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Aesthetic management of dental fluorosis.
[dentinogenesis imperfecta]
Significant
numbers
of
patients
visiting
the
paediatric
dental
clinics
have
aesthetically
objectionable
brown
stains
and
desire
treatment
for
them
.
Intrinsic
tooth
discolouration
can
be
a
significant
aesthetic
,
and
in
some
instances
,
functional
,
problem
.
Dental
fluorosis
,
tetracycline
staining
,
localised
and
chronological
hypoplasia
,
and
both
amelogenesis
and
dentinogenesis
imperfecta
can
all
produce
a
cosmetically
unsatisfactory
dentition
.
The
aetiology
of
intrinsic
discolouration
of
enamel
may
sometimes
be
deduced
from
the
patient
's
history
,
and
one
factor
long
associated
with
the
problem
has
been
a
high
level
of
fluoride
intake
.
Optimal
use
of
topical
fluorides
leads
to
a
decrease
in
the
caries
prevalence
but
may
show
an
increase
in
the
prevalence
of
fluorosis
staining
because
of
metabolic
alterations
in
the
ameloblasts
,
causing
a
defective
matrix
formation
and
improper
calcification
.
A
12
-
year
-old
male
patient
was
screened
at
the
dental
clinic
for
routine
dental
care
.
He
wanted
us
to
remove
and
/
or
minimise
the
noticeable
brown
/
yellow
staining
of
his
teeth
.
He
requested
the
least
invasive
and
most
cost-effective
treatment
to
change
his
smile
.
Various
treatment
modalities
are
present
for
the
treatment
of
fluorosis
stains
.
This
report
discusses
the
microabrasion
technique
in
the
patient
having
dental
fluorosis
.
Diseases
Validation
Diseases presenting
"metabolic alterations in the ameloblasts"
symptom
dentinogenesis imperfecta
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