1Department of Conservative Dentistry and Endodontics, Christian Dental college, C.M.C, Ludhiana, Punjab, India
2Department of Orthodontics and Dentofacial Orthopeadics, Christian Dental college, C.M.C, Ludhiana, Punjab, India
3Department of Orthodontics and Dentofacial Orthopeadics, Baba Jaswant singh Dental College, Ludhiana, Punjab, India
Online published on 22 June, 2012.
Dental fluorosis is a condition of enamel hypo-mineralization due to the effects of excessive fluoride on ameloblasts during enamel formation. Bonding brackets to fluorosed teeth remains a notable clinical challenge because of frequent bracket failure at the compromised enamel interface. This case report presents comprehensive management of an adult patient with Angle's class II div 1 malocclusion with crowding and severe dental fluorosis.
A diagnosis of severe dental flourosis was established based on Deans‘s index for fluorosis (score-3) with a skeletal Class I pattern and Angle’ s Class II Division I dental malocclusion with upper anterior crowding.
Orthodontic treatment with extraction of upper first premolars to correct the dental malocclusion followed by restorative procedure. Treatment results: Competent lips achieved after orthodontic treatment. A class-II molar relation was maintained.Excellent dental esthetics was seen after direct composite restoration.
Dental fluorosis, Bonding to fluorosed teeth, Direct Composite Restoration
