64 -9 (95) 2026 - Mukhamedova N.Kh., Sharipova G.I. - MULTIMODAL PREVENTION AND MINIMALLY INVASIVE MANAGEMENT OF EARLY DENTAL FLUOROSIS IN CHILDREN

MULTIMODAL PREVENTION AND MINIMALLY INVASIVE MANAGEMENT OF EARLY DENTAL FLUOROSIS IN CHILDREN

Mukhamedova N.Kh., Sharipova G.I. - Bukhara State Medical Institute named after Abu Ali ibn Sina

Resume

Early dental fluorosis is a developmental enamel condition that requires management at three interconnected levels: control of excessive fluoride exposure, preservation of mineral balance and plaque control, and conservative correction of patient-relevant aesthetic defects. This narrative review integrates public-health prevention, salivary and behavioural risk modification, remineralization, microabrasion and resin infiltration for children with non-pitted early lesions. Evidence from randomized and prospective clinical studies indicates that resin infiltration generally provides stronger immediate masking than remineralization or microabrasion, while microabrasion remains useful for superficial stained defects. A fluorescence-guided, severity-based pathway is proposed for children aged 6–15 years with TF 1–3 lesions, together with a 24-month monitoring framework.

Keywords: children, dental fluorosis, multimodal prevention, remineralization, resin infiltration, microabrasion, fluorescence monitoring, oral health-related quality of life.

First page

428

Last page

433

For citation:Mukhamedova N.Kh., Sharipova G.I. - MULTIMODAL PREVENTION AND MINIMALLY INVASIVE MANAGEMENT OF EARLY DENTAL FLUOROSIS IN CHILDREN//New Day in Medicine 9(95)2026 428-433 https://newdayworldmedicine.com/en/new_day_medicine/9-95-2026

LIST OF REFERENCES

1. World Health Organization. Inadequate or excess fluoride: a major public health concern. Geneva: World Health Organization; 2019.
2. DenBesten P, Li W. Chronic fluoride toxicity: dental fluorosis. Monogr Oral Sci. 2011;22:81-96. doi:10.1159/000327028.
3. Shahroom NSB, Mani G, Ramakrishnan M. Interventions in management of dental fluorosis, an endemic disease: a systematic review. J Family Med Prim Care. 2019;8(10):3108-3113. doi:10.4103/jfmpc.jfmpc_648_19.
4. Di Giovanni T, Eliades T, Papageorgiou SN. Interventions for dental fluorosis: a systematic review. J Esthet Restor Dent. 2018;30(6):502-508. doi:10.1111/jerd.12408.
5. Singhania S, Nandlal B, Shanbhog R, Veeramani R. Resin infiltration and remineralization interventions in management of moderate dental fluorosis: a QLF-based randomized controlled trial. Indian J Dent Res. 2021;32(3):362-371. doi:10.4103/ijdr.IJDR_998_20.
6. Garg I, Pandit IK, Srivastava N, Gugnani N, Gupta M. Comparative evaluation of resin infiltration, bleaching, enamel microabrasion and double resin infiltration on non-pitted fluorosis stains. Int J Clin Pediatr Dent. 2022;15(1):53-62. doi:10.5005/jp-journals-10005-2326.
7. Narayanamurthy S, et al. Efficacy of microabrasion and resin infiltration techniques for masking fluorotic white spot lesions: a randomized clinical study. J Indian Soc Pedod Prev Dent. 2024;42:34-40. PMCID: PMC10823987.
8. Gugnani N, Pandit IK, Gupta M, Josan R. Comparative evaluation of esthetic changes in non-pitted fluorosis stains treated with resin infiltration, in-office bleaching, and combination therapies. J Esthet Restor Dent. 2017;29:317-324. doi:10.1111/jerd.12312.
9. Gencer MDG, Kirzioglu Z. A comparison of the effectiveness of resin infiltration and microabrasion treatments applied to developmental enamel defects in color masking. Dent Mater J. 2019;38(2):295-302. doi:10.4012/dmj.2018-074.
10. Castro KS, Ferreira ACD, Duarte RM, Sampaio FC, Meireles SS. Acceptability, efficacy and safety of two treatment protocols for dental fluorosis: a randomized clinical trial. J Dent. 2014;42(8):938-944. doi:10.1016/j.jdent.2014.01.011.

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