Balkan Journal of Dental Medicine
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2019, vol. 23, br. 3, str. 157-162
Aesthetic treatment of dental fluorosis in a 9-year-old girl: Case report
(naslov ne postoji na srpskom)
aAristotle University of Thessaloniki, School of Dentistry, Thessaloniki, Greece
bAristotle University of Thessaloniki, School of Dentistry, Department of Pediatric Dentistry, Thessaloniki, Greece

Ključne reči: fluorosis; bleaching; microabrasion; treatment; discoloration
(ne postoji na srpskom)
Background/Aim: Dental fluorosis is a specific disturbance of tooth formation caused by excessive intake of fluoride. The discoloration of teeth is the most common reason for parents to seek treatment. The purpose of this paper is to describe the therapeutic management performed in a 9-year-old girl with fluorosis. Case report: A clinical case of a 9-year-old girl diagnosed with fluorosis is reported. The treatment of this clinical case was achieved using microabrasion, which is a minimally invasive method. This technique improves the aesthetics of the teeth without causing significant loss of dental tissue; a characteristic making microabrasion applicable to children as well. Its implementation involved the combined use of 18% hydrochloric acid and pumice on the enamel surface of upper incisors. The improved appearance of the teeth was aesthetically pleasing and, consequently, the patient gained in self-confidence. Conclusions: In the literature, several treatment choices are proposed, depending on the severity of the fluorosis. In our case, microabrasion was applied and the aesthetic outcome satisfied both the patient and the dentist.
Akpata, E.S. (2001) Occurrence and management of dental fluorosis. International Dental Journal, 51(5): 325-333
Al-Khadhari, M. (2014) Comprehensive strategy for a compromised esthetic case: A multidisciplinary approach. Oral Health Dent Manag, (13): 552-557
Aoba, T., Fejerskov, O. (2002) Dental fluorosis: Chemistry and biology. Critical Reviews in Oral Biology & Medicine, 13(2): 155-170
Ashkenazi, M., Sarnat, H. (2001) Microabrasion of teeth with discoloration resembling hypomaturation enamel defects: Four year follow up. Journal of Clinical Pediatric Dentistry, 25(1): 29-34, 2013
Atia, G., May, J. (2013) Dental fluorosis in the paediatric patient. Dental Update, 40(10): 836-839
Benbachir, N., Ardu, S., Krejci, I. (2007) Indications and limitations of microabrasion technique. Quintessence Int, 38:811-815
Bharath, K.P., Subba, R.V.V., Poornima, P.V., Revathy, V., Kambalimath, H.V., Karthik, B.V. (2014) Comparison of relative efficacy of two techniques of enamel stain removal on fluorosed teeth: An in vivo study. Journal of Clinical Pediatric Dentistry, 38(3): 207-214
Bronckers, A.L.J.J., Lyaruu, D.M., Denbesten, P.K. (2009) The impact of fluoride on ameloblasts and the mechanisms of enamel fluorosis. Journal of Dental Research, 88(10): 877-893
Burt, B.A. (1992) The changing patterns of systemic fluoride intake. Journal of Dental Research, 71(5): 1228-1237
Bussadori, S.K., Do, R.M.A., da Silva, P.E., Pinto, M.M., Guedes, P.A.C. (2005) Esthetic alternative for fluorosis blemishes with the usage of a dual bleaching system based on hydrogen peroxide at 35%. Journal of Clinical Pediatric Dentistry, 28(2): 143-146
Celik, E.U., Yildiz, G., Yazkan, B. (2013) Clinical evaluation of enamel microabrasion for the aesthetic management of mild-to-severe dental fluorosis. Journal of Esthetic and Restorative Dentistry, 25(6): 422-430
Churchill, H.V. (1931) Occurrence of fluoride in some waters of United States. Ind Eng Chem, 23:966-968
Croll, T.P., Cavanaugh, R.R. (1986) Hydrochloric acid-pumice enamel surface abrasion for color modification: Results after six months. Quintessence Int, 2013: 335-341
