Saransk, Saransk, Russian Federation
employee
Moscow, Moscow, Russian Federation
Moscow, Moscow, Russian Federation
employee
Moscow, Moscow, Russian Federation
student
Moscow, Moscow, Russian Federation
UDC 616.31
Excessive intake of fluoride compounds is considered to be a chronic fluoride intoxication, which ultimately leads to the development of non-carious disease of hard tissues – dental fluorosis. This term refers to the disruption of the development of tooth enamel, associated with excessive intake of fluoride in the child's body during the formation of teeth. Sources of fluoride intake include drinking water, food, and hygiene products (pastes, mouthwashes, etc.). Endemic areas of fluorosis are those with high levels of fluoride in drinking water, where the incidence of fluorosis is significantly higher than in non-endemic areas. One interesting aspect is that individuals who move to these areas with already developed teeth are not at risk of developing fluorosis, indicating the importance of the temporal factor in the development of the disease. Fluorosis is becoming an increasingly relevant problem in various regions of Russia and other countries, as one of the significant social factors is the aesthetics of a smile, which can improve the overall quality of life and help individuals achieve success and well-being. Of course, the quality of a smile is directly influenced by the condition of the teeth in the aesthetically significant area. Therefore, it is necessary to take certain measures to prevent and treat this condition. An individual approach to the choice of treatment method for fluorosis indeed plays a key role in successful therapy, as the degree of destructive changes and the intensity of staining of fluorotic spots can vary significantly in different patients. This is due to the fact that fluorosis can manifest itself in various clinical forms, and appropriate therapeutic methods should be applied depending on them. This article proposes a minimally invasive protocol for treating erosive fluorosis using microabrasion, remineralizing therapy, and gentle bleaching.
dental fluorosis, drinking water, microabrasion, remineralization, QLF diagnosis, aesthetic dentistry
1. Akulovich A.V., Nikiforova G.G., Korostelev A.A., Yalyshev R.K., Matelo S.K. Ob'ektivizaciya rezul'tatov provedeniya remineralizuyuschey terapii s ispol'zovaniem metoda kolichestvennoy svetoinducirovannoy fluorescencii (QLF). Klinicheskaya stomatologiya. 2024;27(2):157-164. [Akulovich A.V., Nikiforova G.G., Korostelev A.A., Yalyshev R.K., Matelo S.K. Objectification of remineralization therapy results using the quantitative light-induced fluorescence (QLF) method. Clinical Dentistry. 2024;27(2):157-164. (In Russ.)]. https://doi.org/10.37988/1811-153X_2024_2_157
2. Kuz'mina E.M., Kuzmina I.N., Lopatina A.V. Ftoridy v stomatologicheskoy praktike. Mehanizm deystviya, effektivnost' i bezopasnost' primeneniya – uchebnoe posobie dlya vrachey-stomatologov. – A textbook for dentists. - M., 2018. – 40 s. – ISBN 978-5-98811-544-1. [Kuzmina E.M., Kuzmina I.N., Lopatina A.V. Fluorides in dental practice. Mechanism of action, effectiveness and safety of application – M., 2018. – 40 p. (In Russ.)] – ISBN 978-5-98811-544-1. https://vufind.lib.tsu.ru/Record/sgmu.LibSMU0000104931/Description
3. Makeeva I.M., Volkov A.G., Musiev A.A. Endemicheskiy flyuoroz zubov - prichiny, profilaktika i lechenie // Rossiyskiy stomatologicheskiy zhurnal, 2017;21(6).- S.340-344. [Makeeva I.M., Volkov A.G., Musiev A.A. Endemic dental fluorosis - causes, prevention and treatment // Russian Dental Journal, 2017;21(6).- P.340-344. (In Russ.)]. – DOI: https://doi.org/10.18821/1728-2802-2017-21-6-340-344.
4. Matelo S.K., Kupec T.V. Flyuoroz zubov — narastayuschaya problema esteticheskoy stomatologii. Profilaktika segodnya. 2008; 8: 10—12. [Matelo S.K., Kupets T.V. Dental fluorosis is an increasing problem in aesthetic dentistry. Prevention today. 2008; 8: 10—12. (In Russ.)] https://rocs.ru/pdf/8.pdf
5. Naberezhnova S.S., Tiunova N.V. Osobennosti vybora minimal'no-invazivnogo lecheniya pyatnistoy formy flyuoroza zubov. Medicinskiy al'manah. 2022;(2):121-124. [Naberezhnova S.S., Tiunova N.V. Clinical case of minimally invasive treatment of dental fluorosis. Medicinskij alʹmanah. 2022;(2):121-124. (In Russ.)]. https://elibrary.ru/item.asp?id=49179822
6. Nikolishin A.K. Flyuoroz zubov. Ch.2: Klinika, diagnostika, lechenie i profilaktika. Poltava. 1995. – 74 s. [Nikolishin A.K. Dental Fluorosis. Part 2: Clinic, Diagnostics, Treatment, and Prevention. Poltava, 1995. – 74 p. (In Russ.)] https://lib.cfuv.ru/resursy/http-irbis-cfuv-ru-8080-cgi_bin-irbis64r_15-cgiirbis_64-exe-lng-c21com-f-i21dbn-catkfu-p21dbn-catkfu-2/?e_kls=Flyuoroz%20zubov&e_viewdb=CATKFU
7. Yalyshev R.K., Akulovich A.V., Matelo S.K., Stepanov A.G., Apresyan S.V. Klinicheskaya effektivnost' maloinvazivnyh metodov lecheniya diskolorita zubov, vyzvannogo melovidno-krapchatoy formoy flyuoroza. Institut stomatologii. 2024;(1):80-83. [Yalyshev R.K., Akulovich A.V., Matelo S.K., Stepanov A.G., Apresyan S.V. Clinical efficacy of minimally invasive methods of treatment of dental discoloration caused by a chalky-speckled form of fluorosis. The Dental Institute. 2024;(1):80-83. (In Russ.)]. https://elibrary.ru/item.asp?id=65646882
8. Garg I, Kumar A, Kumar A. Comparative evaluation of esthetic improvement of resin infiltration , in-office bleaching, enamel microabrasion and resin infiltration with double application of infiltrate on non-pitted fluorosis stains: a randomized six-month interventional study. Int J Clin Pediatr Dent. 2022 Jan-Feb;15(1):20-34. https://doihttps://doi.org/10.5005/jp-journals-10005-2140.
9. World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva: WHO; 2022. https://www.who.int/team/noncommunicable-diseases/global-status-report-on-oral-health-2022
