Enamel microabrasion has become accepted as a conservative, nonrestorative method of removing intrinsic and superficial dysmineralization defects from dental fluorosis, restoring esthetics with minimal loss of enamel. However, it can be difficult to determine if restoration is necessary in dental fluorosis, because the lesion depth is often not easily recognized. This case report presents a method for analysis of enamel hypoplasia that uses quantitative light-induced fluorescence (QLF) followed by a combination of enamel microabrasion with carbamide peroxide home bleaching. We describe the utility of QLF when selecting a conservative treatment plan and confirming treatment efficacy. In this case, the treatment plan was based on QLF analysis, and the selected combination treatment of microabrasion and bleaching had good results.

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  A Alkhazaleh, A Tsujimoto
  Operative Dentistry.2023; 48(3): 251.     CrossRef
• Resin Infiltration and Remineralization Interventions in Management of Moderate Dental Fluorosis
  Shreepriya Singhania, B. Nandlal, Raghavendra Shanbhog, Ragavee Veeramani
  Indian Journal of Dental Research.2021; 32(3): 362.     CrossRef
• Resolution of a fluorosis case through the association of minimally invasive techniques
  Danielle Ferreira Sobral de Souza, Josué Junior Araújo Pierote, Flávio Henrique Baggio Aguiar, Luís Alexandre Maffei Sartini Paulillo, Débora Alves Nunes Leite Lima
  Brazilian Journal of Oral Sciences.2019; 18: e191663.     CrossRef
• La micro-abrasion amélaire associée à l’éclaircissement externe: intérêt dans la prise en charge de la fluorose
  Laïla Azzahim, Sanaa Chala, Faïza Abdallaoui
  Pan African Medical Journal.2019;[Epub]     CrossRef
• Methodological considerations for designing a community water fluoridation cessation study
  Sonica Singhal, Julie Farmer, Lindsay McLaren
  Community Dentistry and Oral Epidemiology.2017; 45(3): 193.     CrossRef
• Clinical validation and assessment of a modular fluorescent imaging system and algorithm for rapid detection and quantification of dental plaque
  Keith Angelino, Pratik Shah, David A. Edlund, Mrinal Mohit, Gregory Yauney
  BMC Oral Health.2017;[Epub]     CrossRef