Minimally Invasive Approach to Treating Moderate Dental Fluorosis: A Case Report

Dental fluorosis (DF) is a condition affecting tooth enamel that occurs during the development of permanent teeth, resulting from excessive fluoride consumption. Based on the severity, the tooth surface exhibits discoloration or structural anomalies. The range of colors varies from mild discoloration to severe dark brown lesions. These abnormalities lead to issues with appearance and impact the patient's self-esteem. This case report details a minimally invasive treatment for moderate DF in a 23-year-old male patient. The treatment involved a two-week at-home whitening regimen utilizing a 10% carbamide peroxide gel to diminish chromatic contrast on the affected teeth. Subsequently, enamel microabrasion was conducted to eliminate superficial discoloration prior to resin penetration on each maxillary tooth from UR5 to UL5. Following a two-year follow-up assessment, it was demonstrated that the tooth color was preserved, and no further discoloration occurred. This example showed that moderate DF can be addressed with a minimally invasive technique that integrates bleaching, microabrasion, and resin penetration.