Conservative Management of Posterior Dental Fluorosis and Wear Facets Using Overlays and Crowns: A Case Report
Keywords:
Dental fluorosis, occlusal wear, overlays, vertical dimension, conservative dentistryAbstract
Dental fluorosis and occlusal wear present a restorative challenge, particularly when they coexist in posterior teeth. The present case report describes the prosthetic rehabilitation of a 34-year-old female patient who presented with sensitivity and discoloration in posterior teeth due to moderate fluorosis and generalized wear facets. Clinical evaluation revealed a reduced vertical dimension, and a treatment plan involving a combination of overlays and full-coverage crowns was devised to restore function and esthetics conservatively. Overlays were employed where enamel preservation was possible, and crowns were limited to severely affected or RCT-treated teeth. Final restorations were fabricated in monolithic zirconia and bonded using adhesive cement. Post-operative results demonstrated functional stability, esthetic satisfaction, and resolution of sensitivity. This case emphasizes the effectiveness of minimally invasive prosthodontics in managing complex conditions involving fluorosis and attrition.
Downloads
References
Chankanka O, Levy SM, Warren JJ, Chalmers JM. A literature review of aesthetic perceptions of dental fluorosis and relationships with psychosocial aspects/oral health‐related quality of life. Community dentistry and oral epidemiology. 2010 Apr;38(2):97-109.
Dahl BL, Carlsson GE, Ekfeldt A. Occlusal wear of teeth and restorative materials: A review of classification, etiology, mechanisms of wear, and some aspects of restorative procedures. Acta Odontologica Scandinavica. 1993 Jan 1;51(5):299-311.
Viswambaran M, Dabra T. Comprehensive rehabilitation of a worn out dentition with complete coverage ceramic restorations. medical journal armed forces india. 2015 Dec 1;71:S486-9.
Shahroom NS, Mani G, Ramakrishnan M. Interventions in management of dental fluorosis, an endemic disease: A systematic review. Journal of family medicine and primary care. 2019 Oct 31;8(10):3108-13.
Alwadai GS, Huaylah SH, Althobati MK, AlMutairi FA. Multi-modal management of dental fluorosis in a family: A case series. Medicine. 2025 Apr 11;104(15):e42082.
Calado RV, Mendonça PT, Araujo LD, Pugliesi DM, Nascimento PB, Romão DA, Santos VE. Breakdown in Hypomineralization in Deciduous Teeth: An Association between Anthropometric, Orthodontic and Dental Caries Data. Pesquisa Brasileira em Odontopediatria e Clínica Integrada. 2025 Feb 17;25:e240039.
Dhaliwal G, Ouanounou A. Tooth surface loss: causes, management, and prevention. Quintessence International. 2024 Jun 1;55(6).
Chacona RL. Enamel loss and occlusal vertical dimension. Causes and considerations for treatment. Dent Today. 2003 Apr 1;22(4):92-7.
Abduo J. Safety of increasing vertical dimension of occlusion: a systematic review. Quintessence International-Journal of Practical Dentistry-English Edition. 2012 May 1:369.
Jabber HN, Ali R, Al-Delfi MN. Monolithic Zirconia in Dentistry: Evolving Aesthetics, Durability, and Cementation Techniques–An In-depth Review. Future Dental Research. 2023 Dec 1;1(1):26-36.
Pilo R, Folkman M, Arieli A, Levartovsky S. Marginal fit and retention strength of zirconia crowns cemented by self-adhesive resin cements. Operative Dentistry. 2018 Mar 1;43(2):151-61.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
