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Article: Volume 46 Number 5 Page 462 - May 2019

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  Dent Update 2019; 46: 462-465

Paediatric and General Dentistry:  Marked Extrinsic Staining following Microabrasion: a Case Report of a Boy with Dental Fluorosis

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Abstract: A 12-year-old boy, born and raised in Iran, presented with dental fluorosis affecting all his teeth. The defects were predominantly opaque white in appearance with brown opacities on the maxillary central incisors. The treatment plan entailed microabrasion of the maxillary central incisors followed by vital bleaching, if required. Despite providing post-operative instructions, the patient had a drink containing turmeric later that day. He subsequently presented with yellow staining of his maxillary central incisors. A further course of microabrasion as well as vital bleaching provided a satisfactory final result. The teeth remained unchanged in a two-month review appointment.

Clinical relevance: This case presents a rare complication following microabrasion for dental fluorosis which occurred because post-operative instructions were not followed.

Author notes: Nikolaos N Lygidakis, BDS, DDent, MJDF, MPaedDent, Postgraduate in Paediatric Dentistry, Email:, and Kathryn Harley, BDS, MSc, MPaedDent, Consultant in Paediatric Dentistry, Eastman Dental Hospital, 256 Gray’s Inn Road, London WC1X 8LD, UK.

Objective: To stress the importance of post-operative instructions and discuss treatment options for dental fluorosis.