Fluorosis Dental fluorosis

Severe discoloration of teeth is due to excess fluoride in drinking water. Fluoride is a useful element for dental structure and as you know in some areas where there is a lack of drinking water, adding it to water strengthens teeth against caries. In some areas, the fluoride in the water is too much and therefore the teeth become fluorosis. Excess fluoride in drinking water during the formation of tooth enamel in children affects the enamel cells and disrupts the mineralization stage of the enamel. The subcutaneous tissue of the enamel becomes porous. Fluoride added to water and toothpaste to reduce caries may also cause fluorosis. A mild form of the disorder is yellow teeth or white spots, but in moderate form. The appearance of yellow to brown spots on the enamel, along with the general opacity of the enamel and the appearance of commando-like clothing on the teeth, appears. However, fluorosis varies from very mild to very severe, and in many cases is a major beauty problem. It creates enough for the patient Ray avoids laughing and talking in public, so their social relationships may be strained. A girl from Boroujerd who went to my office for fluorosis said she had never laughed easily. Whenever he laughs, his friends tell him why he did not brush while he had excellent oral hygiene and brushed regularly, but the presence of fluorosis stains on his teeth made him look bad.

Treatment of fluorosis:

Unfortunately, fluorosis is irreversible, but beauty treatments can help a lot to improve a person's appearance. Treatments used for fluorosis include the following:

Bleaching and microabrasion:

Bleaching means using methods to whiten teeth. Mild fluorosis is completely eliminated by bleaching. The yellow spots inside the tooth are completely the same color as other parts. In cases of moderate fluorosis, bleaching does not completely remove the stains. But in severe cases of fluorosis, bleaching treatments do not make much of a difference, but in any case, other treatments should be used that can stain as much as possible. To color.

Microabrasion is a method that is abraded with the help of special materials for defective surface tissue of enamel and can be used as a treatment method in cases of mild to moderate fluorosis.

Composite bonding:

In this method, the composite, which is a restorative material of the same color as the tooth, is placed on the enamel with the help of bonding to cover the discoloration of the teeth. The composite may only cover the tooth stains or be placed on the entire surface of the front tooth enamel. It is called composite veneer laminate. As mentioned, in cases where this method is also used, bleaching should be done first to make the tooth base whiter. Restorative materials are a little transparent in any case and show the color of the lower teeth.

Chinese laminate veneer:

In terms of beauty, the best result is obtained with veneer. In this method, a small thickness of enamel is removed from the tooth and a porcelain top is replaced. With Chinese veneers, a new smile design can be created for a person and a wonderful beauty can be given to him. However, it should be known that this method is different from other Treatments are more expensive. Severe cases of fluorosis can only be treated with bleaching with laminate porcelain veneer.

The picture above is of one of my office patients who had very bad teeth due to fluorosis and the patient wanted the best way to beautify his teeth. First the teeth were whitened and then porcelain veneers were made.

The image above is an example of a treatment for fluorosis on the online Wikipedia encyclopedia site.

Sterilization and cleanliness in dentistry
All people are aware of the need to clean the dental office and sterilize the office. There is a section in the records of my office patients where clients are asked to express their expectations of the dental office. Almost all people are the first to answer this question. Is known as office cleaning and sterilization.

But unfortunately, people's information about the transmission of infections in the dental office and sterilization is not enough. I hope the information in this section will help to increase people's knowledge in this regard:

The following conditions are required for the correct sterilization of dental equipment and environment:

1- Suitable environment: The dental office should be in such a way that it is possible to clean and disinfect it daily, for example, "It is very important that the walls, floor and cupboards are washable. There is a lot of blood and saliva splashing around, and only by regular washing can the environment and devices be kept clean.

2. Tools and equipment used in sterilization: In the past, dry heat (ster) was used to sterilize equipment in dentistry, but now wet heat and autoclave are used for this purpose. But it is better to use autoclaves that have a vacuum dryer. In addition, the types that have antibacterial filters are superior to others. It is very important that all sterile dental implants used in the patient's mouth (including angles and turbine heads).