Minimally invasive aesthetic treatment in a patient with dental fluorosis

Abstract

Introduction: Dental fluorosis is a condition that affects the enamel caused by excessive fluoride intake. It occurs in the pre-eruptive stage of dental development during amelogenesis, producing changes in the hydroxyapatite crystals of the enamel. It manifests as white, yellow, and brown discolorations in the teeth, and may even cause destruction in severe cases. The prevalence ranges from 34% in mild dental fluorosis, being the most frequent severity, followed by moderate at 17% and severe at 2%. The treatment of choice depends on the severity, including microabrasion, bleaching, and resin infiltration. Case report: A 16-year-old female patient came to the Comprehensive Medical Care Center of the Centro Universitario de los Altos with the complaint "my teeth bother me" without relevant pathological data. Intraoral examination revealed mild dental fluorosis, extending from canine to canine, so it was decided to perform microabrasion using absolute isolation and Antivet. Conclusions: Mild cases of dental fluorosis can be treated solely with minimally invasive first-line treatments, restoring the patient's dental aesthetics and improving their quality of life.