Combined in–office and at-home bleaching of vital teeth in an adolescent patient- A case report

Fluorosis is one of the prevalent causes of discoloration of teeth. Teeth discolouration is a common aesthetic issue which can be caused by various factors, categorized into either extrinsic or intrinsic. Numerous recent advancements are available to manage teeth discoloration effectively. This case report demonstrates a remarkable aesthetic improvement of fluorosed teeth achieved through in-office bleaching, highlighting the procedure’s efficacy in restoring a brighter smile. A twelve-year-old patient with mild to moderate dental fluorosis underwent a conservative treatment to address fluorosis, prioritizing cost-effectiveness and minimal invasiveness. After 3 visits for vital in-office bleaching and at home bleaching showed considerable diminishing of intensity of the discolouration. The combined in-office and home bleaching approach successfully improved the teeth's appearance, meeting both the patient's and parents' aesthetic and practical goals. Studies generally favour in-office bleaching over home methods for longevity and efficacy, though sensitivity levels vary by concentration and desensitizers. For optimal results, professionals are advised to follow manufacturer protocols, maintain the concentration of the bleaching agent, and application time, and combine in-office and at-home treatments for safe, and lasting whitening. Patient was advised to avoid stain-causing foods and maintain good oral hygiene post-treatment, to prevent re-staining and maintain the teeth shade. This case also highlighted the effective management of fluorosis in children.