Dean, H. (1934) Classification of mottled enamel diagnosis. Journal of the American Dental Association (1922), 21(8): 1421-1426
Denbesten, P.K., Heffernan, L.M. (1989) Enamel proteases in secretory and maturation enamel of rats ingesting 0 and 100 ppm fluoride in drinking water. Advances in Dental Research, 3(2): 199-202
Denbesten, P., Li, W. (2011) Chronic fluoride toxicity: Dental fluorosis. Monogr Oral Sci, 22: 81-96
Deshpande, A.N., Joshi, N.H., Pradhan, N.R., Raol, R.Y. (2017) Microabrasion-remineralization (Mab-Re): An innovative approach for dental fluorosis. J Indian Soc Pedod Prev Dent, 35:384-387
El, M.A.M. (2018) Aesthetic rehabilitation of a severe dental fluorosis case with ceramic veneers: A step-by-step guide. Case Reports in Dentistry, 2018: 1-4, 4063165
Granath, L., Widenheinv, J., Birkhed, D. (1985) Diagnosis of mild enamel fluorosis in permanent maxillary incisors using two scoring systems. Community Dentistry and Oral Epidemiology, 13(5): 273-276
Gupta, A., Dhingra, R., Chaudhuri, P., Gupta, A. (2017) A comparison of various minimally invasive techniques for the removal of dental fluorosis stains in children. Journal of Indian Society of Pedodontics and Preventive Dentistry, 35(3): 260-268
Gupta, S.K., Gupta, R.C., Seth, A.K., Gupta, A.K. (1996) Reversal of fluorosis in children. Acta Paediatr Jpn, 38(5): 513-519
He, B., Huang, S., Zhang, C., Jing, J., Hao, Y., Xiao, L., et al. (2011) Mineral densities and elemental content in different layers of healthy human enamel with varying teeth age. Arch Oral Biol, 56:997-1004
Jagger, R.G., Al-Rayes, S.A. (1990) Hydrochloric acid pumice treatment of fluorosis-stained enamel. Restorative Dent, 6:4-6
Khandelwal, V., Nayak, U.A., Nayak, P.A., Ninawe, N. (2013) Aesthetic management of dental fluorosis. BMJ Case Reports, 2013(may22 1): bcr2013010029-bcr2013010029
Kumar, S., Chauhan, A., Kumar, A., Kumar, S., Gupta, A., Roy, S., et al. (2018) Dental fluorosis and associated risk factors in early adolescents in India. Int J Adolesc Med Health
Lodi, C.S., Ramires, I., Pessan, J.P., Das, N.L.T., Buzalaf, M.A.R. (2007) Fluoride concentrations in industrialized beverages consumed by children in the city of Bauru, Brazil. Journal of Applied Oral Science, 15(3): 209-212
Mahantesha, T., Dixit, U.B., Nayakar, R.P., Ashwim, D., Ramagoni, N.K., Ellore, V.P.K. (2016) Prevalence of dental fluorosis and associated risk factors in Bagalkot District, Karnataka, India. Int J Clin Pediatr Dent, 9: 256-263
Mccloskey, R.J. (1984) A technique for removal of fluorosis stains. J Am Dent Assoc, 2013:63-64
Moller, J. (1982) Fluorides and dental fluorosis. Int Dent J, 32:135-147
Muñoz, M.A., Arana-Gordillo, L.A., Gomes, G.M., Gomes, O.M., Bombarda, N.H.C., Reis, A., Loguercio, A.D. (2013) Alternative esthetic management of fluorosis and hypoplasia stains: Blending effect obtained with resin infiltration techniques. Journal of Esthetic and Restorative Dentistry, 25(1): 32-39
Murray, J.J., Rugg-Gunn, A.J. (1982) Modes of action of fluoride in reducing caries. u: Fluoride in caries prevention: Dental practitioner's handbook, Boston: Wright PSG, 2nd ed, pp: 222-223
Nilchian, F., Asgary, I., Mastan, F. (2018) The effect of dental fluorosis on the quality of life of female high school and precollege students of high fluoride-concentrated area. Journal of International Society of Preventive and Community Dentistry, 8(4): 314-319
Nurelhuda, N.M., Ahmed, M.F., Trovik, T.A., Åstrøm, A.N. (2010) Evaluation of oral health-related quality of life among Sudanese schoolchildren using Child-OIDP inventory. Health and Quality of Life Outcomes, 8(1): 152-152
o'Mullane D.M., Clarkson, J., Holland, T., o'Hickey S., Whelton, H. (1988) Effectiveness of water fluoridation in the prevention of dental caries in Irish children. Community Dent Health, 5: 331-344
