Conservative aesthetic management of dental fluorosis using microabrasion with two different acidic compounds in pediatric patients: A report of two cases

Nehal Ahmad¹ image, Saima Yunus Khan2 image,Divya Sanjay Sharma3 image, Mahendra Kumar Jindal4 image, Imam Azam5 image, Mohammad Atif 6 image

Highlights

Dental fluorosis can severely impact the aesthetics and social life of pediatric patients. Effective management is crucial for improving the confidence and overall well-being of affected children.

Microabrasion using two different acidic compounds demonstrated significant improvement in the aesthetic appearance of teeth affected by dental fluorosis.

This study provides comparative insights into the efficacy of two acidic compounds in treating dental fluorosis, aiding clinicians in choosing best treatment for pediatric patients.

Abstract

Dental fluorosis is a subsurface hypomineralization condition, characterized by yellow to dark brown stains, with or without enamel porosity and pitting. Due to aesthetic concerns, children with discolored anterior teeth often experience negative impacts on their psychological, emotional, and social development. Treatment options include porcelain laminates or veneers, direct resin restorations, and crowns. However, these methods are invasive and require significant enamel reduction, making them unsuitable for children due to their enlarged pulp chambers. Microabrasion is the least invasive and safest treatment for children with fluorosis. This technique involves using a combination of 37% phosphoric acid gel with extra fine grain pumice, 18% hydrochloric acid in pumice, or 6.6% and 10% hydrochloric acid with silica carbide particles. The mixture is applied with a slowly rotating rubber cup to the areas of discoloration or white opacities. An additional benefit of microabrasion is that it leaves the enamel surface highly polished, reducing the growth of cariogenic bacteria and increasing resistance to demineralization. This case report describes two instances of dental fluorosis treated with microabrasion using different acidic compounds in two pediatric patients, resulting in clinically acceptable and aesthetically pleasing outcomes.

Keywords: Dental Fluorosis; Enamel Microabrasions; Esthetics; Preventive Dentistry

Author Affiliations

  1. Resident, Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, India (Correspondence:nehala78@gmail.com)
  2. Professor, Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, India
  3. Professor, Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, India
  4. Professor, Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, India
  5. Assistant Professor, Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, India
  6. Assistant Professor, Department of Pediatric and Preventive Dentistry, Dr. Ziauddin Ahmad Dental College, India
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Article Info

Contemp Pediatr Dent 2024:5(2):96-104

Received: 09 Jun 2024

Accepted: 22 July 2024

Online First: 25 July 2024

DOI: 10.51463/cpd.2024.23

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					Nehal Ahmad, Saima Yunus Khan, Divya Sanjay Sharma, Mahendra Kumar Jindal, Imam Azam, Mohammad Atif. Conservative aesthetic management of dental fluorosis using microabrasion with two different acidic compounds in pediatric patients: A report of two cases. Contemp Pediatr Dent 2024:5(2):96-104.

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