Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report

INTRODUCTION. Modern patients frequently strive for the brightest possible tooth shade, which often requires a full-mouth rehabilitation of both arches. However, in this clinical case, the 21-year-old patient’s teeth already exhibited a natural “bleach” shade, further complicated by fluorosis on the...

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Main Author: T. B. Rakhymzhanov
Format: Article
Language:Russian
Published: LLC "Endo Press" 2025-06-01
Series:Эндодонтия Today
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Online Access:https://www.endodont.ru/jour/article/view/1437
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author T. B. Rakhymzhanov
author_facet T. B. Rakhymzhanov
author_sort T. B. Rakhymzhanov
collection DOAJ
description INTRODUCTION. Modern patients frequently strive for the brightest possible tooth shade, which often requires a full-mouth rehabilitation of both arches. However, in this clinical case, the 21-year-old patient’s teeth already exhibited a natural “bleach” shade, further complicated by fluorosis on the upper teeth. At the patient’s request, the objective was to adapt the upper anterior teeth to the already bright color of the remaining dentition. AIM. The aim of this work is to demonstrate the process of fabricating Bleach-shade ceramic restorations on six teeth (13–23) with minimal tooth preparation (0.5–0.7 mm). MATERIALS AND METHODS. Outlines the inclusion and exclusion criteria, the diagnostic steps, the selection of lithium disilicate ceramics, and the adhesive protocol (37% phosphoric acid etching of the enamel, HF etching of the internal surface, silanization, and resin cement). RESULTS. Observational results showed excellent esthetics and stable retention, without any inflammatory or painful symptoms. The uniqueness of this approach lies in the fact that Bleach restorations are typically performed only when both arches are comprehensively restored, yet here harmony was achieved without altering the lower teeth. CONCLUSION. The conclusions emphasize the potential of Bleach ceramics for patients seeking an “ultrawhite” smile, on the condition that the preparation and bonding technique are strictly followed.
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spelling doaj-art-6cd321b2075a44f09e7a16aa4a829dbd2025-08-20T03:19:46ZrusLLC "Endo Press"Эндодонтия Today1683-29811726-72422025-06-0123227628110.36377/ET-00961163Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case reportT. B. Rakhymzhanov0Center of Digital DentistryINTRODUCTION. Modern patients frequently strive for the brightest possible tooth shade, which often requires a full-mouth rehabilitation of both arches. However, in this clinical case, the 21-year-old patient’s teeth already exhibited a natural “bleach” shade, further complicated by fluorosis on the upper teeth. At the patient’s request, the objective was to adapt the upper anterior teeth to the already bright color of the remaining dentition. AIM. The aim of this work is to demonstrate the process of fabricating Bleach-shade ceramic restorations on six teeth (13–23) with minimal tooth preparation (0.5–0.7 mm). MATERIALS AND METHODS. Outlines the inclusion and exclusion criteria, the diagnostic steps, the selection of lithium disilicate ceramics, and the adhesive protocol (37% phosphoric acid etching of the enamel, HF etching of the internal surface, silanization, and resin cement). RESULTS. Observational results showed excellent esthetics and stable retention, without any inflammatory or painful symptoms. The uniqueness of this approach lies in the fact that Bleach restorations are typically performed only when both arches are comprehensively restored, yet here harmony was achieved without altering the lower teeth. CONCLUSION. The conclusions emphasize the potential of Bleach ceramics for patients seeking an “ultrawhite” smile, on the condition that the preparation and bonding technique are strictly followed.https://www.endodont.ru/jour/article/view/1437fluorosisminimally invasive dentistryesthetic rehabilitationultra-white smilelithium disilicate veneers
spellingShingle T. B. Rakhymzhanov
Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report
Эндодонтия Today
fluorosis
minimally invasive dentistry
esthetic rehabilitation
ultra-white smile
lithium disilicate veneers
title Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report
title_full Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report
title_fullStr Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report
title_full_unstemmed Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report
title_short Bleach-shade ceramic restorations for anterior teeth affected by fluorosis: a case report
title_sort bleach shade ceramic restorations for anterior teeth affected by fluorosis a case report
topic fluorosis
minimally invasive dentistry
esthetic rehabilitation
ultra-white smile
lithium disilicate veneers
url https://www.endodont.ru/jour/article/view/1437
work_keys_str_mv AT tbrakhymzhanov bleachshadeceramicrestorationsforanteriorteethaffectedbyfluorosisacasereport