Esthetic Management Of Dental Fluorosis: Minimally Invasive Techniques

To report on cases of moderate to severe dental fluorosis in the esthetic zone that were treated with a combination of noninvasive or minimally invasive procedures, resulting in optimal clinical outcomes. A diagnosis of moderate dental fluorosis with enamel defects was made for one patient. The patient was provided at-home whitening (Beyond Core White, Beyond International Inc., Stafford, TX, USA) for three weeks. After that, the patient returned for resin infiltration (Icon, DMG, Hamburg, Germany) and resin composite restorations (Shade A3, Filtek™ Supreme XT; 3M ESPE AG, Seefeld, Germany) of the enamel defects. Another severe dental fluorosis case was diagnosed according to the discolorations and pitted areas. A treatment plan involving at-home whitening followed by enamel polishing (Super-Snap Rainbow Technique Kit, Shofu Inc.) and resin infiltration was recommended. For patients with moderate to severe dental fluorosis, tooth whitening should be the initial treatment step, as it is noninvasive and effectively removes most yellowish stains, rendering the tooth color more uniform. Abrasive procedures using diamond burs or strong acids are unnecessary after adequate tooth whitening, as enamel surface polishing combined with resin infiltration are sufficient to achieve satisfactory esthetic outcomes. Resin infiltration of whitened fluorosis lesions improves color uniformity and enhances the visual perception of enamel surfaces. A series of treatments combining tooth whitening, enamel surface polishing, and resin infiltration is effective in achieving satisfactory esthetic outcomes while preserving natural dental tissues in patients with moderate to severe dental fluorosis.