Clinical Evaluation of Different Minimal Invasive Treatment Modalities of Mild to Moderate Dental Fluorosis Using A Visual Analog Scale.

Abstract

Introduction : Dental fluorosis is a chronic condition of enamel hypomineralization resulted from excessive ingestion of fluoride during tooth development. Different treatment protocols were used to improve esthetic appearance of fluorosed teeth. Aim : To evaluate patient satisfaction on esthetic improvement of mild to moderate fluorosed teeth after treating with different minimal-invasive treatment modalities. Patients and Methods : Sixteen participants were randomly assigned in 8 treatment protocols with 20 teeth at each protocol ( n=20 ). ( P 1 ) Opalescence boost PF 40%. ( P 2 ) Opalustre. ( P 3 ) MI-Paste Plus. In ( P 4 ) teeth were treated with Opalustre + Opalescence boost PF 40%. In ( P 5 ) Opalescence boost PF 40% + MI-Paste Plus, while in ( P 6 ) Opalustre +MI-Paste Plus. Whereas ( P 7 ) Opalustre + Opalescence boost PF 40% + MI-Paste Plus. ( P 8 ) control. Patient satisfaction was gauged using a visual analog scale (VAS) at 4 different time points; immediately after application (T 1 ), 14 days later (T 2 ), 3 months later (T 3 ), and 6 months later (T 4 ). Results : All treatment protocols showed significant difference over control group at all evaluation times. Regarding treatment protocol, the highest patient satisfaction was recorded in P 4 and P 7 . The lowest patient satisfaction was recorded in P 3 . Moreover, concerning evaluation time the highest patient satisfaction was recorded at T 3 and the lowest patient satisfaction was recorded at T 1 . The highest patient satisfaction was recorded at 14 days evaluation of P 4 and 6 months evaluation of P 7 . Conclusion : The combined treatment protocol of Opalustre™ and Opalescence™ boost™ PF 40% provided the highest “patient satisfaction» in treating mild to moderate fluorosed teeth regardless of using MI-Paste Plus®. MI-Paste Plus® provides stability of patient satisfaction results at 6 months’ follow-up. fluorosis is an esthetic disturbance that result from interrup-tion of enamel development particularly at maturation. Enamel fluorosis prevalence has increased in the previous two decades, corresponding to the worldwide decline in caries. This can be clarified by excessive ingestion of fluoride from drinking water or in the form of topi-cal fluoride supplements that are incorporated in enamel during tooth development. 1