ABSTRACT
Objective: Severely fluorosed and heavily discolored teeth that have large enamel defects give
rise to esthetic concerns and require permanent treatment. In such cases, restorative
techniques such as porcelain or composite laminate veneers or crowns are generally
preferred, in which tooth preparation is inevitably required. Materials and Methods: This clinical report describes a patient with severely fluorosed teeth who was successfully
treated with a minimally invasive technique including enamel microabrasion (6.6% hydrochloric
acid slurry with silicon carbide micro-particles, Opalustre, Ultradent Products, Inc.,
South Jordan, UT, USA) followed by in-office bleaching (38% hydrogen peroxide, Opalescence
Boost, Ultradent). Enamel microabrasion was conducted in two visits while three visits
were required for in-office bleaching. Patient was followed-up after 2 years. Result:
A slight staining had occurred during this period, but it was acceptable for patient.
No adverse effects were observed. Conclusions: The minimally invasive technique including enamel microabrasion and in-office bleaching
was efficient and may represent a good alternative to traditional restorative techniques
for the management of severely fluorosed teeth.
Key words:
Dental bleaching - fluorosed teeth - microabrasion