Year : 2020

Volume : Volume 11

Issue : Issue 3

Address for correspondence :
Dr. Anil Raj.
rajdranil@gmail.com

Abstract

Background:  The fluoride can be beneficial as well as harmful to teeth. The impact of fluorosis on teeth varies from white opaque areas to extreme pitting of brown or black discoloration of the teeth. Teeth discoloration induces an unattractive appearance and necessitates rehabilitation. The aim of this study was to determine the prevalence of dental flourosis in the North Bihar population, as well as to evaluate conservative and aesthetic dental flourosis management options. Methods and Materials: The patients in this study ranged in age from 12 to 52 years old (1,158 males and 1,354 females). Over the course of twelve months, data was collected from four dentists' exams. The examiners' training and examination procedures were standardised and calibrated by using the same index and reexamining a selection of patients by different dentists; in addition, we re-examined the same patients by the same dentists who performed the previous examination one month later to ensure reliability.The patients who were ready to have treatment for dental flourosis were divided into two groups each having 30 patients: Group 1: Management of dental fluorosis by using in office bleaching using hydrogen peroxide (concentrations varying from 15% to38%) Group 2: Management of dental flourosis by using porcelain veneers. Then there was evaluation of the periodontal and orthodontic outcomes of the both the techniques. The treatment outcomes were compared after 6 monyhs and 12 months. Results: Fluorosis was found in a total of 1,002 patients (39.9%), and it was more prevalent in females in the 12- to 30-year-old age group. Fluorosis with a localised effect was more common (44.7 percent of the total sample; 67.4 percent of patients with fluorosis).When the comparison was made between the office in bleaching method and porcelain veneers then it was found that there was no significant difference between post operative outcomes like periodontal problems, hypersensitivity, pain and patient satisfaction. But the patient satisfaction was greater with in office bleaching in cases with mild to moderate flourosis while the patient satisfaction was greater with porcelain veneers in case of severe dental fluorosis. Conclusion: The prevalence of fluorosis was found out to be about 40% in North Bihar and continuous monitoring and further investigation was needed into the sources that contribute to total fluoride intake. Both the methods of in office bleaching and use of porcelain veneers were effective in management of dental fluorosis but in office bleaching is the better method for mild flourosis while porcelain veneers is better option in severe fluorosis.