Complete oral rehabilitation in a case with severe dental fluorosis

Abstract

The authors have presented a technique of full occlusal rehabilitation in a case of severe dental fluorosis. In this technique, maxillary and mandibular anterior teeth were simultaneously prepared and restored first. This was followed by simultaneous preparation of maxillary and mandibular posterior teeth that were restored in canine guided occlusion. The technique and sequence followed here is unique and is not available in dental literature. This technique reduces number of appointments while fulfilling all objectives. Periodontal follow-up over 3 years was satisfactory. A restorative treatment protocol has been devised for fluorosis which will act as a guide for the dental practitioners.

Keywords: Occlusal rehabilitation, Dental fluorosis, Treatment protocol, Restorative management, Occlusal plane

Core tip: A novel technique of full occlusal rehabilitation is illustrated here. It is a simple procedure which adheres to all the principles of occlusal rehabilitation. Rehabilitation of dental fluorosis using the treatment protocol suggested here will systematize and streamline the clinical technique and it is hoped that this approach will benefit the patients and act as a guide for dentists. Although the technique described here is skill sensitive, it is the author’s belief that it is a new paradigm in full mouth occlusal rehabilitation.