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VOLUME 24 , ISSUE 5 ( May, 2023 ) > List of Articles


Treatment of Cases with Different Grades of Fluorosis by Lithium Disilicate Glass-Ceramic CAD/CAM Materials: A Case Report of Two Cases

Maram A Alahmari

Keywords : Dental fluorosis, Fluorosis index, Lithium disilicate glass-ceramic, Microabrasion, Resin infiltration

Citation Information : Alahmari MA. Treatment of Cases with Different Grades of Fluorosis by Lithium Disilicate Glass-Ceramic CAD/CAM Materials: A Case Report of Two Cases. J Contemp Dent Pract 2023; 24 (5):342-348.

DOI: 10.5005/jp-journals-10024-3461

License: CC BY-NC 4.0

Published Online: 07-07-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Over exposure to high amount of fluoride during the development of enamel leads to fluorosis. Dental fluorosis is considered to be the most common color disorders of the enamel. It presents with different clinical signs on the enamel of the patients. The diagnosis of dental fluorosis is very challenging in the clinical practice since the enamel defects could be confusing. This case report presented two cases and their treatment for different grades of dental fluorosis to improve the esthetic appearance of the teeth.

  1. Wang Q, Meng Q, Meng J. Minimally invasive aesthetic management of dental fluorosis: A case report. J Int Med Res 2020;48(10): DOI: 10.1177/0300060520967538.
  2. Den Besten PK. Dental fluorosis: Its use as a biomarker. Adv Dent Res 1994;8(1):105–110. DOI: 10.1177/08959374940080010201.
  3. Rodrigues CRMD, Ramires-Romito ACD, Zardetto CGDC. Abordagem educative-preventiva em odontopediatria. In: Cardoso RJA, Gonçalves EAN. Odontopediatria. São Paulo: Arte Ciência; 2002. pp. 113–136. Available at
  4. Burt BA. The changing patterns of systemic fluoride intake. J Dent Res 1992;71(5):1228–1237. DOI: 10.1177/00220345920710051601.
  5. Jackson RD, Kelly SA, Katz B, et al. Dental fluorosis in children residing in communities with different water fluoride levels: 33-month follow-up. Pediatr Dent 1999;21(4):248–254. PMID: 10436479.
  6. Tabari ED, Ellwood R, Rugg-Gunn AJ, et al. Dental fluorosis in permanent incisor teeth in relation to water fluoridation, social deprivation and toothpaste use in infancy. Br Dent J 2000;189(4): 216–220. DOI: 10.1038/sj.bdj.4800726.
  7. Alvarez JA, Rezende KMPC, Marocho SMS, et al. Dental fluorosis: Exposure, prevention and management. J Clin Exp Dent 2009; 14(2):E103–E107. PMID: 19179949.
  8. Al-Ahmari MM, Alzahrani AH, Al-Qatarneh FA, et al. Effect of miswak derivatives on color changes and mechanical properties of polymer-based computer-aided design and computer-aided manufactured (CAD/CAM) dental ceramic materials. Med Sci Monit 2022;28:e936892. DOI: 10.12659/MSM.936892.
  9. Alahmari NM. Influence of Arabic Qahwa beverage on optical and mechanical properties of lithium disilicate glass ceramics and zirconia restorative materials. J Contemp Dent Pract 2022;23(2):154–161. DOI: 10.5005/jp-journals-10024-3244.
  10. Alghazali N, Hakami AA, AlAjlan GA, et al. Influence of the Arabic-coffee on the overall color of glazed or polished porcelain veneers study. Open Dent J 2019;13:364–370. DOI: 10.2174/1874210601913010364.
  11. Abdalkadeer HK, SM Almarshedy, Al Ahmari NM, et al. Influence of the coca-cola drinks on the overall color of glazed or polished porcelain veneers fabricated from different materials and thicknesses: An in vitro study. J Contemp Dent Pract 2020:21(1):56–61. DOI: 10.5005/jp-journals-10024-2705.
