Adhesion to Moderate Fluorosed Enamel: Silorane Composite versus Methacrylate Composite: in vitro study.
Dental News Volume XXII, Number IV, December, 2015 By Dr. Chems Belkhir, Dr. Afef Karmandi, Dr. Rim Mabrouk, Dr. Najet Aguir, and Dr. Mohammed Semir Belkhir Introduction Dental fluorosis is a hypomineralisation of the dental hard tissues induced by an excessive intake of fluoride occurring during odontogenesis. 4 Fluorosis is clinically manifested, depending on individual susceptibility, by opaque white spots, lines following the perikymata direction, or wavy yellowish and brownish striations of the enamel. Later, the opaque surfaces develop and turn into chalky and the enamel develops small cavities. After tooth eruption, the enamel pits and fissures turn into brown or black. 22 A fluorosed tooth requires a particular therapeutic. The fluorosed enamel is hard, brittle and acido-resistant. 4, 22 These features represent a real problem for resin composite bonding to this enamel which is little studied. ...