Pini, N.I., Sundfeld-Neto, D., Aguiar, F.H., Sundfeld, R.H., Martins, L.R., Lovadino, J.R., et al. (2015) Enamel microabrasion: An overview of clinical and scientific considerations. World J Clin Cases, 16:3:34-41
Pretty, I.A. (2016) High fluoride concentration toothpastes for children and adolescents. Caries Research, 50(1): 9-14
Reema, S.D., Lahiri, P.K., Roy, S.S. (2014) Review of casein phosphopeptides-amorphous calcium phosphate. Chin J Dent Res, 17:7-14
Rozier, R.G. (1994) Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: Overview and critique. Advances in Dental Research, 8(1): 39-55
Siew, C., Strock, S., Ristic, H., Kang, P., Chou, H.N., Chen, J.W., et al. (2009) Assessing the potential risk factor for enamel fluorosis: A preliminary evaluation of fluoride content in infant formulas. J Am Dent Assoc, 140: 1228-1236
Smith, M.C., Lantz, E.M., Smith, H.V. (1931) The cause of mottled enamel. Science, 74:244-247
Strassler, H.E. (2010) Clinical case report: Treatment of mild-to-moderate fluorosis with minimally invasive treatment plan. Compend Contin Educ Dent, 31:54-58
Sundfeld, R.H., Croll, T.P., Briso, A.L., de Alexandre, R.S., Sundfeld, N.D. (2007) Considerations about enamel microabrasion after 18 years. Am J Dent, 20:67-72
Susheela, A.K., Bhatnagar, M. (2002) Reversal of fluoride induced cell injury through elimination of fluoride and consumption of diet rich in essential nutrients and antioxidants. Mol Cell Biochem, 234: 335-340
Tellez, M., Santamaria, R.M., Gomez, J., Martignon, S. (2012) Dental fluorosis, dental caries, and quality of life factors among schoolchildren in a Colombian fluorotic areal. Community Dent Health, 29: 95-99
Thylstrup, A., Fejerskov, O. (1978) Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dentistry and Oral Epidemiology, 6(6): 315-328
Tong, L.S., Pang, M.K., Mok, N.Y., King, N.M., Wei, S.H. (1993) The effects of etching, micro-abrasion, and bleaching on surface enamel. J Dent Res, 72(1): 67-71
Torres, C.R.G., Borges, A.B., Torres, L.M.S., Gomes, I.S., de Oliveira, R.S. (2011) Effect of caries infiltration technique and fluoride therapy on the colour masking of white spot lesions. Journal of Dentistry, 39(3): 202-207
Velu, H., Balozet, L. (1931) Reproduction experimentale chez le mouton de la dystrophie dentaire des animaux des zones phosphates. Bull Acad Vet France, 4:373-376
Wallace, A., Deery, C. (2015) Management of opacities in children and adolescents. Dental Update, 42(10): 951-958
Welbrury, R.R., Shaw, L. (1990) A simple technique for removal of mottling, opacities and pigmentation from enamel. Dent Update, 2013: 161-163
Welbury, R.R., Carter, N.E. (1993) The hydrochloric acid-pumice microabrasion technique in the treatment of post-orthodontic decalcification. British Journal of Orthodontics, 20(3): 181-185, 2013
World Health Organization (1984) Recommendations. u: Guidelines for drinking water quality, Geneva, Vol. 1
Wray, A., Welbury, R. (2001) UK national clinical guidelines in paediatric dentistry: Treatment of intrinsic discoloration in permanent anterior teeth in children and adolescents. Int J Paediatr Dent, 2013:309-315
Zhang, R., Cheng, L., Zhang, T., Xu, T., Li, M., Yin, W., Jiang, Q., Yang, Y., Hu, T. (2019) Brick tea consumption is a risk factor for dental caries and dental fluorosis among 12-year-old Tibetan children in Ganzi. Environmental Geochemistry and Health, 41(3): 1405-1417
Zohoori, F.V., Omid, N., Sanderson, R.A., Valentine, R.A., Maguire, A. (2019) Fluoride retention in infants living in fluoridated and non-fluoridated areas: Effects of weaning. British Journal of Nutrition, 121(1): 74-81

O članku

jezik rada: engleski
vrsta rada: prikaz slučaja
DOI: 10.2478/bjdm-2019-0028
objavljen u SCIndeksu: 20.12.2019.

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