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Aim: To compare ‘Change in esthetics’ and ‘Improvement in white-

opacities/ brown-stains’ in non-pitted fluorosis using VAS; when


treated with different interventional agents.
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 Bleaching with 35%-Hydrogen-Peroxide  80 patients, aged 8–14 years,
[Pola-Office, SDI]  Non-pitted fluorosis [TF 1-4]
 Resin-Infiltration [ICON, DMG-Germany] (RI),
 Resin Infiltration two- applications (2RI)
 BHP followed by RI after 20 days (B+RI).

Visual Analogue Scale (VAS) {Score 1-7}* ‘Esthetic Changes & Improvement in stains’
Requirement-for-further-treatment” {Score 0,1,2}*
Celik EU, Yildiz G, Yazkan B. clinical evaluation of enamel microabrasion for the aesthetic management of mild-to-severe
dental fluorosis. J Esthet Restor Dent. 2013 Dec;25(6):422-30.
VISUAL ANALOGUE SCALE Visual Analogue Scale (VAS)
7 NS EC / SC
6
‘S’
5

4 2RI exhibited best results in terms of


VAS

3 Change in esthetics and improvement


2 in stain
1 B+
√ Significantly better than bleaching
B+
B RI 2RI
B RI B RI 2RI RI alone.
0
Change in Esthetics (EC) Change in Stains (SC) √ NS higher as compared to RI, B +RI

Score 0
Score 2 No Need [n=33] CONCLUSION
Need [n=16] Significantly better ‘EC’ and ‘SC’ with
30.13 2
10
11 double RI application while least
improvement with Bleaching.
11
8
RI after bleaching significantly improves
9 9 the results.
6
8
Score 1 No patients required ‘further treatment’
May Need [n=31] in 2 RI group

Further treatment ..?

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