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Compendium of Oral Science Volume 1|2015

Case Report

Blending The Appearance Of All-Ceramic Crowns In Fluo-
rosis Condition With Direct Chair-Side Technique.

2
2
Siti Mariam Ab Ghani *,1 Ahmad Syahir Ahmad Zu Saifudin , Muhammad Aliff Ikram Noor Zari , Teh
1
Adilla Mustaza .
1
Centre of Restorative Dentistry Studies, Faculty of Dentistry, Sungai Buloh Campus, Universiti Teknologi
MARA.
2 Oral Health Division, Ministry of Health, Malaysia.

Abstract
Dental fluorosis incidence had been reported to be affecting children widely, especially in water-fluoridated ar-
ea. As these children grow into young adults, perceived aesthetic problems arise mainly due to their concern
with generalized mottled and stained teeth appearance. Fixed prosthodontics treatment involving single anterior
tooth in patients with generalized fluorosis condition had been found challenging due to aesthetic restorability to
blend with fluorosis condition. Clinical considerations: A simplified procedural direct chair-side technique of
mimicking fluorosis condition onto anterior all-ceramic crowns are discussed in this paper. The mimicked fluoro-
sis is reversible and has the opportunity to be adjusted according to the patient’s fluorosis condition thus hinder-
ing the need to redo the crown in the future. Conclusions: The appearance of anterior all-ceramic crowns with
direct chair-side staining technique provided blended and harmonized well with the dental fluorosis condition in
both patients thus, giving natural looking smile.

Keywords: Dental fluorosis, all-ceramic crown, chair-side resin staining.

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Introduction restorations and fixed prosthesis restorations .
This case report highlights a simplified proce-
Dental fluorosis is a developmental disturbance
dural technique of blending and mimicking the
of dental enamel, caused by successive expo-
dental fluorosis condition of patients onto a sin-
sures to high concentrations of fluoride during
gle anterior all-ceramic crown restoration, to
tooth development, leading to enamel with low-
1-2
er mineral content and increased porosity . provide an aesthetically balanced and harmo-
nized dental appearance. The cases were done
Compromised aesthetics in permanent dentition
with the patients’ request to omit any cosmetic
are the greatest concern in dental fluorosis con-
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dition . dental treatment for the fluorosis condition due
to time and financial constraint.
Once these affected children grow into young
Case Report
adults, different types of cosmetic dental treat-
ment can be provided for dental fluorosis condi- Case 1
tion includes bleaching, enamel abrasion, direct
An 18-year-old male was referred to Centre of
Restorative Dentistry Studies for management
*Correspondence to: Siti Mariam Ab Ghani, Centre for Re-
storative Dentistry Studies, Faculty of Dentistry, Universiti of recurrent failure of his upper left central inci-
Teknologi MARA Sg. Buloh Campus, Jalan Hospital, 47000 sor (21) composite resin restoration. He was
Sungai Buloh, Malaysia.
Email: sitimariam783@salam.uitm.edu.my involved in a motor vehicle accident 6 months
Tel: +603-61266611 Fax: 603-61266103

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