Case Report: In-office bleaching, microabrasion, and resin infiltration for the correction of hypomineralized esthetic defects

Abstract

Enamel hypomineralization is a condition that affects the quality of enamel, resulting in a change in its translucency and color. In this case report, a patient with a chief complaint of discolored front teeth, represented a very interesting case as he had combined opaque white, brown discoloration, and pitted enamel well distributed over the entire facial surfaces of enamel, especially his anterior teeth. It was also found that tooth #10 was protruded in relation to the adjacent teeth. The patient’s main concern was to improve his aesthetic appearance. Despite being a typical clinical picture of fluorotic lesion, fluoride was excluded as the cause of his lesions as the patient’s history indicated a lack of exposure to fluoride. A combined minimally invasive treatment, consisted of teeth bleaching, microabrasion, and resin infiltration were performed to address these esthetic problems. Minimum tooth reduction plus resin composite placement was done to solve the problem of the protruded tooth. All materials used was placed according to the manufacturer's instructions. Intraoral photographs were taken directly after each treatment to document any change in the appearance of the case. Six months follow up of the case was documented. The result was acceptable for the patient, and he was satisfied as more aggressive treatments were avoided.