MANEJO RESTAURADOR DE FLUOROSIS DENTAL LEVE CON CARILLAS DE DISILICATO DE LITIO Y PROTOCOLO ADHESIVO MODIFICADO: REPORTE DE CASO
FLUOROSIS LEVE
Abstract
Mild dental fluorosis results from excessive fluoride exposure during enamel formation, clinically manifesting as opaque white spots and surface irregularities that compromise esthetics. Although structurally sound, fluorotic enamel exhibits high mineralization and low permeability, making conventional bonding less effective. This case report describes an 18-year-old female with mild fluorosis and disadapted anterior restorations, rehabilitated with lithium disilicate veneers (e.max® Press) using a modified adhesive protocol. The clinical sequence included extended acid etching, ultrasonic deproteinization with sodium hypochlorite, and application of a universal adhesive containing 10-MDP in an etch-and-rinse mode. The treatment achieved optimal bond integrity, marginal adaptation without microleakage, and high esthetic integration confirmed at one- and six-month follow-ups. This protocol enhances the adhesive performance on fluorotic enamel, ensuring predictable, durable, and highly esthetic outcomes in minimally invasive rehabilitation.
Keywords: Dental fluorosis; Adhesion; Lithium disilicate veneers; Adhesive protocol; Dental esthetics.
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Copyright (c) 2026 Maria Jose Masson Palacios, Dante Trujillo, Silvio Requena Cisneros
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
