Manejo clínico de fluorosis dental con resina infiltrativa (ICON) en un paciente de 10 años: Reporte de caso.

Abstract

This case report presents a 10-year-old male patient who visited the Catholic University of Cuenca, concerned about the appearance of white spots on his teeth. After a thorough medical history and clinical examination, dental fluorosis grade TF2 was diagnosed, according to the Thylstrup and Fejerskov Index. This type of fluorosis, which causes opaque white spots on the dental enamel, was treated with ICON® infiltrative resin. The treatment began with initial prophylaxis using water and pumice, followed by applying 15% hydrochloric acid for two minutes to remove the hypermineralized superficial layer. Then, 95% ethanol was used to dehydrate the enamel and facilitate the penetration of the infiltrative resin. The resin was applied for three minutes, followed by light-curing. Follow-up appointments at one, three, and six months showed significant aesthetic improvements, with better appearance and color stability. The use of ICON® was ideal for masking the white spots associated with fluorosis, enhancing the patient’s self-esteem and quality of life without requiring invasive treatment. This material is highlighted by its ability to infiltrate enamel lesions without removing healthy dental tissue, preserving the tooth structure by penetrating the pores of demineralized lesions.

Keywords: fluorosis, Thylstrup and Fejerskov, ICON®, white spots.