  12. Rozier RG. Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: Overview and critique. Adv Dent Res 1994;8:39–55. DOI: 10.1177/08959374940080010901.
  13. Cangussu MCT, Narvai PC, Fernandez RC, et al. A fluorose dentária no Brasil: Uma revisão crítica. Cad Saude Publica 2002;18:7–15. DOI: 10.1590/S0102-311X2002000100002.
  14. Sherwood IA. Fluorosis varied treatment options. J Conserv Dent 2010;13:47–53. DOI: 10.4103/0972-0707.62631.
  15. Riahi Z, Ben Moussa A, Jbeniany M, et al. Prosthetic management of dental fluorosis. Acta Sci Dent Sci 2019;3(5):19–23.
  16. Rosenstiel SF, Land MF, Fujimoto J. Contemporary Fixed Prosthodontics. 4th ed. St. Louis (MO): Mosby Elsevier; Chapter 6; 2016. pp. 138–164.
  17. Pizzo G, Piscopo MR, Pizzo I, et al. Community water fluoridation and caries prevention: A critical review. Clin Oral Investig 2007;11(3): 189–193. DOI: 10.1007/s00784-007-0111-6.
  18. Mallishery S, Sawant K. Flouride toxicity: A review on dental fluorosis and its prevalence in India. IOSR J Dent Med Sci 2020;19(1):48–53. DOI:10.9790/0853-1901144853.
  19. Li YJ, Gao YH, Zhang Y. The impact of oral health status on the oral health-related quality of life (OHRQoL) of 12-year-olds from children's and parents’ perspectives. Community Dent Health 2014;31(4): 240–244. PMID: 25665358.
  20. Slaska B, Liebman AI, Kukleris D. Restoration of fluorosis stained teeth: A case study. Dent Clin 2015;62(3):341–510. DOI: 10.1016/j.cden.2015.03.003.
  21. Alaajam WH, Abdelaziz KM, Al-Moaleem MM. The effect of aging and thermocycling on adhesive bonding to fluorosed enamel. Dental News 2014;21(3):30–38. DOI: 10.12816/0010213.
  22. Akpata ES. Occurrence and management of dental fluorosis. Int Dent J 2001;51:325333. DOI: 10.1002/j.1875-595x.2001.tb00845.x.
  23. Bertassoni LE, Martin JM, Torno V, et al. In-office dental bleaching and enamel microabrasion for fluorosis treatment. J Clin Pediatr Dent 2008;32:185–187. DOI: 10.17796/jcpd.32.3.20757r27312334u8.
  24. Ardu S, Stavridakis M, Krejci I. A minimally invasive treatment of severe dental fluorosis. Quintessence Int 2007;38(6):455–458. PMID: 17625627.
  25. Castro KS, de Araújo Ferreira AC, Duarte RM, et al. Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: A randomized clinical trial. J Dent 2014;42(8):938–944. DOI: 10.1016/j.jdent.2014.01.011.
  26. Meireles SS, Goettems ML, Castro KS, et al. Dental fluorosis treatment can improve the individuals’ OHRQoL? Results from a randomized clinical trial. Braz Dent J 2018;29(2):109–116. DOI: 10.1590/0103-6440201801733.
  27. Al Moaleem MM, Madkhali HA, Judayba MH, et al. Aesthetic management of a patient with different level of fluorosis: Clinical and technical report. Saudi J Oral Dent Res 2016;1:24–28.
  28. Thylstrup A, Fejerskov O. Clinical appearance of dental fluorosis in permanent teeth in relation to histological changes. Community Dent Oral Epidemiol 1978;6(6):315–328. DOI: 10.1111/j.1600-0528.1978.tb01173.x.
  29. Pereira AC, Moreira BH. Analysis of three dental fluorosis indexes used in epidemiologic trials. Braz Dent J 1999;10(1):29–37. PMID: 10863387.
  30. Alaluusua S, Lukinmaa PL, Koskimies M, et al. Developmental dental defects associated with long breast feeding. Eur J Oral Sci 1996;104(5–6):493–497. DOI: 10.1111/j.1600-0722.1996.tb00131.x.
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