• Users Online: 387
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Instructions to authors Subscribe Contacts Login 
REVIEW ARTICLE
Year : 2014  |  Volume : 1  |  Issue : 1  |  Page : 3-13

Therapeutic management of dental fluorosis: A critical review of literature


Department of Restorative Sciences, Faculty of Dentistry, Kuwait University, Kuwait Department of Restorative Dentistry, Lagos State University College of Medicine, Lagos, Nigeria

Correspondence Address:
Enosakhare S Akpata
Department of Restorative Dentistry, Lagos State University College of Medicine, Lagos
Nigeria
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/WKMP-0056.124179

Rights and Permissions

Dental fluorosis is a specific condition due to chronic ingestion of excessive fluoride during enamel formation. The cleavage and removal of enamel proteins are disturbed. Retention of the proteins and water results in varying degrees of subsurface porosities related to the severity of fluorosis. The porosities may attract extrinsic stains, causing enamel discoloration. Posteruptively, occlusal trauma may cause detachment of surface enamel weakened by the subsurface porosities. The therapeutic management options include bleaching, microabrasion, veneering and crowning. The bleaching agents break down the chromogens into smaller molecules, resulting in teeth with lighter and brighter shades. The microabrasion is aimed at removing the superficial microporous zone together with the entrapped extrinsic stains, while laminate veneers and crowns provide esthetic masking of the discolored fluorosed enamel. It is suggested that mild-to-moderate fluorosis be treated by microabrasion and bleaching, while severe fluorosis, with loss of some surface enamel, is managed by veneering and crowning, depending on the extent of surface enamel loss. Long-term clinical trials are needed to evaluate the appropriateness of the various management options for fluorosis of varying severity.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed20060    
    Printed168    
    Emailed1    
    PDF Downloaded2019    
    Comments [Add]    

Recommend this journal