A conservative approach for management of fluorosed anterior teeth

Dental fluorosis is a condition of enamel hypomineralization due to the effects of excessive fluoride on ameloblasts during enamel formation. Delayed degradation of enamel matrix proteins or inhibited protein removal results in impaired and incomplete crystal growth, producing hypomineralized and porous enamel. Conservative treatment options such as tooth whitening can dramatically improve severely discoloured fluorosed teeth. This can provide a satisfactory outcome or minimize the removal of discoloured enamel and dentine prior to the provision of composite veneers. The use of casein phosphopeptide-amorphous calcium phosphate may enhance remineralization and decrease postoperative sensitivity following tooth whitening procedures in hypomineralized teeth.