Infiltrative resin as a treatment for mild dental fluorosis in adolescents

Abstract

Dental fluorosis affects 56% of schoolchildren in Chile, resulting from chronic and cumulative fluoride intake during amelogenesis. This enamel hypomineralization causes a qualitative defect, making it more porous and fragile. Its classification uses the Dean's Index, categorizing the amount of affected surface. Depending on its severity, fluorosis can impact the self-esteem and confidence of children and adolescents, with aesthetic management presenting a challenge. This report describes the treatment of mild dental fluorosis (generalized white opacities) associated with enamel fractures in two Chilean adolescents aged 10 and 15 years. They reported discomfort smiling freely and feeling embarrassed about their teeth. A combined technique of low-viscosity infiltrative resin (ICON) and composite resin restoration (Brilliant EverGlow) was employed. The choice of this treatment was based on the aesthetic and adhesive properties of the materials, achieving immediate and satisfactory aesthetic results for the patients and the professional team. In conclusion, this minimally invasive treatment approach demonstrates that the combination of infiltrative resin and composite resin restoration is an effective option. It not only preserves dental structure but also provides immediate aesthetic satisfaction in treating mild dental fluorosis in adolescents, thereby enhancing their quality of life.