Department of Restorative Dentistry, Van Yuzuncu Yil University, Van, Turkey.
Niger J Clin Pract. 2023 Aug;26(8):1211-1214. doi: 10.4103/njcp.njcp_145_23.
Intrinsic discoloration can be formed due to many reasons, and by clinical evaluation and history from the patient, the exact cause of the discoloration can be known and one of the reasons that can make the intrinsic discoloration is the high level of fluoride intake. Two siblings had come to the Department of Restorative Dentistry clinics; they had the same compliance which is severe dental fluorosis, caries, and malocclusion of their teeth. What is interesting and worrying is that some patients with severe dental fluorosis show higher levels of caries, which can be explained as the enamel becoming porous with severe fluorosis. The possible treatment options were discussed with the patients. According to their financial concern and their desire to get their teeth done as soon as possible, the use of direct composite veneer for the treatment of anterior teeth was decided. Long-term clinical trials are required to assess the efficacy of various treatment options for fluorosis of different severity.
内源性着色可能由多种原因引起，通过对患者的临床评估和病史询问，可以了解着色的确切原因，导致内源性着色的原因之一是氟化物摄入水平过高。有两位兄弟姐妹来到修复牙科诊所就诊，他们的牙齿都存在严重的氟斑牙、龋齿和咬合不正等问题。有趣且令人担忧的是，一些患有严重氟斑牙的患者表现出更高水平的龋齿，这可以解释为严重氟斑牙导致牙釉质变得多孔。与患者讨论了可能的治疗方案。根据他们的经济状况和尽快完成牙齿治疗的愿望，决定使用直接复合贴面来治疗前牙。需要进行长期的临床试验来评估不同严重程度氟斑牙的各种治疗选择的疗效。
