Abstract
Dental fluorosis is a common disorder caused by excessive fluoride intake during tooth development. The esthetic consequences of dental fluorosis can negatively affect oral health-related quality of life and have lasting psychosocial effects. In severe cases, where the fluorosed enamel is prone to chipping, flaking, and developing caries, minimally invasive procedures are ineffectual and a more substantial restorative approach is required to restore optimal function and esthetics. However, no definitive guidelines exist for the management and treatment of severe dental fluorosis due to the limited evidence available in the literature. This case report describes the full-mouth rehabilitation of a patient with severe dental fluorosis utilizing adhesively bonded all-ceramic crowns, veneers, and overlays. The successful follow-up on this case indicates that adhesively bonded restorations may provide a viable option in the functional and esthetic management of severely fluorosed dentition.
Highlights
In milder cases of dental fluorosis, the enamel is fully functional with the presence of opaque striations and a mottled appearance, while more severe cases are characterized by enamel surface porosity, pitting, and dark discoloration [3]
Even at optimal levels of fluoridation, an estimated 48% of the population will present with some degree of dental fluorosis, with 12.5% manifesting into esthetic concerns [13]
This case report presents the full-mouth rehabilitation of a patient with severe dental fluorosis utilizing adhesively bonded all-ceramic restorations with full coverage crowns, veneers, and overlays
Summary
Dental fluorosis is caused by systemic overexposure to fluoride during tooth development [1]. The Thylstrup and Fejerskov index (TFI) classifies the severity of dental fluorosis based on the clinical appearance of enamel (Table 1). This classification is considered to be biologically valid as it closely correlates the clinical features of the affected enamel to the histological features [8]. Entire surface displays marked opacity with focal loss of outermost enamel (pits)
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