Modern approaches to treatment of fluorosis

Abstract

Introduction: Dental Fluorosis represents an endemic affection caused by Fluorine intoxication, mostly as consequence of high Fluorine concentration in drinking water. This pathology presents high interest also in Republic of Moldova, as there are many regions with a high Fluorine concentration in drinking water over established international standards, more than 16 mg/L. Fluorosis treatment requires modern approaches, easy to use at home. Purpose and Objectives: Comparative study of results, obtained after the whitening treatment with Opalescence and Opalescence (PF) systems, at home. Materials and methods: Modern methods of Fluorosis treatment include home use of gel whitening systems, applied in a tray. Opalescence and Opalescence (PF) whitening methods are easy, conservative and safe to apply at home with the gel concentrations of 10% , 15 %, 20 %. Our study included 12 patients, residents from regions with high Fluorine concentration in drinking water, which were examined and treated in the Stomatological Clinic of USMF. The patients were divided in two groups according to the whitening system applied: 1st group — treated with Opalescence system (6 patients) and Ilnd group - treated with Opalescence (PF)-(6 patients) Results: First group of patients treated with vital whitening system Opalescence presented hyperesthesia of the enamel (3 patients), which disappeared after the treatment interruption, while patients from the second group treated with Opalescence PF didn’t present these complications. Conclusion: According to the aim of our study and analysis of the obtained results, we can state that Opalescence system is a modern, safe and easy to apply at home method of local treatment of the Fluorosis, especially Opalescence (PF) system which besides the carbamide peroxide contains also Potassium Nitrate and Fluorine, reducing enamel sensibility to caries, rising it’s resistance, and lowering considerably dental sensitivity during w'hitening procedures.