Using minimally invasive aesthetic repair, dental fluorosis vertical distance of occlusion restoration: A case report

Abstract

Rationale: – While full-coverage crowns are the conventional solution for restoring severely compromised vertical distance of occlusion restoration, this approach is inherently invasive. This report details a conservative alternative using veneers in a dental fluorosis patient – a clinical scenario seldom documented in developed regions. Patient concerns: – A 57-year-old patient from a high-fluoride area presented with impaired masticatory function and severe occlusal wear. Diagnoses: – Severe attrition of the upper and lower dentition. Severe dental fluorosis. Interventions: – A minimally invasive protocol was selected, involving the restoration of the vertical dimension and occlusal function with veneers. Outcomes: – This case demonstrates that minimally invasive veneer rehabilitation can successfully manage severe occlusal wear in dental fluorosis, reestablishing functional occlusion and aesthetics while preserving vital tooth structure. It represents a viable, tooth-preserving alternative to conventional full-coverage crowns. Lessons: – Compared to traditional full-coverage crowns, the presented minimally invasive approach offers the distinct advantage of preserving sound tooth structure, which is a cornerstone of contemporary adhesive dentistry. This is particularly pertinent for fluorotic teeth, where maximizing the retention of healthy enamel is desirable.