Microabrasion of teeth with fluorosis: A minimally invasive solution to unaesthetic smile

Abstract

Dental hypomineralization like dental fluorosis leads to a less aesthetic appearance of the teeth visible in the vicinity. Dental fluorosis results from excessive fluoride intake during enamel formation, which may lead to color abnormalities or defects in the tooth surface. Microabrasion is the preferred treatment for aesthetic improvement of stains in mild to moderate cases. In this procedure, trapped stains are removed with the help of the abrasive agent and HCL acid which is directly applied to the stained enamel surface. Casein phosphopeptide - Amorphous calcium phosphate (CPP-ACP) applied topically after microabrasion, improving remineralization and preventing post-operative sensitivity. This case report illustrates the microabrasion technique for the management of mild to moderate dental fluorosis in maxillary incisors to eliminate stains from the enamel surface in a single session, followed by remineralization with CPP - ACP paste and a further one-year follow-up was done to check the long-term effect of the treatment.