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

Youssef, Mostafa Nasser; Aboelezz, Ahmed Fawzy; Ghoniem, Amr Faysal; Elddamony, Enas

doi:10.21608/dsu.2022.121068.1105

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

Document Type : Original Article

Authors

¹ Restorative dentistry department, faculty of dentistry, Suez canal university, Ismailia, Egypt

² Department of Restorative Dentistry, Faculty of Dentistry, Suez Canal University, Egypt

³ Department of Prosthetic Dentistry, Faculty of Dental Medicine, King Salman International University, Egypt Department of Dental Materials, Faculty of Dentistry, Suez Canal University, Egypt

10.21608/dsu.2022.121068.1105

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.
Patients and Methods: Participants were randomly assigned in 8 treatment protocols with 20 teeth each(n=20).(P1) Opalescence boost PF 40%. (P2) Opalustre. (P3) MI-Paste Plus. In (P4) teeth were treated with Opalustre + Opalescence boost PF 40%. In (P5) Opalescence boost PF 40% + MI-Paste Plus, while in (P6) Opalustre +MI-Paste Plus. Whereas (P7) Opalustre + Opalescence boost PF 40% + MI-Paste Plus. (P8) control. Patient satisfaction was gauged using a visual analog scale (VAS) at 4 different time points; immediately after application (T1), 14 days later (T2), 3 months later (T3), and 6 months later (T4).
Results: All treatment protocols showed significant difference over control group at all evaluation times. Regarding treatment protocol, the highest patient satisfaction was recorded in P4 and P7. The lowest patient satisfaction was recorded in P3. Moreover, concerning evaluation time the highest patient satisfaction was recorded at T3 and the lowest patient satisfaction was recorded at T1. The highest patient satisfaction was recorded at 14 days evaluation of P4 and 6 months evaluation of P7.
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.

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