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BMJ Case Reports 2012; doi:10.1136/bcr-2012-007138
  • Reminder of important clinical lesson

Clinical management of severe fluorosis in an adult

  1. Farhan Raza Khan
  1. Dental Section, Department of Surgery, Aga Khan University Hospital, Karachi, Sindh, Pakistan
  1. Correspondence to Dr Huma Farid, drhumafarid{at}hotmail.com

Summary

Dental fluorosis is defined as hypomineralisation of enamel resulting from excessive ingestion of fluoride (more than 1 ppm) during tooth development. Mild-to-moderate forms of dental fluorosis are often unnoticed by the patients whereas severe fluorosis presents with dark brown-to-black discolouration of teeth along with enamel pitting and hypoplasia. Such discolouration results in an unpleasing appearance as well as psychological distress to the affected individual. Dental fluorosis can be managed by bleaching, micro/macroabrasion, veneering or crowning. The choice between different treatment options depends on the severity of fluorosis and patients’ aesthetic demands. The aim of this case report was to describe the stepwise oral rehabilitation of an adult with severe fluorosis along with multiple carious teeth. After restoration of carious teeth and extraction of unsalvageable teeth, bleaching and full-coverage restorations were used for the management of fluorosis.

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