Conservative combined approach for esthetic management of brown fluorosis lesions—two case reports

Abstract

Dental fluorosis often causes white or brown discolorations on anterior teeth, presenting an esthetic concern. This report describes a conservative treatment combining dental bleaching and resin infiltration for moderate brown fluorosis lesions. Two patients underwent light-activated bleaching with high-concentration hydrogen peroxide, followed by resin infiltration (Icon Infiltrant, DMG, Germany) after multiple etching cycles. Bleaching alone produced partial improvement, while subsequent resin infiltration achieved a uniform color and stable esthetic results. Both patients reported high satisfaction at the six-month follow-up. The combined approach of bleaching and resin infiltration is a minimally invasive and effective option for improving the appearance of brown fluorosis lesions.

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BibTeX

@article{todorova2026conservative,
  title = {{Conservative combined approach for esthetic management of brown fluorosis lesions—two case reports}},
  author = {Veselina Todorova and Marieta Todorova and Vesela Stefanova},
  journal = {Folia Medica},
  year = {2026},
  month = oct,
  doi = {10.3897/folmed.68.e176423},
  url = {https://doi.org/10.3897/folmed.68.e176423},
  note = {CC BY-NC},
}

RIS

TY  - JOUR
TI  - Conservative combined approach for esthetic management of brown fluorosis lesions—two case reports
AU  - Veselina Todorova
AU  - Marieta Todorova
AU  - Vesela Stefanova
PY  - 2026
DA  - 2026/10/01
JO  - Folia Medica
DO  - 10.3897/folmed.68.e176423
UR  - https://doi.org/10.3897/folmed.68.e176423
AB  - Dental fluorosis often causes white or brown discolorations on anterior teeth, presenting an esthetic concern. This report describes a conservative treatment combining dental bleaching and resin infiltration for moderate brown fluorosis lesions. Two patients underwent light-activated bleaching with high-concentration hydrogen peroxide, followed by resin infiltration (Icon Infiltrant, DMG, Germany) after multiple etching cycles. Bleaching alone produced partial improvement, while subsequent resin infiltration achieved a uniform color and stable esthetic results. Both patients reported high satisfaction at the six-month follow-up. The combined approach of bleaching and resin infiltration is a minimally invasive and effective option for improving the appearance of brown fluorosis lesions.
SN  - 1314-2143
SN  - 0204-8043
ER  -

Abstract

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