of incipient (proximal) enamel lesions. Quintessence Int 2009;40:663-81.
20. Zhou R, Zaki AE, Eisenmann DR. Morphometry and autoradiography of altered rat enamel protein processing due to chronic exposure to fluoride. Arch Oral Biol. 1996;41:739-47.
21. Lyaruu DM, Bervoets TJM, Bronckers ALJJ. Short exposure to high levels of fluoride induces stage-dependent structural changes in ameloblasts and enamel mineralization. Eur J Oral Sci 2006;114. 1): 111–5
22. Akpata ES. Occurence and management of dental fluorosis. Int Dent J 2001;51:325-33.
23. Croll TP. Enamel microabrasion: The technique. Quintessence Int 1989;20:395-400.
24. Croll TP, Helpin ML. Enamel microabrasion: A new approach. J Esthet Dent 2000;12:64-71
25. Croll TP. Enamel microabarasion followed by dental bleaching: case reports. Quintessence Int 1992;23:317-21.
26. Cvitko E, Swift EJ, Denehy GE. Improved esthetic with a combined bleaching technique: case report. Quintessence Int 1992;23:91-3
27. Knösel M, Attin R, Becker K, Attin TA. Randomized CIE L*a*b avaluation of external bleaching therapy effects on fluorotic enamel stains. Quintessence Int 2008;39:391-9.