The patient presented at the restorative dentistry clinics at King Saud University complaining of an unpleasant smile and generalized tooth discoloration. Flossing was performed to ensure interproximal contact patency. -, Fejerskov O., Larsen M. J., Richards A., Baelum V. Dental tissue effects of fluoride. A chamfer finish line was maintained at the level of the gingival margin. doi: 10.1111/j.1834-7819.2009.01156.x. The most noticeable effect of dental fluorosis is teeth discoloration. Numerous studies have reported that water fluoridation is a safe and effective public health measure for reducing the occurrence of dental caries [2, 3]. Maxillary tooth preparation: (a) frontal view, (b) lateral view: right side, and (c) lateral view: left side. Ceramic veneers are considered one of the most popular restorative materials in aesthetic dentistry. 2009;54(4):316–322. After that, each veneer was light-cured from the facial aspect for 40 seconds and from the lingual aspect for 40 seconds. The selection of an appropriate treatment plan for cases of dental fluorosis depends on the severity of the condition. A layer of silane coupling agent (Monobond Plus, Ivoclar Vivadent, Schaan, Liechtenstein) was applied on the veneers’ fitting surfaces and gently air-dried after one minute. Aminah M. El Mourad, "Aesthetic Rehabilitation of a Severe Dental Fluorosis Case with Ceramic Veneers: A Step-by-Step Guide", Case Reports in Dentistry, vol. The inner surface of the veneers was covered with light-cured resin cement (Variolink Veneer, transparent shade, Ivoclar Vivadent, Schaan, Liechtenstein). Then, the prepared teeth were etched using 37% phosphoric acid for 30 seconds, rinsed, and dried. [Application of all-ceramic laminates veneer with Vita VM9 in clinic]. doi: 10.1177/08959374940080010601. Copyright © 2018 Aminah M. El Mourad. Prevalence of Dental Fluorosis among Southern Jordanian Population. International Dental Journal. Facial and lingual embrasures were refined with a thin diamond disk, the occlusion was adjusted, and the temporary restorations were polished using polishing discs and points (Figure 3). eCollection 2020. A. Sherwood, “Fluorosis varied treatment options,”. This case report describes a step-by-step rehabilitation of fluorosed teeth, using ceramic veneers in a 26-year-old Yemeni male. Maxillary tooth preparation: (a) frontal view, (b) lateral view: right side, and (c) lateral view: left side. A clear mylar strip was placed interproximally to prevent inadvertent bonding to the adjacent tooth and to facilitate the subsequent removal of excess resin cement in the embrasures. Dental fluorosis is a non-hereditary disorder that is solely caused by the ingestion of fluoride while teeth are developing. This is the time when most permanent teeth are being formed. Ceramic polishing was performed using a series of polishing cups and points (OptraFine polishing system, Ivoclar Vivadent, Schaan, Liechtenstein). Light curing was first performed for 2 seconds, and the excess resin cement was removed with a microbrush. 2020 Mar 18;15(1):71-73. eCollection 2020. However, excessive fluoride in drinking water, exceeding a concentration of 0.5–1.5 mg/l, can lead to metabolic alteration in ameloblasts; this results in a defective matrix and improper calcification of teeth, known as dental fluorosis [4]. Temporary veneers were removed, and the teeth were cleaned using pumice. Malays Fam Physician. 2020 Oct 29;2020:8890004. doi: 10.1155/2020/8890004. The patient decided to postpone veneering his lower teeth, given his limited financial capacity. 1994;8(1):15–31. His medical history was irrelevant. The teeth also have pitting that may be discrete or may run together. -, Spencer A. J., Slade G. D., Davis M. Water fluoridation in Australia. PREMIUM DENTAL TURKEY - Duration: 9:15. Ceramic veneers can completely mask the discolored tooth with minimal reduction of sound tooth substance because they require a minimally invasive design preparation. Ceramic veneers are considered the treatment of choice for moderate to severe cases of fluorosis given the optimum aesthetics, wear resistance, biocompatibility, and long-term results of these veneers. This case report describes a step-by-step rehabilitation of fluorosed teeth, using ceramic veneers in a 26-year-old Yemeni male. Ceramic veneers are considered the treatment of choice for moderate to severe cases of fluorosis given the optimum aesthetics, wear resistance, biocompatibility, and long-term results of these veneers.  |  A flame-shaped fine diamond bur was used to finish the ceramic margins and to contour the embrasure surfaces. 2015 Dec 31;2015(12):CD005512. The clear matrix that was previously fabricated was loaded with a temporization material (Protemp Plus, 3M ESPE, MN, USA) and placed over the prepared teeth. This case report presents a step-by-step aesthetic rehabilitation of a patient with severe fluorosis by using ceramic veneers. -, Hopcraft M. S., Yapp K. E., Mahoney G., Morgan M. V. Dental caries experience in young Australian Army recruits 2008. Sign up here as a reviewer to help fast-track new submissions. The selection of an appropriate treatment plan for cases of dental fluorosis depends on the severity of the condition. A layer of bonding agent (Adhese Universal, Ivoclar Vivadent, Schaan, Liechtenstein) was applied on the prepared tooth surfaces and air-thinned. Aesthetic Rehabilitation of a Severe Dental Fluorosis Case with Ceramic Veneers: A Step-by-Step Guide, Department of Restorative Dental Sciences, King Saud University, Riyadh, Saudi Arabia, P. K. Den Bestan, “Dental fluorosis: its use as a biomarker,”, A. J. Spencer, G. D. Slade, and M. Davis, “Water fluoridation in Australia,”, M. S. Hopcraft, K. E. Yapp, G. Mahoney, and M. V. Morgan, “Dental caries experience in young Australian Army recruits 2008,”, O. Fejerskov, M. J. Larsen, A. Richards, and V. Baelum, “Dental tissue effects of fluoride,”, E. S. Akpata, “Occurrence and management of dental fluorosis,”, P. Denbesten and W. Li, “Chronic fluoride toxicity: dental fluorosis,”, B. T. Rotoli, “Porcelain veneers as an alternative for esthetic treatment: clinical report,”, A. Aqeel, A. Al-Amry, and O. Alharbi, “Assessment and geospatial distribution mapping of fluoride concentrations in the groundwater of Al-Howban Basin Taiz-Yemen,”, A. Thylstrup and O. Fejerskov, “Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes,”, M. Peumans, B. Ceramic veneers were fabricated with a lithium disilicate-reinforced glass ceramic material (IPS e.max Press, Ivoclar Vivadent, Schaan, Liechtenstein). Afterwards, veneers were prepared for bonding. 2007 Oct;25(5):447-9. It has been reported that ceramic veneers provide durable and successful restoration with an estimated survival probability of 93.5% over 10 years [12]. 2001 Oct;51(5):325-33. doi: 10.1002/j.1875-595x.2001.tb00845.x. The patient presented at the restorative dentistry clinics at King Saud University complaining of an unpleasant smile and generalized tooth discoloration. Final surface lustre was achieved by using a diamond polishing paste with a rubber prophylaxis cup. Moreira A, Freitas F, Marques D, Caramês J. The selection of an appropriate treatment plan for cases of dental fluorosis depends on the severity of the condition. This site needs JavaScript to work properly. HHS Then, the matrix was gently teased away from the prepared teeth. 2019 Aug 20;2019:1640563. doi: 10.1155/2019/1640563. - teeth whitening, microabrasion, resin infiltration, restoration placement. doi: 10.1002/j.1875-595X.2001.tb00845.x.  |  Dental fluorosis is a common cosmetic condition in which your teeth are discolored with tiny chalky white or, in severe cases, brown stains.. Interproximal contacts were finished with finishing and polishing strips. Please enable it to take advantage of the complete set of features! In this case, based on the Thylstrup and Fejerskov index (TFI) for dental fluorosis classification, the dental fluorosis was classified as TFI = 7 [9]. In severe fluorosis, all enamel surfaces are affected. Bonding agent (OptiBond Solo Plus, Kerr, Orange, CA, USA) was applied on the enamel-etched spots and light cured for 20 seconds using a high-intensity light-emitting diode (LED) curing light (Elipar S10, 3M ESPE, MN, USA).