title: Aesthetic management of dental fluorosis.
abstract: Significant numbers of patients visiting the paediatric dental clinics have aesthetically objectionable brown stains and desire treatment for them. Intrinsic tooth discolouration can be a significant aesthetic, and in some instances, functional, problem. Dental fluorosis, tetracycline staining, localised and chronological hypoplasia, and both amelogenesis and dentinogenesis imperfecta can all produce a cosmetically unsatisfactory dentition. The aetiology of intrinsic discolouration of enamel may sometimes be deduced from the patient's history, and one factor long associated with the problem has been a high level of fluoride intake. Optimal use of topical fluorides leads to a decrease in the caries prevalence but may show an increase in the prevalence of fluorosis staining because of metabolic alterations in the ameloblasts, causing a defective matrix formation and improper calcification. A 12-year-old male patient was screened at the dental clinic for routine dental care. He wanted us to remove and/or minimise the noticeable brown/yellow staining of his teeth. He requested the least invasive and most cost-effective treatment to change his smile. Various treatment modalities are present for the treatment of fluorosis stains. This report discusses the microabrasion technique in the patient having dental fluorosis.
authors.affiliation: Department of Pedodontics, Modern Dental College and Research Center, Indore, Madya Pradesh, India.
authors.forename: Vishal
authors.initials: V
authors.lastname: Khandelwal
authors.forename: Ullal Anand
authors.initials: UA
authors.lastname: Nayak
authors.forename: Prathibha Anand
authors.initials: PA
authors.lastname: Nayak
authors.forename: Nupur
authors.initials: N
authors.lastname: Ninawe
mesh_terms: D002648:Child; D003729:Dental Care / Q000379:methods; D003731:Dental Caries / Q000517:prevention & control; D004954:Esthetics; D005460:Fluorides, Topical / Q000009:adverse effects*; D009050:Fluorosis, Dental / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D014075:Tooth Discoloration / Q000628:therapy*
chemical_list: D005460:Fluorides, Topical