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Case Reports
. 2012 Dec 10:2012:bcr2012007138.
doi: 10.1136/bcr-2012-007138.

Clinical management of severe fluorosis in an adult

Huma Farid  1 , Farhan Raza Khan
Affiliations
Case Reports

Clinical management of severe fluorosis in an adult

Huma Farid et al. BMJ Case Rep. .

Abstract

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 in an unpleasing appearance as well as psychological distress to the affected individual. Dental fluorosis can be managed by bleaching, micro/macroabrasion, veneering or crowning. The choice between different treatment options depends on the severity of fluorosis and patients' aesthetic demands. The aim of this case report was to describe the stepwise oral rehabilitation of an adult with severe fluorosis along with multiple carious teeth. After restoration of carious teeth and extraction of unsalvageable teeth, bleaching and full-coverage restorations were used for the management of fluorosis.

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Figures

Figure 1
Figure 1
Preoperative intraoral photographs and Orthopantomograph (OPG).
Figure 2
Figure 2
Postrestorative and bleaching intraoral pictures and Orthopantomograph (OPG).
Figure 3
Figure 3
Postoperative images of porcelain fused to metal crowns and bridges.
Figure 4
Figure 4
(A) Preoperative. (B) After bleaching. (C) Postcrowns and bridges work-up.
See this image and copyright information in PMC

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