Restorative management of mild dental fluorosis with lithium disilicate veneers and modified adhesive protocol: Case report
Mild dental fluorosis results from excessive fluoride exposure during enamel formation, clinically manifesting as opaque white spots and surface irregularities that compromise esthetics. Although structurally sound, fluorotic enamel exhibits high mineralization and low permeability, making conventio...
| Autores: | , , |
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| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2025 |
| País: | Ecuador |
| Institución: | Universidad Central del Ecuador |
| Repositorio: | Revista Odontología |
| Idioma: | español |
| OAI Identifier: | oai:revistadigital.uce.edu.ec:article/8941 |
| Acceso en línea: | https://revistadigital.uce.edu.ec/index.php/odontologia/article/view/8941 |
| Access Level: | acceso abierto |
| Palabra clave: | Fluorosis dental Adhesión dental Carillas de disilicato de litio Protocolo adhesivo Estética dental Dental fluorosis adhesion Lithium disilicate veneers Adhesive protocol Dental esthetics |
| Sumario: | Mild dental fluorosis results from excessive fluoride exposure during enamel formation, clinically manifesting as opaque white spots and surface irregularities that compromise esthetics. Although structurally sound, fluorotic enamel exhibits high mineralization and low permeability, making conventional bonding less effective. This case report describes an 18-year-old female with mild fluorosis and disadapted anterior restorations, rehabilitated with lithium disilicate veneers (e.max® Press) using a modified adhesive protocol. The clinical sequence included extended acid etching, ultrasonic deproteinization with sodium hypochlorite, and application of a universal adhesive containing 10-MDP in an etch-and-rinse mode. The treatment achieved optimal bond integrity, marginal adaptation without microleakage, and high esthetic integration confirmed at one- and six-month follow-ups. This protocol enhances the adhesive performance on fluorotic enamel, ensuring predictable, durable, and highly esthetic outcomes in minimally invasive rehabilitation. |
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